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Ann Geriatr Med Res > Volume 17(3); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(3):126-133.
DOI: https://doi.org/10.4235/jkgs.2013.17.3.126    Published online September 30, 2013.
Potentially Inappropriate Medications in Elderly Outpatients by the 2012 Version of Beers Criteria: A Single Tertiary Medical Center Experience in South Korea
Il Young Jang, Young Soo Lee, Min Kyung Jeon, Hyungwoo Cho, Jin Sun Oh, Yunkyoung Lee, Hyungchul Park, Soo Han Kim, Eunju Lee
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
2012년 개정판 Beers criteria 를 통한 노인 부적절 약물의 처방 현황에 관한 연구
장일영1, 이영수1, 전민경1, 조형우1, 오진선1, 이윤경1, 박형철1, 김수한1, 이은주1
서울아산병원 노년내과
Abstract
BACKGROUND
The American Geriatric Society released the 2012 updated version of the Beers criteria with intentions to improve care of older adults by reducing their exposure to potentially inappropriate medications (PIMs). However, there have been no reports on the prevalence of PIMs prescriptions according to the 2012 version of Beers criteria in South Korea.
METHODS
This is a retrospective study using medical records and code analysis of each PIM to survey the prevalence of PIMs prescriptions and common PIMs used for elderly patients. Locating the PIMs was carried out in all outpatients who visited Asan Medical Center from May 2012 to April 2013. Selection of PIMs was based on the 2012 updated version of the Beers criteria.
RESULTS
A total of 652,192 outpatients older than 65 years visited our medical center during the study period and were analyzed. Among them, 33,810 (5.19%) received at least one PIM and 125,498 cases of PIM prescriptions were written. The percentage of the patients who received at least two kinds of PIMs concurrently was 33.14%. Common PIMs were tramadol (24.15%), clonazepam(11.51%), ibuprofen (10.02%), megesterol (9.80%), and amitriptyline (9.51%).
CONCLUSION
Our study investigated the prevalence of PIMs prescription for Korean elderly outpatients in a single tertiary medical center. Compared to previous reports using the older version of the Beers criteria, our study showed a change in the priority of common PIMs.
Key Words: Beers criteria, Inappropriate prescribing, Aged, Polypharmacy
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