Prescripciones potencialmente inadecuadas en pacientes ancianos polimedicados. Intervención y seguimiento del farmacéutico comunitario
2018
Background: Potentially inappropriate prescriptions are related with Medication
Related Problems and Negative Medication Results, especially in the elderly. Few studies in community pharmacy are available.
Objectives: To improve pharmacotherapy in patients over 65 years receiving more
than five medicines. We investigated pharmacotherapy, healthy style, treatment adherence by conducting an open interview with the community pharmacist. Pharmacists´
interventions, patients´ satisfaction and costs were reported.
Patients and methods: A descriptive study in a community pharmacy in Valencia (Spain) was designed. Data were collected in a Microsoft Acces® database and
prevalence of potentially inappropriate prescriptions STOPP/START criteria 2014 was
evaluated with the Checkthemeds® software.Results: 88 patients were enroled and 77 patients completed the study (87.5%). Prevalence of potentially inappropriate prescriptions was 33.0% (27.0% STOPP, 7.0% START
criteria). A section (duplicities and low evidence treatments) was the most representative.
Constipation was very common between the patients. Non-compliant patients (52.0%)
and low hydration (77.0%) were important too. 36.0% of potentially inappropriate prescriptions required pharmacist intervention with 14.0% of agreement. 9.0% of potentially
inappropriate prescriptions avoided medical intervention with a save of 6,57€ per patient.
Conclusions: The prevalence of STOPP criteria was similar to that other studies. That
of minor START criteria. The interview allows to eliminate false, potentially inadequate prescriptions. The systematic and protocolized review improves pharmacotherapy by
identifying and intervening in potentially inadequate prescriptions.
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