Using 1993 data, this study examines the prevalence of presumptively inappropriate prescriptions among residents, aged 65 and older, of board and care homes.
Inappropriate drug prescriptions were identified through the use of established criteria developed for aplication to older nursing home residents and to community-dwelling elderly.
This research used a sample of 2054 elderly residents from 410 facilities in 10 states.
Weigted analyses were performed with SUDAAN, which accounted for the complex, multistage sample design.
Depending on the criterion applied, between 20% and 25% of residents had at least one inappropriate prescription.
Propoxyphene, long-acting benzodiazepines, dipyridamole, and amitriptyline were prescribed most frequently.
Residents with inappropriate drug prescriptions had more complex drug regimens prescribed on a routine basis.
The results are a conservative estimate of the extent of inappropriate drug prescribing and utilization in board and care facilities.
Increased involvement by pharmacists and physicians in systematic drug utilization review is warranted.
Mots-clés Pascal : Prescription médicale, Erreur, Médicament, Posologie, Modalité traitement, Etablissement troisième âge, Prévalence, Toxicité, Vieillard, Homme, Etats Unis, Amérique du Nord, Amérique, Epidémiologie
Mots-clés Pascal anglais : Medical prescription, Error, Drug, Posology, Application method, Homes for the aged, Prevalence, Toxicity, Elderly, Human, United States, North America, America, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0289374
Code Inist : 002B02U10. Création : 15/07/1997.