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STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions)
— application to acutely ill elderly patients and comparison with Beers' criteria |
| Author(s) | Paul Gallagher, Denis O'Mahony |
| Journal title | Age and Ageing, vol 37, no 6, November 2008 |
| Pages | pp 673-679 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | In-patients ; Acute illness ; Drugs ; Screening ; Evaluation ; Ireland. |
| Annotation | STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) is a new, system-defined medicine review tool. The authors compared the performance of STOPP to that of established Beers' criteria in detecting potentially inappropriate medicines (PIMs) and related adverse drug events (ADEs) in older patients presenting for hospital admission. 715 consecutive acute admissions (median age 77; age range 72-82) to a teaching hospital were studied. Diagnoses, reasons for admission and concurrent medications were recorded. The median number of prescription medicines was 6 (range 0-21). STOPP identified 336 PIMs affecting 247 patients (35%), of whom one third (n=82) presented with an associated ADE. Beers' criteria identified 226 PIMs affecting 177 patients (25%), of whom 45 presented with an associated ADE. STOPP-related PIMs contributed to 11.5% of all admissions. Beers' criteria-related PIMs contributed to significantly fewer admissions (6%). That STOPP criteria identified a significantly higher proportion of patients requiring admission to hospital as a result of PIM-related adverse events than Beers' criteria has significant implications for hospital geriatric practice. (RH). |
| Accession Number | CPA-081217208 A |
| Classmark | LF7: CHA: LLD: 3V: 4C: 763 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |