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Am J Public Health. 1997 Mar;87(3):404-9.

Inappropriate drug prescriptions for elderly residents of board and care facilities.

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  • 1Center for Gerontology and Health Care Research, Brown University, Providence, RI, USA.

Abstract

OBJECTIVES:

Using 1993 data, this study examines the prevalence of presumptively inappropriate prescriptions among residents, aged 65 and older, of board and care homes.

METHODS:

Inappropriate drug prescriptions were identified through the use of established criteria developed for application to older nursing home residents and to community-dwelling elderly. This research used a sample of 2054 elderly residents from 410 facilities in 10 states. Weighted analyses were performed with SUDAAN, which accounted for the complex, multistage sampling design.

RESULTS:

Depending on the criterion applied, between 20% and 25% of residents had at least one inappropriate prescription. Propoxyphene, long-acting benzodiazepines, dipyridamole, and amitriptyline were prescribed most frequently. Residents with inappropriate drug prescriptions had more complex drug regimens prescribed on a routine basis.

CONCLUSIONS:

The results are a conservative estimate of the extent of inappropriate drug prescribing and utilization in board and care facilities. Increased involvement by pharmacists and physicians in systematic drug utilization review is warranted.

PMID:
9096541
PMCID:
PMC1381012
[PubMed - indexed for MEDLINE]
Free PMC Article
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