Comparison of 3 evaluation criteria for potentially inappropriate medications in elderly patients with femoral neck fracture
- VernacularTitle:3种标准评估老年股骨颈骨折患者潜在不适当用药的比较
- Author:
Xuan ZHANG
1
;
Yu SUN
2
;
Yang GAO
1
;
Yirou JIANG
3
;
Hua ZHU
1
;
Wei GONG
4
Author Information
1. Dept. of Pharmacy，Northern Jiangsu People’s Hospital/Clinical Medial School，Yangzhou University，Jiangsu Yangzhou 225001，China
2. Dept. of Orthopedics，Northern Jiangsu People’s Hospital，Jiangsu Yangzhou 225001，China
3. School of Pharmacy，Hubei University of Science and Technology，Hubei Xianning 437100，China
4. Dept. of Anesthesiology，Northern Jiangsu People’s Hospital，Jiangsu Yangzhou 225001，China
- Publication Type:Journal Article
- Keywords:
potentially inappropriate medication;
aged
- From:
China Pharmacy
2024;35(6):762-766
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the prevalence of potentially inappropriate medication （PIM） in elderly patients with femoral neck fractures at admission and compare the concordance of 3 evaluation criteria. METHODS A retrospective study was conducted to review the data of elderly patients with femoral neck fractures admitted to the Department of Orthopedics in Northern Jiangsu People’s Hospital from July 2022 to June 2023. The PIMs were identified according to the Criteria of Potentially Inappropriate Medications for Older Adults in China：2017 edition （hereinafter referred to as Chinese criteria）， American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication in Older Adults （hereinafter referred to as 2023 Beers criteria）， third version criteria for screening tool of older people’s prescriptions for potentially inappropriate medication （hereinafter referred to as STOPP criteria version 3）. The concordance of the 3 evaluation criteria was compared by using Kappa statistics. RESULTS A total of 246 patients were included in this study； 49 patients （19.92%） with 77 PIMs were detected by the Chinese criteria， 64 patients （26.02%） with 118 PIMs were detected by the 2023 Beers criteria， and 41 patients （16.67%） with 67 PIMs were detected by the STOPP criteria version 3； 22 patients met all three criteria simultaneously. The concordance among the three criteria showed moderate agreement （0.417≤Kappa≤0.486） when compared in pairs. CONCLUSIONS There are certain differences in the PIM evaluated by the three criteria， but the prevalence of PIMs is below 30% according to the different H202134） criteria. Benzodiazepines， antipsychotics， antidepressants， and other drugs may increase the risk of patients falling again.
