1 / 1

BACKGROUND AND OBJECTIVE

zanna
Télécharger la présentation

BACKGROUND AND OBJECTIVE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. APPLICATION OF THE START-STOPP CRITERIA ON AN ELDERLY POPULATION IN BELGIAN GENERAL PRACTICE: an explorative studyJ. Landa1, A. Torsin1, T. Cornelissen1, J. De Lepeleire 2, V. Foulon31General practice, Belgium; 2Department of General Practice, Katholieke Universiteit , K.U.Leuven, Belgium; 3Research Centre for Pharmaceutical Care and Pharmaco-economics, K.U.Leuven, Belgium A total of 705 medications were prescribed for the 90 included patients (average: 7.8). According to the START-STOPP criteria, adjustment of medication would be necessary in 67.8% of the study population, which would reduce the average number of medications taken to 7.4 per patient (Table 4). Application of the START criteria would result in the administration of 0.45 new medications per patient (range 0-2). When using the STOPP criteria a mean number of 0.94 medications could be stopped (range 0-6). Table 4: mean number of medications per patient The most important medications that should be started were acetylsalicylic acid and statins. 60% of the medications that should be stopped were medications used for nervous system disorders. 97% of those were benzodiazepines. FEASIBILITY It took on average 20 minutes per file to extract the necessary information (i.e. medication list, active problem list, biochemistry) from the EMDF and put them in an Excel sheet. The mean time needed to apply the START-STOPP criteria on a medical file was 4.5 minutes. START (Screening Tool to Alert doctors to Right Treatment) and STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions) are two validated tools for evaluation of medication appropriateness in the elderly (1). The aim of this study was to examine the feasibility of these criteria in Belgian general practice and to evaluate the changes as proposed by these tools for a selection of medication profiles. The START-STOPP criteria are a valuable tool for the medication management of elderly patients and can be used by the general practitioner. A well organized electronic medical record is indispensible for this. At anytime, application of the criteria has to be accompanied by good clinical thinking of the treating doctor. Deliberation together with the patient and other health care professionals could offer added value. Ideally the START-STOPP criteria can be used as guidance for medication management, leaving room for individual differences based on the profile of the individual patient. BACKGROUND AND OBJECTIVE DISCUSSION AND CONCLUSION METHODS START – STOPP CRITERIA RESULTS PRACTICE AND POPULATION CHARACTERISTICS Table 1 shows the characteristics of the different general practices. From each practice, 30 files were included. The mean age of the included population was 75 years (range 65-95). Gender was equally distributed. Table 1: Practice characteristics REFERENCES (1) Gallager P., Ryan C., Byrne S., et al. STOPP (Screening Tool of Older Persons’ Prescriptions) and START (Screening Tool to Alert Doctors to Right Treatment): consensus valitation. Int J ClinPharmTher 2008; 46: 72-83

More Related