Farmacéuticos Comunitarios. 2015 Jun 30; 7(2):31-36 DOI: 10.5672/FC.2173-9218.(2015/Vol7).002.05

Medication review according to STOPP-START criteria in older patients from the dose administration aids service of a community pharmacy

Barris Blundell D1
1. Licenciado en Farmacia. Farmacéutico comunitario en Benalmádena (Málaga).
Barris D. Revisión de medicación según criterios STOPP/START en pacientes mayores del servicio de sistema personalizado de dosificación de medicamentos de una farmacia comunitaria. Farmacéuticos Comunitarios. 2015 Jun 30; 7(2):31-36 DOI: 10.5672/FC.2173-9218.(2015/Vol7).002.05
Abstract : 

Objectives: To detect systematically according to the STOPP-START criteria inappropriate prescribing and necessary drugs not prescribed in patients of the Dose Administration Aids (DAAs) of a community pharmacy.

Methods: A pre-post quasi-experimental study without a control group was performed in a community pharmacy in Malaga for 4 months (november 2013-february 2014). The subjects of the study are 84 patients over 65 years old in the PDS service. The following data were recorded: age, sex, medications and STOPP-START criteria identified. The identification of the criteria was performed with the software tool CheckTheMeds®.

Results: Pharmacotherapeutic histories of 84 patients were reviewed. 54.8% of patients had at least one STOPP-START criteria, with an average of 1.07 criteria per patient. Of these patients, 36.9% only presents STOPP criteria, START criteria 32.6% and 30.5% STOPP-START criteria. In the START criteria the most prevalent situation corresponds to the endocrine system (Antiplatelet therapy in diabetes mellitus with co-existing major cardiovascular risk factors) with 15.6%. Regarding the STOPP criteria was detected as the most frequent situation the central nervous system and psychotropic drugs with 14.4% (Long-term, long-acting benzodiazepines and benzodiazepines with long-acting metabolites).

Conclusions: The systematic review of the medication according to STOPP-START criteria in patients from the PDS service using the CheckTheMeds® software can become a good tool to improve the monitoring of elderly, polymedicated and/or patients with chronic diseases. Pharmaceutical interventions should be improved in order to increase the quality of prescribing by deriving to the physician such situations.

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