Health outcomes associated with potentially inappropriate medication use in older adults†
Article first published online: 28 DEC 2007
Copyright © 2007 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 31, Issue 1, pages 42–51, February 2008
How to Cite
Fick, D. M., Mion, L. C., Beers, M. H. and L. Waller, J. (2008), Health outcomes associated with potentially inappropriate medication use in older adults. Res. Nurs. Health, 31: 42–51. doi: 10.1002/nur.20232
We would like to acknowledge Shari Walczak and Liz Spielvogel for manuscript review and formatting. This study was supported in part by a grant from the Medical College of Georgia and Blue Cross Blue Shield of Georgia, Center for Healthcare Improvement. Dr. Fick is supported in part by a grant from the National Institute on Aging: R03 AG023216-01A2.
- Issue published online: 16 JAN 2008
- Article first published online: 28 DEC 2007
- Manuscript Accepted: 8 JUL 2007
- healthcare costs;
- adverse drug events
The purpose of this study was to examine the prevalence of potentially inappropriate medication use (PIMs) among community-dwelling older adults and the association between PIMs and health care outcomes. Participants were 17,971 individuals age 65 years and older. PIM use was defined by the Beers criteria. Drug-related problems (DRPs) were defined using ICD-9 codes. Forty percent of the 17,971 individuals filled at least 1 PIM prescription, and 13% filled 2 or more PIM prescriptions. Overall DRP prevalence among those with at least 1 PIM prescription was 14.3% compared to 4.7% in the non-PIM group (p < .001). In conclusion, preventing PIM use may be important for decreasing medication-related problems, which are increasingly being recognized as requiring an integrated interdisciplinary approach. © 2007 Wiley Periodicals, Inc. Res Nurs Health 31:42–51, 2008