Intervention with the screening tool of older persons potentially inappropriate prescriptions/screening tool to alert doctors to right treatment criteria in elderly residents of a chronic geriatric facility: a randomized clinical trial.

Abstract:

OBJECTIVES:To assess the effect of a Screening Tool of Older Persons potentially inappropriate Prescriptions/Screening Tool to Alert doctors to Right Treatment (STOPP/START) medication intervention on clinical and economic outcomes. DESIGN:Parallel-group randomized trial. SETTING:Chronic care geriatric facility. PARTICIPANTS:Residents aged 65 and older prescribed with at least one medication (N = 359) were randomized to receive usual pharmaceutical care or undergo medication intervention. INTERVENTION:Screening medications with STOPP/START criteria followed up with recommendations to the chief physician. MEASUREMENTS:The outcome measures assessed at the initiation of the intervention and 1 year later were number of hospitalizations and falls, Functional Independence Measure (FIM), quality of life (measured using the Medical Outcomes Study 12-item Short-Form Health Survey), and costs of medications. RESULTS:The average number of drugs prescribed was significantly lower in the intervention than in the control group after 1 year (P < .001). The average drug costs in the intervention group decreased by 103 shekels (US$29) per participant per month (P < .001). The average number of falls in the intervention group dropped significantly (P = .006). Rates of hospitalization, FIM scores, and quality of life measurements were similar for both groups. CONCLUSION:Implementation of STOPP/START criteria reduced the number of medications, falls, and costs in a geriatric facility. Their incorporation in those and similar settings is recommended.

journal_name

J Am Geriatr Soc

authors

Frankenthal D,Lerman Y,Kalendaryev E,Lerman Y

doi

10.1111/jgs.12993

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

1658-65

issue

9

eissn

0002-8614

issn

1532-5415

journal_volume

62

pub_type

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