Combining Beers and STOPP Criteria to Identify Inappropriate Medication Use in Elderly Patients with Chronic Diseases and Polypharmacy

Abdillah Mursyid; Farahdina Chairani; Yusransyah Yusransyah; Devi Pujiati

doi:10.24071/jpsc.007965

Combining Beers and STOPP Criteria to Identify Inappropriate Medication Use in Elderly Patients with Chronic Diseases and Polypharmacy

Abdillah Mursyid⁽¹⁾, Farahdina Chairani^(2*), Yusransyah Yusransyah⁽³⁾, Devi Pujiati⁽⁴⁾,

(1) Sekolah Tinggi Ilmu Kesehatan Salsabila Serang
(2) Sekolah Tinggi Ilmu Kesehatan Salsabila Serang
(3) Sekolah Tinggi Ilmu Kesehatan Salsabila Serang
(4) Sekolah Tinggi Ilmu Kesehatan Salsabila Serang
(*) Corresponding Author

Abstract

Elderly individuals often suffer from multiple chronic conditions that
require the prescription of various medications. This can increase the
risk of being prescribed Potentially Inappropriate Medications (PIMs).
The research objective was to evaluate the effectiveness of Beers 2019
and STOPP version 2 2016 criteria in detecting PIMs and their
correlation with adverse drug events among geriatric patients who
were admitted to the Hospital. The researchers conducted a
retrospective analysis of the 100 patients' medical records admitted to
the hospital in 2022. Beers 2019 criteria were more effective in
identifying PIMs than STOPP version 2 2016 criteria. Using Beers 2019
criteria, 31 cases of PIMs were identified among the 100 patients who
met the inclusion criteria, while only 25 cases were identified using
STOPP version 2 2016 criteria. Alprazolam was the most frequently
prescribed medication (19.54%) in the first criteria of Beers 2019,
followed by ranitidine in category two and spironolactone in category
5, each named for seven cases (22.58%). The most commonly found
PIMs, according to STOPP version 2 2016 criteria, were domperidone
(40.00%) and spironolactone (28.00%). The study recommends that
clinicians and pharmacists work together to develop critical supportive
data to enhance the identification of potentially inappropriate
medications.

Keywords

Beers criteria 2019; Geriatrics; PIMs; STOPP version 2 2016 criteria

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DOI: https://doi.org/10.24071/jpsc.007965