Analysis of Beer's Criteria 2019 and Patient Characteristics of Potentially Inappropriate Medication in Elderly Patients with Diabetes Mellitus

https://doi.org/10.22146/jmpf.88018

Anis Akhwan Dhafin(1*), Elsa Mahardika Putri(2)

(1) Faculty of Health Sciences, Universitas Kadiri, Kediri
(2) Faculty of Health Sciences, Universitas Kadiri, Kediri
(*) Corresponding Author

Abstract


Background: Elderly patients with type 2 diabetes mellitus with polypharmacy and various comorbidities often have problems with Potentially Inappropriate Medications (PIMs). One of the methods commonly used to detect this event is Beer's Criteria 2019.

Objectives: This study aims to: (1) identify the characteristics of elderly hospitalized patients with type 2 DM; (2) analyze the incidence of PIM in patients; and (3) analyze the relationship between characteristics (age, gender, comorbidities, length of stay, and number of drugs given) with the incidence of PIMs.

Methods: The research was conducted at two type C hospitals in the city of Bengkulu, with a total of 105 patients using the purposive sampling method. This research is a cross-sectional study with data collection techniques in the form of medical record data from patients for the period January – December 2022 who received drug therapy. Data analysis consists of comparing data with Beer'’s Criteria, quantitative descriptive and Fisher'’s test.

Results: The research results showed that: (1) the largest age group in Hospitals ) had comorbidities, the highest number of drugs given was more than 10 types of drugs, and the majority of patients were hospitalized for less than five days; (2) There was an incidence of PIMs of 98.65% (73 patients) in Hospital (3) Statistical tests show that there is no relationship between age, gender, comorbidities, number of medications and length of stay with the incidence of PIMs.

Conclusion: There is still inappropriate use of drugs given to elderly DM patients. It is hoped that further researchers will be able to find out the reasons for giving these drugs to elderly patients.


Keywords


Beer's Criteria 2019; DM Type 2; elderly; PIM; Polypharmacy

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References

  1. Liu J, Yu Y, Yan S, et al. Risk factors for self-reported medication adherence in community-dwelling older patients with multimorbidity and polypharmacy: a multicenter cross-sectional study. BMC Geriatr . 2023;23(75):1-10. doi:https://doi.org/10.1186/s12877-023-03768-7
  2. CPM. Older Population Statistics . Central Bureau of Statistics; 2020.
  3. Rumi A, Tahir MT, Ilham M. Identification of Potentially Inappropriate Medication (PIM) Using Beers Criteria in Inpatient Geriatric Patients in the Seroja and Flamboyan Rooms at Undata Hospital, Central Sulawesi Province. Public MediaPromotion of Indonesian Health . 2023;6(1):51-58. doi:10.56338/mppki.v6i1.2531
  4. Wahyuni KSPD, Widyaningrum EA, Sari EA, Noerhalizah D. Relationship between the number of drug prescriptions and potential inappropriate medication based on the 2019 Beers Criteria for Diabetes Mellitus Patients. 2023;3(2):195-202. doi:10.37311/ijpe.v3i2.19752
  5. Rahmawati R, Harianti Putri Y, Handayani D, et al. Potential for Inappropriate Medication Use in Geriatric Outpatients Based on the Beers Criteria 2019. J Kefarasian Akfarindo . 2022;7(2):9-14. doi:10.37089/jofar.vi0.125
  6. Corsonello A, Pranno L, Garasto S, Fabietti P, Bustacchini S. Potentially Inappropriate Medication in Elderly Hospitalized Patients. Drugs Aging . 2009;1(26):31-39. doi:10.2165/11534640-000000000-00000
  7. Díez R, Cadenas R, Susperregui J, et al. Potentially Inappropriate Medication and Polypharmacy in Nursing Home Residents: A Cross-Sectional Study. J Clin Med . 2022;11(13). doi:10.3390/jcm11133808
  8. Al-Azayzih A, Alamoori R, Altawalbeh SM. Potentially inappropriate medications prescribing according to beer criteria among elderly outpatients in Jordan: A cross sectional study. Pharm Pract (Granada) . 2019;17(2):1-7. doi:10.18549/PharmPract.2019.2.1439
  9. Pasina L, Djade CD, Tettamanti M, et al. Prevalence of potentially inappropriate medications and risk of adverse clinical outcomes in a cohort of hospitalized elderly patients: Results from the REPOSI Study. J Clin Pharm Ther . 2014;39(5):511-515. doi:10.1111/jcpt.12178
  10. Sharma R, Chhabra M, Vidyasagar K, Rashid M, Fialova D, Bhagavathula AS. Potentially Inappropriate Medication Use in Older Hospitalized Patients with Type 2 Diabetes: A Cross-Sectional Study. Pharmacy . 2020;8(4):219. doi:10.3390/pharmacy8040219
  11. Puspitasari RM. Test the Effectiveness of the “Screening Tool For Older People's Prescription” on Potentially Inappropriate Treatment in Geriatric Patients at Depok City Regional Hospital.” Univ Indonesia Published online 2013.
  12. Juliha S. Identification of Potentially Inappropriate Medications (PIMs) Based on STOPP START Criteria in Inpatient Geriatric Patients at Bandar Lampung Adventist Hospital. J Anal Health . 2018;7(1):657. doi:10.26630/jak.v7i1.912
  13. Yakaryılmaz FD, Öztürk ZA. Treatment of type 2 diabetes mellitus in the elderly. WorldJ Diabetes . 2017;8(6):278. doi:10.4239/wjd.v8.i6.278
  14. Lu L, Yao K, Chen J, et al. Prevalence of potentially inappropriate medications and association with comorbidities in older adults with diabetes in an outpatient visitation setting. Front Public Heal . 2022;10(September):1-14. doi:10.3389/fpubh.2022.995948
  15. Zulkarnaini A, Martini RD. Description of Polypharmacy in Geriatric Patients in Several Polyclinics at RSUP Dr. M. Djamil Padang. J Health Andalas . 2019;8(15):1-6
  16. Sukmawati S, Kosman R, Damayanti I. Identification of Drug Use in Elderly Hypertension Patients Using Beer's Criteria in the Inpatient Installation of Ibnu Sina Hospital Makassar for the 2012 Period. As-Syifa J Farm . 2016;8(1):52-58.
  17. Isnaini N, Ratnasari R. Risk factors influencing the incidence of type two diabetes mellitus. J Midwifery and Nursing Aisyiyah . 2018;14(1):59-68. doi:10.31101/jkk.550
  18. Alwhaibi M. Potentially Inappropriate Medications Use among Older Adults with Comorbid Diabetes and Hypertension in an Ambulatory Care Setting. J Diabetes Res . 2022;2022. doi:10.1155/2022/1591511
  19. Fick DM, Semla TP, Steinman M, et al. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc . 2019;67(4):674-694. doi:10.1111/jgs.15767
  20. Bhavya, Torgal. Potentially inappropriate medications in hospitalized elderly patients: a cross sectional study. Int J Basic Clin Pharmacol . 2014;3(1):215. doi:10.5455/2319-2003.ijbcp20140229
  21. Bhardwaj A. Prevalence of Polypharmacy and Potentially Inappropriate Medications in Elderly Patients: Cross Sectional Study Based on Updated Beer's Criteria 2019. J Clin Pharmacol Ther . 2021;2:2017-2022.
  22. Rufaidah A, S. IDPP, Sari IP. Study of Drug Related Problems in the Therapy of Inpatient Heart Failure Patients. J Management and Farm Services . 2015;5(2):88-94



DOI: https://doi.org/10.22146/jmpf.88018

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