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Potentially inappropriate prescribing of cardiovascular system and antiplatelet/anticoagulant drugs among elderly patients:a Korean population-based national study

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Journal of Geriatric Cardiology 2021年第5期18卷 327-337页

作者： Jongyeon Kim Euna Han Hee-Jin Hwang Hyeonseok Cho Young-Sang Kim hyejin chun Jinkwon Kim Yon Chul Park Hye-Young Kang Department of Pharmaceutical Medicine and Regulatory Sciences Colleges of Medicine and PharmacyYonsei UniversityIncheonSouth Korea College of Pharmacy Yonsei Institute of Pharmaceutical SciencesYonsei UniversityIncheonSouth Korea Department of Family Medicine Catholic Kwandong University International St.Mary’s HospitalIncheonSouth Korea Department of Family Medicine CHA Bundang Medical CenterCHA UniversitySeongnamSouth Korea Department of Neurology Yongin Severance HospitalYonsei University College of MedicineYonginSouth Korea Department of Family Medicine Wonju Severance Christian HospitalWonjuSouth Korea

OBJECTIVES To investigate the prevalence of potentially inappropriate prescribing(PIP)for cardiovascular system(CVS)and antiplatelet/anticoagulant(AP/AC)drugs among Korean elderly patients,using the Screening Tool of Older Persons’Prescriptions(STOPP)criteria version 2 and to identify the risk factors related to *** The 2016 National Aged Patient Sample data,comprising National Health Insurance claim records for a random sample of 20%of patients aged≥65 years,were used to calculate PIP prevalence of outpatient *** criteria including drugdisease interactions,PIP prevalence per indication was *** Among 1,274,148 elderly patients and 27,062,307 outpatient prescription claims,100,085 patients(7.85%)and 341,664 claims(1.27%)had one or more *** most frequent PIP was“nonsteroidal antiinflammatory drug with concurrent antiplatelet agent(s)without protonpump inhibitor prophylaxis”in the claimlevel(0.97%)and patientlevel(6.33%)analyses.“Betablocker with bradycardia”(16.47%of claims)and“angiotensin receptor blockers in patients with hyperkalaemia”(23.89%of claims)showed the highest PIP prevalence per *** regression analysis revealed that,among the patient and health care provider characteristics,female,older age,more severe comorbidities,polypharmacy,higher level of healthcare organization,and specialty of prescriber were significantly associated with a higher risk of *** Our findings of a high prevalence of PIP for CVS and AP/AC drugs among the elderly suggest that an effective strategy is urgently needed to improve the prescription practices of these drugs.

关键词： drugs patients prescription

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