Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli

Introduction: Among studies carried out in Malaysian elderly patients, many focused on the issue of potentially inappropriate medications (PIMs) as defined by Beers criteria in inpatient setting and nursing home care. Therefore, this study is expected to give initial information on the prevalence an...

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Main Author:	Mohd Fazli, Adilah
Format:	Thesis
Language:	English
Published:	2014
Subjects:	RM Therapeutics Pharmacology Drugs and their actions
Online Access:	https://ir.uitm.edu.my/id/eprint/71630/1/71630.pdf
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id	my-uitm-ir.71630
record_format	uketd_dc
spelling	my-uitm-ir.716302023-03-20T04:52:52Z Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli 2014 Mohd Fazli, Adilah RM Therapeutics. Pharmacology Drugs and their actions Introduction: Among studies carried out in Malaysian elderly patients, many focused on the issue of potentially inappropriate medications (PIMs) as defined by Beers criteria in inpatient setting and nursing home care. Therefore, this study is expected to give initial information on the prevalence and predictors of prescribing potentially inappropriate psychotropic drugs (PIPDs), as defined by Beers criteria among psychogeriatric patients in the outpatient setting. Objectives: To determine the prevalence and predictors of prescribing PIPDs among psychogeriatric patients visiting Medication Therapy Adherence Clinic (MTAC) of psychiatry in Hospital Tengku Ampuan Rahimah (HTAR). Methodology: A retrospective observational cohort study was conducted on 166 older patients > 60 years, came for follow up visits at MTAC psychiatry and were prescribed with at least 1 psychotropic drug. Beers criteria 2012 was used to determine whether each of the study subject being prescribed with PIPDs or not. Multiple logistic regressions analysis was performed to identify significant predictors of prescribing PIPDs from patient's characteristics. Any reported adverse outcomes (including reported adverse effects, falls, emergency room visits and hospitalizations) related to psychotropic drugs use were documented. Results: The prevalence of prescribing PIPDs to the psychogeriatric patients visiting MTAC psychiatry was 52.4% and benzodiazepines were the most commonly prescribed PIPDs. Number of children was the only significant predictor of prescribing PIPDs among the elderly patients (OR = 1.18; p = 0.015) and no significant association was observed between prescribing PIPDs and any of the adverse outcomes reported. Conclusion: Heterogeneity of the study subjects and variability in the study design contribute to the inconsistency of the study findings from other PIMs studies carried out elsewhere. 2014 Thesis https://ir.uitm.edu.my/id/eprint/71630/ https://ir.uitm.edu.my/id/eprint/71630/1/71630.pdf text en public masters Universiti Teknologi MARA (UiTM) Faculty of Pharmacy Abd Aziz, Noorizan
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Abd Aziz, Noorizan
topic	RM Therapeutics Pharmacology Drugs and their actions
spellingShingle	RM Therapeutics Pharmacology Drugs and their actions Mohd Fazli, Adilah Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli
description	Introduction: Among studies carried out in Malaysian elderly patients, many focused on the issue of potentially inappropriate medications (PIMs) as defined by Beers criteria in inpatient setting and nursing home care. Therefore, this study is expected to give initial information on the prevalence and predictors of prescribing potentially inappropriate psychotropic drugs (PIPDs), as defined by Beers criteria among psychogeriatric patients in the outpatient setting. Objectives: To determine the prevalence and predictors of prescribing PIPDs among psychogeriatric patients visiting Medication Therapy Adherence Clinic (MTAC) of psychiatry in Hospital Tengku Ampuan Rahimah (HTAR). Methodology: A retrospective observational cohort study was conducted on 166 older patients > 60 years, came for follow up visits at MTAC psychiatry and were prescribed with at least 1 psychotropic drug. Beers criteria 2012 was used to determine whether each of the study subject being prescribed with PIPDs or not. Multiple logistic regressions analysis was performed to identify significant predictors of prescribing PIPDs from patient's characteristics. Any reported adverse outcomes (including reported adverse effects, falls, emergency room visits and hospitalizations) related to psychotropic drugs use were documented. Results: The prevalence of prescribing PIPDs to the psychogeriatric patients visiting MTAC psychiatry was 52.4% and benzodiazepines were the most commonly prescribed PIPDs. Number of children was the only significant predictor of prescribing PIPDs among the elderly patients (OR = 1.18; p = 0.015) and no significant association was observed between prescribing PIPDs and any of the adverse outcomes reported. Conclusion: Heterogeneity of the study subjects and variability in the study design contribute to the inconsistency of the study findings from other PIMs studies carried out elsewhere.
format	Thesis
qualification_level	Master's degree
author	Mohd Fazli, Adilah
author_facet	Mohd Fazli, Adilah
author_sort	Mohd Fazli, Adilah
title	Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli
title_short	Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli
title_full	Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli
title_fullStr	Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli
title_full_unstemmed	Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli
title_sort	evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / adilah mohd fazli
granting_institution	Universiti Teknologi MARA (UiTM)
granting_department	Faculty of Pharmacy
publishDate	2014
url	https://ir.uitm.edu.my/id/eprint/71630/1/71630.pdf
_version_	1783735949413318656

Evaluation of potentially inappropriate psychotropic drugs as defined by beers criteria in elderly patients visiting medication therapy adherence clinic of psychiatry / Adilah Mohd Fazli

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