Assessment of START and STOPP in Geriatric patients of Tertiary care
Hospital: A prospective observational study
Background: Geriatric population are at high probability of receiving
inappropriate medications as a result of lack of education,
polypharmacy, and multiple comorbidities. The study aimed to assess the
potentially inappropriate medications in the geriatric patients visiting
a tertiary care teaching hospital. Methods: The study was a prospective
observational study which was carried out for a duration of 6 months
involving inpatients of Vivekananda general hospital. START and STOPP
criteria were used to assess the potentially inappropriate medications.
Excel database was used to assess and store the data collected
throughout the duration of study. Results: In this Study, 210 geriatric
subject’s prescriptions were analysed, among which 161 were males and 49
were females. The mean age of study participants was 69.5 (±5.0) years.
The study population was analysed for potentially inappropriate
medications using START and STOPP criteria, among which 112
prescriptions had 173 START and STOPP errors. A total of 132 potentially
prescribing omission errors were observed in 103 prescriptions involving
13 START criteria. Similarly, 41 potentially inappropriate medication
errors were observed in 38 prescriptions involving 9 STOPP criteria.
Conclusions: Our study highlights the importance of pharmaceutical care
among the geriatric patients. The study suggests that patients, doctors
and other health care providers should have fundamental aspects and
knowledge of START and STOPP criteria for elderly population to avoid
inappropriate prescribing in elderly.