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KMID : 1039620140040020157
Korean Journal of Family Practice
2014 Volume.4 No. 2 p.157 ~ p.163
The Evaluation of Drug Appropriacy Using STOPP-START Criteria for Elderly Inpatients at a University Hospital in Seoul
Lee Hyun-Woo

Won Chang-Won
Ahn Jung-Yun
Choi Hyun-Rim
Kim Byung-Sung
Kim Sun-Young
Abstract
Background: The Screening Tool of Older Persons¡¯ potentially inappropriate Prescriptions (STOPP)-Screening Tool to Alert to Right Treatment (START) criteria have been formulated to complement the limitation of the Beer¡¯s criteria. This study aims to identify potentially inappropriate medicines (PIMs) and potential prescribing omissions (PPOs) according to the STOPP-START criteria at a university hospital in Seoul.

Methods: The study included 240 inpatients older than 65 year-age who were admitted to a university hospital between January 2011 and December 2011. The medical records were reviewed. The STOPP-START criteria were applied to the medication information to fi nd out whether medicine was properly prescribed.

Results: The medical records showed that 161 (67.1%) out of 240 patients took more than 5 medications when they were hospitalized. Among the participants, 34 patients (14.2%, 34 PIMs) were using inappropriate drugs according to the STOPP criteria. The most frequently encountered PIM was a non-steroidal anti-infl ammatory drug prescribed in patients with moderate-to-severe hypertension (23.5%, 8 PIMs), which was followed by calcium channel blockers prescribed in patients with chronic constipation (11.8%, 4 PIMs). The application of the START criteria showed 84 participants (35%, 145 PPOs) were not taking needed medications. The most frequent was lack of metformin in patients with diabetes (21.4%, 31 PPOs). The second most common PPO was hyperlipidemia treatment including statin therapy in diabetic patients with major cardiovascular risk factors (16.6%, 24 PPOs).

Conclusion: The use of STOPP/START criteria in clinical practice is expected to help reduce the side effects that may ome from inappropriately prescribed medications. It could also help medical professionals provide elderly patients with safer drug therapies.
KEYWORD
Aged, Medication, Prescription, Mass Screening
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