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STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria.
Age Ageing. 2008 Nov; 37(6):673-9.AA

Abstract

INTRODUCTION

STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) is a new, systems-defined medicine review tool. We compared the performance of STOPP to that of established Beers' criteria in detecting potentially inappropriate medicines (PIMs) and related adverse drug events (ADEs) in older patients presenting for hospital admission.

METHODS

we prospectively studied 715 consecutive acute admissions to a university teaching hospital. Diagnoses, reason for admission and concurrent medications were recorded. STOPP and Beers' criteria were applied. PIMs with clear causal connection or contribution to the principal reason for admission were determined.

RESULTS

median patient age (interquartile range) was 77 (72-82) years. Median number of prescription medicines was 6 (range 0-21). STOPP identified 336 PIMs affecting 247 patients (35%), of whom one-third (n = 82) presented with an associated ADE. Beers' criteria identified 226 PIMs affecting 177 patients (25%), of whom 43 presented with an associated ADE. STOPP-related PIMs contributed to 11.5% of all admissions. Beers' criteria-related PIMs contributed to significantly fewer admissions (6%).

CONCLUSION

STOPP criteria identified a significantly higher proportion of patients requiring hospitalisation as a result of PIM-related adverse events than Beers' criteria. This finding has significant implications for hospital geriatric practice.

Authors+Show Affiliations

Department of Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18829684

Citation

Gallagher, Paul, and Denis O'Mahony. "STOPP (Screening Tool of Older Persons' Potentially Inappropriate Prescriptions): Application to Acutely Ill Elderly Patients and Comparison With Beers' Criteria." Age and Ageing, vol. 37, no. 6, 2008, pp. 673-9.
Gallagher P, O'Mahony D. STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria. Age Ageing. 2008;37(6):673-9.
Gallagher, P., & O'Mahony, D. (2008). STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria. Age and Ageing, 37(6), 673-9. https://doi.org/10.1093/ageing/afn197
Gallagher P, O'Mahony D. STOPP (Screening Tool of Older Persons' Potentially Inappropriate Prescriptions): Application to Acutely Ill Elderly Patients and Comparison With Beers' Criteria. Age Ageing. 2008;37(6):673-9. PubMed PMID: 18829684.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria. AU - Gallagher,Paul, AU - O'Mahony,Denis, Y1 - 2008/10/01/ PY - 2008/10/3/pubmed PY - 2009/2/10/medline PY - 2008/10/3/entrez SP - 673 EP - 9 JF - Age and ageing JO - Age Ageing VL - 37 IS - 6 N2 - INTRODUCTION: STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) is a new, systems-defined medicine review tool. We compared the performance of STOPP to that of established Beers' criteria in detecting potentially inappropriate medicines (PIMs) and related adverse drug events (ADEs) in older patients presenting for hospital admission. METHODS: we prospectively studied 715 consecutive acute admissions to a university teaching hospital. Diagnoses, reason for admission and concurrent medications were recorded. STOPP and Beers' criteria were applied. PIMs with clear causal connection or contribution to the principal reason for admission were determined. RESULTS: median patient age (interquartile range) was 77 (72-82) years. Median number of prescription medicines was 6 (range 0-21). STOPP identified 336 PIMs affecting 247 patients (35%), of whom one-third (n = 82) presented with an associated ADE. Beers' criteria identified 226 PIMs affecting 177 patients (25%), of whom 43 presented with an associated ADE. STOPP-related PIMs contributed to 11.5% of all admissions. Beers' criteria-related PIMs contributed to significantly fewer admissions (6%). CONCLUSION: STOPP criteria identified a significantly higher proportion of patients requiring hospitalisation as a result of PIM-related adverse events than Beers' criteria. This finding has significant implications for hospital geriatric practice. SN - 1468-2834 UR - https://www.unboundmedicine.com/medline/citation/18829684/STOPP__Screening_Tool_of_Older_Persons'_potentially_inappropriate_Prescriptions_:_application_to_acutely_ill_elderly_patients_and_comparison_with_Beers'_criteria_ L2 - https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afn197 DB - PRIME DP - Unbound Medicine ER -