Pierre Olivier Lang|Yasmine Hasso|Moustapha Dramé|Nicole Vogt-Ferrier|Michel Prudent|Gabriel Gold|Jean?Pierre Michel
Potentially inappropriate prescribing including under-use amongst older patients with cognitive or psychiatric co-morbidities
University Hospital of Geneva|University of Reims Champagne-Ardenne|University Hospital of Geneva|University of Reims Champagne-Ardenne|Centre Hospitalier Universitaire de Reims|University Hospital of Geneva|University of Reims Champagne-Ardenne|University Hospital of Geneva|University Hospital of Geneva
objective study aimed determine prevalence risk factors inappropriate prescribing ip prescribing omission po elderly mental comorbidities participants one hundred fifty consecutive inpatients mental comorbidities hospitalised acute medical illness mean age 80 9 70 women considered study measurements ip po prospectively indentified according stoppstart criteria hospital admission results 95 taking 1 medication median 7 amounted 1137 prescriptions prevalence ip 77 po 65 frequent encountered ip concerned drugs adversely affecting fallers 25 antiaggregants therapy without atherosclerosis 14 po concerned antidepressants moderatesevere depression 20 calciumvitamin supplementation 18 independent predictors ip increased number concomitant drugs odds ratio 154 95 confidence interval ci 113189 cognitively impaired 183 95 ci 155224 fallen preceding 3 months 203 95 ci 152261 hospitalised preceding year 109 95 ci 102123 concerning po psychiatric disorder 164 95 ci 142201 increase level comorbidities 179 95 ci 148199 identified living institutional setting predictive maker ip 145 95 ci 127174 po 167 95 ci 132191 conclusion ip po highly prevalent raising need greater health literacy concerning geriatric conditions nongeriatrician practitioners care elderly well community hospital institutional settings improving quality safety prescribing medication