1148: Prescription analysis using STOPP/START criteria on a university hospital

Conference: 
Author(s): 
S.J..Lee1, J.H..Choi1, Y.J..Lee1, H.Ga2
1 Family Medicine, Inha University Hospital, Incheon, Korea; 2 Family Medicine, Eunhye Hospital, Incheon, Korea
Text: 
Objective: Prescribing potentially harmful drug and omitting essential drugs to older patients is highly prevalent because they take so many medicines. In this study, our goal was to identify Potentially inappropriate medicines(PIMs) and potential prescribing omissions(PPOs) using STOPP(Screening Tool of Older Persons’ potentially inappropriate Prescriptions) and START(Screening Tool to Alert to Right Treatment) criteria as to improve proper prescription and reduce improper prescription.
Methods: A total of 117 patients, older than 65 years old who had hospitalized at the Inha University Hospital due to pneumonia from January 2012 to March 2012 were enrolled in the study. Patient data, including medical histories, current diagnoses, current medications and biochemical data, were recorded from electronic-based records. In all patients, STOPP and START were applied to their clinical data sheets.
Results: 24 patients had 29 PIMs which identified by using STOPP criteria. The highest prevalence of potential inappropriate prescribing was in relation to the cardiovascular system, followed by drugs whose primary effect on the urogenital system, gastrointestinal system. 31 patients had 46 PPOs was identified by using START criteria. The cardiovascular system drugs were accounted for the most of the PPOs. No PPOs were identified under the central nervous system criteria.
Conclusion: Regarding current Korean medical system condition and considering existence of too many clinically important situation when prescribing drugs, applying STOPP/START criteria did not show absolute role to prevent improper prescription. But sagacious usage for these criteria would help doctors to prescribe properly in clinical field.

Disclosure: No conflict of interest declared