Multidisciplinary medication review during older patient hospitalization according to STOPP/START criteria reduces potentially inappropriate prescriptions: MoPIM cohort study

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• dc.contributor.author Ortonobes, Sara
• dc.contributor.author Herranz, Susana
• dc.contributor.author Lleal, Marina
• dc.contributor.author Sevilla-Sánchez, Daniel
• dc.contributor.author Jordana, Rosa
• dc.contributor.author Mascaró, Oscar
• dc.contributor.author Ferrández, Olivia
• dc.contributor.author de Jaime Gil, Elisabet
• dc.contributor.author Estrada, Rafael
• dc.contributor.author Nazco, Gloria Julia
• dc.contributor.author Baré, Marisa
• dc.date.accessioned 2025-04-14T05:36:38Z
• dc.date.available 2025-04-14T05:36:38Z
• dc.date.issued 2024
• dc.description.abstract Purpose: Multimorbidity and polypharmacy in older adults converts the detection and adequacy of potentially inappropriate drug prescriptions (PIDP) in a healthcare priority. The objectives of this study are to describe the clinical decisions taken after the identification of PIDP by clinical pharmacists, using STOPP/START criteria, and to evaluate the degree of accomplishment of these decisions. Methods: Multicenter, prospective, non-comparative cohort study in patients aged 65 and older, hospitalized because of an exacerbation of their chronic conditions. Each possible PIDP was manually identified by the clinical pharmacist at admission and an initial decision was taken by a multidisciplinary clinical committee. At discharge, criteria were re-applied and final decisions recorded. Results: From all patients (n = 674), 493 (73.1%) presented at least one STOPP criteria at admission, significantly reduced up to 258 (38.3%) at discharge. A similar trend was observed for START criteria (36.7% vs. 15.7%). Regarding the top 10 most prevalent STOPP criteria, the clinical committee initially agreed to withdraw 257 (34.2%) prescriptions and to modify 93 (12.4%) prescriptions. However, the evaluation of final clinical decisions revealed that 503 (67.0%) of those STOPP criteria were ultimately amended. For the top 10 START criteria associated PIDP, the committee decided to initiate 149 (51.7%) prescriptions, while a total of 198 (68.8%) were finally introduced at discharge. Conclusions: The clinical committee, through a pharmacotherapy review, succeeded in identifying and reducing the degree of prescription inadequacy, for both STOPP and START criteria, in older patients with high degree of multimorbidity and polypharmacy. Trial registration: NCT02830425.
• dc.format.mimetype application/pdf
• dc.identifier.citation Ortonobes S, Herranz S, Lleal M, Sevilla-Sánchez D, Jordana R, Mascaró O, et al. Multidisciplinary medication review during older patient hospitalization according to STOPP/START criteria reduces potentially inappropriate prescriptions: MoPIM cohort study. BMC Geriatr. 2024 Jul 8;24(1):584. DOI: 10.1186/s12877-024-05185-w
• dc.identifier.doi http://dx.doi.org/10.1186/s12877-024-05185-w
• dc.identifier.issn 1471-2318
• dc.identifier.uri http://hdl.handle.net/10230/70137
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BMC Geriatr. 2024 Jul 8;24(1):584
• dc.rights © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Clinical committee review
• dc.subject.keyword Multimorbidity
• dc.subject.keyword Older adults
• dc.subject.keyword Polypharmacy
• dc.subject.keyword Potentially inappropriate prescription
• dc.subject.keyword Prescription adequacy
• dc.title Multidisciplinary medication review during older patient hospitalization according to STOPP/START criteria reduces potentially inappropriate prescriptions: MoPIM cohort study
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion