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Title of the item:

European repository of explicit criteria of potentially inappropriate medications in old age.

Title :
European repository of explicit criteria of potentially inappropriate medications in old age.
Authors :
Ivanova, Ivana
Elseviers, Monique
Wauters, Maarten
Christiaens, Thierry
Vander Stichele, Robert
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Subject Terms :
INFORMATION storage & retrieval systems -- Medical care
MEDICAL history taking
PHARMACY information services
SEVERITY of illness index
MEDICATION therapy management
ELECTRONIC health records
INAPPROPRIATE prescribing (Medicine)
Source :
Geriatrics & Gerontology International; Aug2018, Vol. 18 Issue 8, p1293-1297, 5p
Geographic Terms :
Academic Journal
Aim: Lack of electronic assessment of medication lists in electronic health records is a barrier for more generalized use of potentially inappropriate medications (PIM) lists, designed for older adults. The aim was to construct a European repository of explicit criteria on PIM, suitable for electronic assessment. Methods: PIM description, medication information, clinical information and level of evidence was entered. Criteria with unclear medication specifications were excluded. Too complex criteria were divided for more operable use. Results: We selected three lists: the European Union (7)-PIM (2015), STOPP/START (2014) and Beers criteria (2015). After exclusion and division, from 641 original criteria of the three PIM-lists, a total of 650 criteria were entered (n = 282 from European Union (7)-PIM, n = 201 from Beers and n = 167 from the STOPP/START list). Identification of the medication was possible with the Anatomical Therapeutic Chemical Classification System for practically all criteria, except for 23 (3.5%). From all criteria, 63.9% required only medication-related information. In 55.7% of the criteria, identification of the active substance(s) was the only medication data requirement and 8.2% required additional information (dose, duration, route of administration). From all criteria, 36.1% required clinical information, from which 17.8% requested disease information only, and 18.3% required additional information (indication, history of diseases, laboratory results or severity of diseases). Conclusions: It was feasible to enter most of the original criteria of the three PIM lists into a repository of electronically applicable criteria. In the future, developers of new PIM lists should take into account semantic interoperability and consider the suitability of the criteria for electronic use. [ABSTRACT FROM AUTHOR]
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