Elderly patients 72% more likely to get inappropriate prescription following hospitalisation

Elderly patients 72% more likely to get inappropriate prescription following hospitalisation
File image

Older patients who were hospitalised were 72% more likely to be given a potentially inappropriate prescription after hospital admission, according to new research.

The study, published in the current edition of The BMJ, involved researchers from the Royal College of Surgeons in Ireland (RCSI) reviewing general practice records of 38,229 patients, aged 65 or over, from 2012 to 2015.

They then assessed the records using 45 criteria from the Screening Tool for Older Persons’ Prescription (STOPP) to see if they were potentially inappropriate.

It found that potentially inappropriate prescribing was becoming increasingly prevalent in older people, and hospitalisation is independently associated with an increased risk of it occurring.

According to the study, when compared to older people who had not been hospitalised in the past year, the probability of at least one potentially inappropriate prescribing (PIP) event during a year increases by 49% for hospitalised patients after adjusting for other factors, such as the number of prescriptions and type of healthcare cover.

The research, titled 'Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: a longitudinal study', was conducted by the HRB Centre for Primary Care Research based in the Department of General Practice at RCSI.

Senior research fellow with the HRB Centre for Primary Care Research at RCSI Dr Frank Moriarty said: “Our study illustrates the need to consider and address potential adverse effects of hospitalisation on prescribing appropriate medication for older patients.”

He said there was the potential for other variables that could help explain the results, but added: “However, many of the common criteria in our study relate to inappropriate duration of use for medicines used for sleep, acid suppression, and anti-inflammatory effect," he said.

"Documenting and clearly communicating the intended prescription duration or planned review date would ensure that other clinicians, such as GPs, would have complete information for reviewing and stopping such prescriptions."

More on this topic

How often should you really wash your hair?How often should you really wash your hair?

Air ambulance charity told to cut costs to surviveAir ambulance charity told to cut costs to survive

National Ambulance Service is not bailing charity air ambulance outNational Ambulance Service is not bailing charity air ambulance out

Appeal issued for students to get mumps vaccine before returning to classes following outbreakAppeal issued for students to get mumps vaccine before returning to classes following outbreak


More in this Section

Woman, 40s, dies following crash in Co DownWoman, 40s, dies following crash in Co Down

Two arrested in relation to eight burglaries in Limerick and TipperaryTwo arrested in relation to eight burglaries in Limerick and Tipperary

Search operation underway in Cork after reports of car entering riverSearch operation underway in Cork after reports of car entering river

Taoiseach insists Ireland is a ‘safe’ country despite week of violent crimeTaoiseach insists Ireland is a ‘safe’ country despite week of violent crime


Lifestyle

The actor knows how to impress when it comes to high profile events.6 times Katie Holmes wowed on the red carpet

Glamour, fun and feathers all feature in this year’s hottest looks – but first and foremost, individual style rules.10 on-trend ways to transform your home in 2020

Abi Jackson shares the enduring appeal of Pooh Bear’s wisdom on Winnie-the-Pooh Day – author A.A. Milne’s birthday.Winnie-the-Pooh Day: The wellbeing lessons we can learn from Pooh Bear

We asked three experts for the low-down on shampooing frequency.How often should you really wash your hair?

More From The Irish Examiner