A Closer Look at the 2015 Beers Criteria

2016 ◽  
Vol 30 (4) ◽  
pp. 419-424 ◽  
Author(s):  
Rebecca L. Salbu ◽  
Judith Feuer
Keyword(s):  
Elderly Patients ◽  
Health Care Providers ◽  
Clinical Judgment ◽  
The Elderly ◽  
Specific Information ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Care Providers ◽  
Inappropriate Medications ◽  
Made In

The Beers Criteria identifies potentially inappropriate medications for patients who are 65 years of age and older. Initially published in 1991, the criteria have been updated multiple times, most recently in 2015. The Beers Criteria is a tool designed to alert health-care providers to the potential harms of specific medications so they may better tailor therapeutic regimens for their elderly patients. The expert panel of the 2015 update made changes to a number of previous recommendations and provided 2 new tables on select drug interactions and select medications requiring renal dose adjustments. The purpose of this review is to provide additional details and rationale behind selected noteworthy changes within the 2015 criteria. Specific information is provided on the changes in recommendations for the use of nitrofurantoin, antiarrhythmics, nonbenzodiazepine receptor agonist hypnotics, antipsychotics, and proton pump inhibitors in the elderly. Additional comparisons are made between the 2012 recommendations and newer recommendations made in the 2015 update, along with rationale for the change. This review will allow practitioners to apply the 2015 Beers Criteria and integrate their clinical judgment when evaluating and selecting drug therapy for elderly patients.

Psychopharmacology concerns in older individuals

2012 ◽  
Vol 1 (11) ◽  
pp. 285-287
Author(s):  
Eric C. Kutscher ◽  
Megan R. Leloux
Keyword(s):  
Health Care Providers ◽  
The United States ◽  
Screening Tools ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Older Individuals ◽  
Care Providers ◽  
Geriatric Population ◽  
Number Of Individuals ◽  
Inappropriate Medications

The geriatric population is continually growing in the United States, and the number of individuals over the age of 65 is expected to double by the year 2050. Changes in the pharmacokinetic profiles of elderly patients make appropriate medication dosing more challenging for health care providers. The Beers Criteria is a validated, consensus-based screening tool to help identify potentially inappropriate medications in geriatric patients. This article reviews recent updates to the Beers Criteria, as well as other screening tools which have been developed for this purpose.

scholarly journals Health Problems of Elderly Patients attending Combined Military Hospital, Dhaka

2017 ◽  
Vol 13 (1) ◽  
pp. 8-12
Author(s):  
SM Humayun Kabir ◽  
Md Ziaul Islam ◽  
Masuda Begum ◽  
Masud Ahmed ◽  
Mohammad Mohsin ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Health Care Providers ◽  
Family Income ◽  
Sampling Technique ◽  
Armed Forces ◽  
The Elderly ◽  
Health Problems ◽  
Military Hospital ◽  
Care Providers ◽  
Cross Sectional

Introduction: Health problems of elderly are an emerging health burden throughout the world. Bangladesh is currently undergoing a demographic transition and the proportion of the population of 60 years and older is increasing rapidly. Health care providers and policymakers are highly concerned with this burning issue. Objective: To know the disease pattern among the elderly patients in Combined Military Hospital, Dhaka. Materials and Methods: This cross-sectional study was carried out from July 2015 to June 2016 among 152 elderly patients above 60 years of age admitted in Combined Military Hospital (CMH), Dhaka Cantonment. Data were collected by face-to-face interview with semi-structured questionnaire and checklist following purposive sampling technique. Analysis of data was done by Statistical Package for Social Science (SPSS, version 20.0). Results: Mean age of the elderly was 72.06±4.56 years with the range of 60-80 years and majority (90.8%) of the elderly was male. Out of total 152 elderly patients, by occupation majority (31.6%) were in the business group followed by 30.3% in the retired group and 9.2 % in the housewife group. Average monthly family income was BDT 17927.63±7360.75 with the range of BDT 6000-35000. With initial complaints elderly patients reported to doctors in private chamber (38.2%), private hospital (25.6%) and Govt hospital (5.9%). Among all of the elderly patients, majority (21.1%) had Diabetes Mellitus followed by Rheumatoid Arthritis (17.6%), Asthma (12.5%), Cataract (11.2%), ENT problem (6.6%), Malignancy (5.9%) and Benign Enlargement of Prostate 8(5.3%). Conclusion: The number of elderly people is expanding rapidly; it also presents multifaceted health problems and thus creates unique challenges for the national healthcareservices. Early identification of problem and ensuring the availability of health with economic and social support can have a control over the elderly health problems. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 8-12

Potentially inappropriate medications in elderly patients with heart failure: Beers Criteria‐based study

2020 ◽  
Vol 28 (6) ◽  
pp. 652-659 ◽  
Author(s):  
Mariam Zahwe ◽  
Hadi Skouri ◽  
Samar Rachidi ◽  
Maurice Khoury ◽  
Samar Noureddine ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Patients With Heart Failure ◽  
Inappropriate Medications

scholarly journals Inappropriate prescribing in hospitalized elderly patients

2017 ◽  
Vol 6 (4) ◽  
pp. 701
Author(s):  
Lina K. Massoud ◽  
Hala Z. AlAgha ◽  
Mahmoud H. Taleb
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Inappropriate Prescribing ◽  
The Elderly ◽  
Potentially Inappropriate Medications ◽  
Hospitalized Elderly ◽  
Different Types ◽  
Elderly Inpatients ◽  
Hospitalized Elderly Patients ◽  
Inappropriate Medications

Inappropriate prescribing (IP) is a major healthcare problem in elderly patients. The risk of this problem increases during hospitalization. This is due to increase morbidity and thus increases the use of medications by the inpatients. This study will clarify the problem of IP for elderly people during hospitalization and will identify the different types of it. It also will highlight some tools that are used to assess the different types of IP and the prevalence of it in elderly patients during hospitalization. Finally, the study will address the consequences of IP in the elderly inpatients and the risks associated with the use of some potentially inappropriate medications (PIMs) in the elderly. 

Factors associated with potentially inappropriate medications use by the elderly according to Beers criteria 2003 and 2012

2013 ◽  
Vol 36 (2) ◽  
pp. 316-324 ◽  
Author(s):  
André de Oliveira Baldoni ◽  
Lorena Rocha Ayres ◽  
Edson Zangiacomi Martinez ◽  
Nathalie de Lourdes Souza Dewulf ◽  
Vânia dos Santos ◽  
...  
Keyword(s):  
The Elderly ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Factors Associated ◽  
Inappropriate Medications

scholarly journals Evaluation of Rationality of Geriatric Patients’ Prescription Based On Beers Criteria in a Tertiary Care Hospital in India

2019 ◽  
Vol 7 (6) ◽  
pp. 987-991
Author(s):  
Nader Motallebzadeh ◽  
Geetha Jayaprakash ◽  
Elham Mohammadi
Keyword(s):  
Health Care Providers ◽  
Geriatric Patients ◽  
Inappropriate Medication ◽  
Tertiary Care ◽  
Potentially Inappropriate Medication ◽  
Inappropriate Drug ◽  
Beers Criteria ◽  
Care Hospital ◽  
Care Providers ◽  
Inappropriate Medications

AIM: Irrational prescribing for geriatric patients has become an important public health problem worldwide. Because India is one of the most populated countries having a great proportion of old people in the world, studies on the prevalence of inappropriate prescriptions can be very beneficial to increase the knowledge of health care providers and to reduce the occurrence of adverse drug events among this population. METHODS: A group of 482 inpatients above 64 years old were enrolled in a prospective study. Chart review method was used. The data were collected from patients’ prescription and medicine charts. Each prescription was checked individually for the inappropriate drug by using the AGS 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Suggestions were given to the physicians for inappropriate medications. RESULTS: The prevalence of potentially inappropriate medication is found to be 11.66% (n = 56). Out of 56 inappropriate medications, the most frequently inappropriate medication is Digoxin (25%) followed by Sprinolactone 19.64%. This study founds age, some medication, length of stay and number of diagnosis as predictors for getting a PIM. Feedback of the physicians varies based on the suggestions. CONCLUSION: This study concludes that the prevalence of PIMs among geriatrics patients of ≥ 65 years old is 11.66%. Some predictors have been identified for getting a PIM. This study shows that physicians’ feedback is dependent on the suggestions being given.  

scholarly journals Comparison of Beers criteria and EU(7) potentially inappropriate medications list for the potentially inappropriate medications in Indian elderly inpatients

2019 ◽  
Vol 8 (5) ◽  
pp. 1106
Author(s):  
Manoj H. Thummar ◽  
Tejas K. Patel ◽  
Varsha Y. Godbole ◽  
Manoj Kumar Saurabh
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Inappropriate Medication ◽  
Cross Sectional Study ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Elderly Inpatients ◽  
Internal Medicine Wards ◽  
Inappropriate Medications

Background: Use of inappropriate medication is an important problem in present geriatric clinical practice. No specific potentially inappropriate medications (PIM) tools are available considering the availability of drugs in India. Aim and objective were to assess prevalence and pattern of potentially inappropriate medication (PIM) use in elderly inpatients by updated Beers criteria 2015 and EU(7) PIM list 2015.Methods: This cross-sectional study was carried out on medical records of elderly patients (≥65 yrs) admitted in the internal medicine wards and intensive care units (ICU) over a period of 6 weeks. The medications were evaluated for the PIM use as per Beers criteria and EU(7) PIM list.Results: A total of 225 patients (mean age- 71.48 yrs) were admitted in internal medicine wards and ICU during study period. Total 184 PIM belonged to 33 different medications were used during study period. The prevalence of PIM in internal medicine wards and ICUs were 51.96% and 57.14%, respectively. The prevalence of PIM was significantly higher with the EU(7) PIM list than Beers criteria (49.77% vs. 21.77%) [p<0.0001]. The commonly prescribed PIM were dextromethorphan (13.33%), ranitidine (11.11%) and glipizide (10.22%).Conclusions: Elderly patients frequently receive PIM. EU(7) PIM list identifies more PIM among elderly inpatients than Beers criteria.

scholarly journals The Effect of Beers Criteria-Based Training in General Practitioners on Prescribing Potentially Inappropriate Medications in Elderly Patients

2020 ◽  
Author(s):  
Hananeh Baradaran ◽  
Mohammad Nasirpur ◽  
Hadi Hamishehkar
Keyword(s):  
Elderly Patients ◽  
General Practitioners ◽  
Geriatric Patients ◽  
Drug Prescription ◽  
Inappropriate Medication ◽  
Inappropriate Drug ◽  
National Committee ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Inappropriate Medications

Background: Pharmacotherapy in elderly patients has become a major concern due to their physiological changes, pharmacokinetic and pharmacodynamics variations and poly-pharmacy. In considering the global trend in population aging, we aim to evaluate the effect of “Beers Criteria” education on prescribing medications for elderly patients by General Practitioners (GPs). Methods: Thirty GPs with the highest number of prescriptions were included in this pilot study. All prescriptions written over a three-month period were considered, then prescriptions for geriatric patients were selected and evaluated. The GPs were trained using pamphlets and booklets which were prepared based on Beers 2015 explicit criteria. In order to evaluate the effect of education, appropriateness of prescriptions was analyzed before and 1 month following training. Results: Of 15,447 prescriptions selected during the first step, 1,281 prescriptions were related to geriatric patients in which the prevalence of inappropriate drug prescriptions was 37.3%. The most inappropriate medications identified were Bisacodyl, Alprazolam, and Hyoscyamine. While in the second step 1,055 of 15,154 prescriptions concerned the elderly and inappropriate drug prescription rate was noted as 23.6%. The most common inappropriate medications included Alprazolam, Amitriptyline, and Hyoscyamine. Based on our results, the prevalence of prescribing potentially inappropriate medications (PIMs) for elderly patients is high among GPs and educational interventions that raise awareness about “Beers Criteria” significantly reduce the prescribing PIMs. Conclusion: Given the importance of GP training programs in reducing inappropriate prescription rates among geriatric patients, it will be necessary for the National Committee of Rational Use of Drugs (NCRUD) to consider undertaking comprehensive educational strategies for reducing the prevalence of inappropriate medication use in elderly people.

ASSESSMENT OF DRUG THERAPY IN PSYCHIATRIC ELDERLY PATIENTS BASED ON THE AGS BEERS CRITERIA

2020 ◽  
pp. 325-330
Author(s):  
О. О. Кирилочев
Keyword(s):  
Elderly Patients ◽  
Psychiatric Patients ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Study Objective ◽  
Frequency Of Use ◽  
Benzodiazepine Derivatives ◽  
Inflammatory Drugs ◽  
Inappropriate Medications

Целью исследования явился анализ частоты назначений потенциально не рекомендованных лекарственных препаратов (ПНЛП) лицам пожилого возраста, находящимся на лечении в условиях психиатрического стационара. Данная работа проведена с помощью инструмента по борьбе с полипрагмазией - критериев Бирса, созданного под эгидой Американской гериатрической ассоциации. Исследование свидетельствует о высокой частоте применения ПНЛП следующих фармакологических групп: бензодиазепиновые производные, нестероидные противовоспалительные препараты (длительный приём), а также лекарственные средства с выраженным антихолинергическим потенциалом. Использование критериев Бирса может способствовать оптимизации лечения пожилых пациентов психиатрического профиля и повышению безопасности фармакотерапии. The study objective was to analyze the frequency of prescription of potentially inappropriate medications (PIMs) to elderly patients treated in a psychiatric in-patient setting. This study was carried out using AGS Beers criteria, an anti-polypharmacy tool developed under the auspices of the American Geriatric Association. The study indicates a high frequency of use of PIMs from the following pharmacological groups: benzodiazepine derivatives, non-steroidal anti-inflammatory drugs (long-term use), as well as drugs with significant anticholinergic potential. The AGS Beers criteria can help optimize the treatment for older psychiatric patients and increase the safety of pharmacotherapy.

Sign in / Sign up

Export Citation Format

Share Document