PowerPoint Presentation

[Audio] Universitas Airlangga presented a poster presentation with the title Evaluation of Potentially Inappropriate Medications (PIMs) in nervous system diseases using Beers criteria. This study was written by the main author Arina D Puspitasari and assisted by several co-authors and made a poster presentation by Diyah Wahyuni.

[Audio] Some medications commonly can affect the changes in the nervous system of geriatric patients. The prevalence of potentially inappropriate medication in older emergency patients increased from 5.6% to 26% if assessed based on the Beers Criteria that is a tool for monitoring PIM and the most widely used explicit lists for PIMs in geriatric patients. This study aimed to evaluate the PIM and identify the most common types of PIM for nervous system diseases in geriatric patients in an emergency room..

[Audio] The study was collected from January 2020, to June 2020. The inclusion criteria were all male and female geriatric patients who were 60 years old and above who received therapy in the emergency room with a yellow or red tag and were diagnosed with nervous system diseases. Patient characteristics for analysis were age and gender in relation to the incidence of PIM. Each medication was then checked with Beers' list tables for identifying PIMs. The number of drug lists per prescription in Beers Criteria 2019 was also analyzed..

[Audio] A cross-tabulation descriptive analysis aimed to obtain the prevalence of PIMs from all drug regimens and determine categories of PIM that were most often prescribed by geriatric patients..

[Audio] The descriptive analysis showed 96 patients characteristics in the study. Table shows the most dominant age of geriatric patients was the age of 60- 69 years and male subjects were the most dominant The number of patients with PIM incidents and without PIM incidents in both patient characteristics was presented in chart..

[Audio] The Chi-square test calculated the number of PIMs and significant differences in the association between patient characteristics and PIM incidents. Based on Beers Criteria 2019, 82.3% prescriptions had at least one PIM. This study found gender was not related to PIM incidents). Similarly, age was not correlated with PIM incidents..

[Audio] The cross-tabulation descriptive analysis determined categories of PIM that were most often used by geriatric patients. It addressed each component of the prescription regimen and analyzed PIMs from the total drugs. Table shows that there were 270 medications prescribed for the entire study subjects. Of 270 drugs, there were 53% prescriptions without PIM incidents and 47% prescriptions with PIM incidents..

[Audio] Based on the analysis of drug therapy, there were 270 drugs for six months and 54 types for the same period. The analysis also included the entire list of prescribed drugs and then identified the frequency of drug types in relation to the incidence of PIM. The most widely used drugs were ranitidine , metamizole and omeprazole and were followed by other drugs with smaller used drugs.

[Audio] In conclusion, there was a high prevalence of prescribing PIMs in geriatric patients in the emergency room. The most common PIM was administered to older adults due to drug-disease or drug-syndrome interactions that may exacerbate the disease or syndrome. The most prescribed PIM was ranitidine, followed by metamizole and omeprazole.

[Audio] A particular thanks go out to the staff, health workers, and all management in Universitas Airlangga Teaching Hospital, Surabaya, Indonesia.

[Audio] and these are some of the references we used in writing this study.

[Audio] and finally we thank everyone who contributed to the conception, study design and organized of the database, statistical analysis, and everyone who provided critical feedback and helped shape the research, analysis, and manuscript. Thankyou for your attention..