Potentially Inappropriate Prescribing among Elderly Patients at a Primary Care Clinic in Oman

2019 ◽  
Vol 35 (2) ◽  
pp. 209-216
Author(s):  
Said Al-Busaidi ◽  
Ayman Al-Kharusi ◽  
Mustafa Al-Hinai ◽  
Ibrahim Al-Zakwani ◽  
Fatma Al-Ghafri ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Primary Care Clinic ◽  
Potentially Inappropriate Prescribing ◽  
Care Clinic

scholarly journals Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Lawrence A. Adebusoye ◽  
Modupe M. Ladipo ◽  
Eme T. Owoaje ◽  
Adetola M. Ogunbode
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Primary Care Clinic ◽  
Care Clinic

scholarly journals Associated Factors of Chronic Kidney Disease among Hyponatraemic Elderly Patients Attending a Primary Care Clinic

2018 ◽  
Author(s):  
Chai Li Tay
Keyword(s):  
Primary Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Associated Factors ◽  
Demographic Data ◽  
Primary Care Clinic ◽  
Loop Diuretics ◽  
Care Clinic ◽  
End Stage

Introduction: Chronic kidney disease (CKD) emerges to be an important geriatric health issue. It may progress to end stage renal failure and affect the quality of life. However, little is known about the associated factors of CKD. So this study aimed to determine the associated factors of CKD among hyponatraemic elderly. Methods: This is a retrospective study of hyponatraemic patients aged ≥ 60 years attending outpatient clinic in 2014. Blood test results of glucose, potassium, creatinine, medical history, blood pressure, medication and demographic  data were  captured from patient records. Each patient’s estimated glomerular filtration rate (eGFR) was calculated using the CKD-EPI Creatinine Equation. CKD is defined as eGFR of < 60 ml/min/1.73m2. SPSS 21 was used to do the analysis. Results: Totally 257 patients with mean age of 72.9 ± 7.3 years were enrolled in this study. Of them 73 (28.4 %) elderly had CKD. The mean eGFR was 72.62 ± 24.14 ml/min/1.73m2, mean BP was (135.75 ± 18/10) mmHg. Of the participants, 134 (52.1 %) were men, 151 (58.8 %) were diabetics, 247 (96.1 %) had hypertension. The independent associated factors of CKD were increasing age (OR 1.08; 95 % CI 1.03-1.13; p = 0.002), hyperglycaemia (OR 1.10; 95 % CI 1.02-1.18; p = 0.017) and the use of loop diuretics (OR 5.15; 95 % CI 1.52-17.38; p = 0.008). Conclusion: Hyperglycaemia and loop diuretics usage are found to be significantly associated with CKD among elderly patients attending a primary care clinic. Hence every effort should be made to optimise glucose control and cautious in the usage of loop diuretics to retard the decline in renal function.

scholarly journals Profile and correlates of functional status in elderly patients presenting at a primary care clinic in Nigeria

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Samuel A. Ajayi ◽  
Lawrence A. Adebusoye ◽  
Adetola M. Ogunbode ◽  
Joshua O. Akinyemi ◽  
Ayodeji M. Adebayo
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Functional Status ◽  
Functional Disability ◽  
Demographic Data ◽  
Primary Care Clinic ◽  
The Elderly ◽  
Personal Hygiene ◽  
Care Clinic ◽  
Family Unit

Background: Assessing the functional status of elderly patients is central in measuring their health outcome. Little is known about the functional status of elderly patients attending our primary care clinic in Nigeria.Objective: To assess the correlates of functional status in elderly patients presenting at the General Outpatient Clinic of the University College Hospital, Ibadan, Nigeria.Method: A cross-sectional study of 360 randomly selected patients aged 60 years and above was undertaken to assess their functional status by scoring their basic activities of daily living (BADL) using the Modified Bathel Index. An interviewer-administered questionnaire was used to obtain the socio-demographic data, anthropometric measurements and morbidities of each patient.Results: The mean age was 69.1 ± 6.6 years with a female-to-male ratio of 1.9: 1. The prevalence of overall functional disability (defined as when assistance was sought in the performance of at least one of the components of BADL) was 88.3%. The highest prevalence of functionaldisability was experienced in the area of personal hygiene and grooming (95.3%) and transferring from bed to chair (95.3%). Overall functional disability significantly increasedwith increasing age (χ2 for trend=14.004, p < 0.0001), living in a polygamous family unit (p = 0.025), and lack of formal education (p = 0.020).Conclusion: Functional disability was high amongst the elderly in this setting. Age, education, and living in a polygamous type of family unit had significant influence on the functional status. High premium should, therefore, be placed on considering these factors in reducing functional disability in the elderly.

scholarly journals The Prevalence of Limited Health Literacy and Its Associated Factors among Elderly Patients Attending an Urban Academic Primary Care Clinic in Malaysia

2021 ◽  
Vol 18 (17) ◽  
pp. 9044
Author(s):  
Siti Nur Hidayah Abd-Rahim ◽  
Mohamed-Syarif Mohamed-Yassin ◽  
Suraya Abdul-Razak ◽  
Mohamad Rodi Isa ◽  
Noorhida Baharudin
Keyword(s):  
Primary Care ◽  
Health Literacy ◽  
Elderly Patients ◽  
Associated Factors ◽  
Medical Information ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Limited Health Literacy ◽  
Academic Primary Care ◽  
Limited Health

Limited health literacy (HL) is linked to many negative health outcomes, including poor self-management of chronic diseases and medication adherence among patients. There are a lack of data regarding HL in the elderly population in Malaysia. This study aimed to determine the prevalence of limited HL levels and its associated factors among elderly patients in an urban academic primary care clinic in Selangor, Malaysia. A cross-sectional study was conducted among 413 elderly patients (≥60 years old) who attended this academic primary care clinic between January 2020 and January 2021. Sociodemographic data, clinical characteristics, and health literacy scores were collected. Descriptive statistics (median with interquartile ranges (IQR), frequency, and percentages) and multiple logistic regression were utilized. The prevalence of limited HL in our population was 19.1% (95% CI: 15.3, 23). The middle-old (70–79 years) and very-old (≥80 years) age groups were more likely to have limited HL (aOR 4.05; 95% CI: 2.19, 7.52 and aOR 4.36; 95% CI: 1.02, 18.63, respectively). Those with at least secondary school education (aOR 0.06; 95% CI: 0.02, 0.24) and those who found medical information via the internet/television (aOR 0.21; 95% CI: 0.05, 0.93) had lower odds of having limited HL. In conclusion, having limited HL levels was not common among elderly patients in this primary care clinic. Further studies involving rural and larger primary care clinics in Malaysia are required to support these findings.

scholarly journals Physician and Nurse Perspectives of an Interprofessional and Integrated Primary Care-Based Program for Seniors

2013 ◽  
Vol 3 (1) ◽  
Author(s):  
Ainsley Elizabeth Moore ◽  
Kalpana Nair ◽  
Christopher Patterson ◽  
Joy White ◽  
Shelly House ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Primary Care Clinic ◽  
The Elderly ◽  
Major Theme ◽  
Integrated Models ◽  
Front Line ◽  
Care Clinic ◽  
Multidisciplinary Program ◽  
Primary Care Practitioners

Background: In Canada, primary care practitioners provide the majority of care for elderly patients. Increasing volume and complexity of care compounded by a shortage of specialized geriatric services has lead to problems of fragmented, inefficient,and often ineffective service for this population. Integrated models that bridge primary and secondary care have emerged as a major theme in health reform to address such challenges for care of the elderly. Although primary care practitioners are important stakeholders necessary for successful uptake and sustainability of such integrated models, this perspective has been largely unexplored. Methods and Findings: We used a qualitative thematic approach to bring forward front-line perspectives of nurses and physicians who referred their patients to a newly developed integrated, multidisciplinary program for seniors that was introduced into their primary care clinic. Referrers experienced improved care processes, improved quality of care, as well as an enhanced experience when managing their elderly patients. Unclear assignment of roles and responsibilities created confusion for referring practitioners and their patients.Conclusions: Understanding benefits, limitations, and changes to front-line practitioner experience provides insight into important factors contributing to buy-in and sustainability of integrated programming for the elderly in this setting.

scholarly journals An intervention program to reduce the number of hospitalizations of elderly patients in a primary care clinic

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Roni Peleg ◽  
Yan Press ◽  
Maya Asher ◽  
Tatyana Pugachev ◽  
Hadas Glicensztain ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Intervention Program ◽  
Primary Care Clinic ◽  
Care Clinic

scholarly journals The Prevalence of Potentially Inappropriate Prescribing in the Elderly at the Primary Care Level in Kazakhstan

2021 ◽  
Vol 9 (A) ◽  
pp. 572-578
Author(s):  
Ainash Ibysheva ◽  
Gulmira Muldaeva ◽  
Leila I. Arystan ◽  
Almagul B. Kuzgibekova ◽  
Bibigul A. Abeuova ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
The Elderly ◽  
Screening Tools ◽  
Potentially Inappropriate Prescribing ◽  
Care Level ◽  
Primary Care Level ◽  
Start Criteria ◽  
Prescribing Omissions

BACKGROUND: These potentially inappropriate prescribing is associated with the development of undesired medical reactions in elderly patients, and increase the frequency of hospitalizations, the number of aggravations and the cost of treatment. All of these adverse events are preventable. For detection of PIP and to prevent the adverse drug reactions (ADRs) in elderly patients, it is necessary to screen for potentially inappropriate prescribing. AIM: The aim of the study is to study the prevalence of PIP and the factors associated with these prescriptions at the level primary link in Kazakhstan. METHODS: A prospective descriptive study was carried out at the primary care level, in five clinics in Kazakhstan. The study involved 205 patients over 65 years old who received regular outpatient treatment for chronic diseases. Patients’ current diagnoses and prescription medicines were reviewed and the STOPP and START tools applied. RESULT: The prevalence of PIP in terms of STOPP criteria was 54% (114 patients). In general, we have identified 181 cases of PIP. The most commonly prescribed PIP were moxonidine (20%), glimeperide (16.5%), and PPI (20%). The prevalence of prescribing omissions in terms of START criteria was 22% (48 patients). Overall 66 cases of prescribing omissions were identified. The most commonly prescribed omissions were statins (6%) and ACE inhibitors (4%). Comparative analysis revealed a statistically significant effect of polymorbidity on the prevalence of PIP (p < 0.001) and number of prescribed medicines on the prevalence of PIP (p < 0.05). We have found a statistically significant effect of age on the presence of prescribing omissions of patients. (p < 0.001) CONCLUSION: Our results showed a high prevalence of potentially inappropriate prescribing at the primary care level in Kazakhstan. Screening tools should be incorporated into the everyday practice of primary care doctors.

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