Assignment of Potentially Inappropriate Medications in Elderly and Senile Pulmonary Patients – an Assessment

Malykhin F. T.
Ph.D., Associate Professor, Chair of Propaedeutics of Internal Diseases¹

Baturin V. A.
MD, Professor, Head, Chair of Clinical Pharmacology¹

1 - Stavropol State Medical University

In accordance with Beers and STOPP/START criteria authors analyzed assignment frequency for potentially inappropriate medications in pulmonary inpatients older than 65 years of age. Checkup of appointment sheets for 580 elderly patients with chronic obstructive pulmonary disease and bronchial asthma revealed that in more than half of the cases potentially recommended medications were used at least once. Use of Beers and STOPP/START criteria is proposed as an optimization tool for medication in such patients.

elderly patients, chronic obstructive pulmonary disease, bronchial asthma, Beers and STOPP/START criteria

1. Baturin, V. A., and F. T. Malykhin. Natural and adverse effects of drugs in chronic obstructive pulmonary disease in older patients. Stavropol: StSMU, 2016.

2. Vasilenko, V. V. «Beers Criteria.» http:// www.mif-ua.com/archieve/article print/14054.

3. Gurevich, M. A. «Features of treatment of chronic heart failure at patients of elderly and senile age.» Rossijskij kardiologicheskij zhurnal, no. 4 (2008): 93-100.

4. Malykhin, F. T., and V. A. Baturin. «Possible side effects of medications in elderly patients with chronic obstructive pulmonary disease and concomitant pathology.» Terapevticheskij arhiv 88, no. 3 (2016): 100-07. DOI:10.17116/terarkh2016883100-107.

5. Chazov, E. I., and Y. A. Karpov, eds. Rational pharmacotherapy of cardiovascular diseases: a guide for practitioners. Moscow: Litterra, 2014.

6. Sychev, D. A., S. P. Bordovsky, K. S. Danilin, and E. S. Ilina. «Potentially inappropriate medications for elderly and senile patients: the STOPP/START criteria.» Klinicheskaya farmakologiya i terapiya 25, no. 2 (2016): 76-81.

7. Sychev, D. A., K. S. Danilina, and O. V. Golovina. «Frequency of prescribing potentially non-recommended medications (Beers criteria) in elderly patients in therapeutic departments of General hospital.» Terapevticheskij arhiv 87, no. 1 (2015): 27-30. doi:10.17116/terarkh201587127-30.

8. «American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.» Journal of the American Geriatrics Society 60, no. 4 (2012): 616-31. doi:10.1111/j.1532-5415.2012.03923.x.

9. Gallagher, P., C. Ryan, S. Byrne, J. Kennedy, and D. O’Mahony. «STOPP (Screening Tool of Older Person’s Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation.» Int. Journal of Clinical Pharmacology and Therapeutics 46, no. 02 (2008): 72-83. doi:10.5414/cpp46072.

10. O'Mahony, D., D. O'Sullivan, S. Byrne, M. N. O'Connor, C. Ryan, and P. Gallagher. «STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.» Age and Ageing 44, no. 2 (2014): 213-18. doi:10.1093/ageing/afu145.

11. Ryan C. The basics of the STOPP/START criteria. http://www.pcne.org/upload/ms2011d/Presentations/Ryan­%20pres.pdf