Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit

The proportion of the elderly individuals is increasing dramatically. It is expected in 2020 the percentage of elderly population in Malaysia would be 9.9 percent. The elderly are more prone to have multiple co-morbidities due deterioration in organ and body functions. Therefore they require regular...

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Main Author:	Abdul Basit, Adilah
Format:	Thesis
Language:	English
Published:	2012
Subjects:	Old age
Online Access:	https://ir.uitm.edu.my/id/eprint/65536/1/65536.pdf
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id	my-uitm-ir.65536
record_format	uketd_dc
spelling	my-uitm-ir.655362022-08-22T05:03:56Z Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit 2012 Abdul Basit, Adilah Old age Computer applications to medicine. Medical informatics Medical centers. Hospitals. Dispensaries. Clinics The proportion of the elderly individuals is increasing dramatically. It is expected in 2020 the percentage of elderly population in Malaysia would be 9.9 percent. The elderly are more prone to have multiple co-morbidities due deterioration in organ and body functions. Therefore they require regular prescriptions of medications for treatment or for primary and secondary prevention of diseases to prolong life and improve quality of life. Nevertheless studies have shown that medication underuse have been common. Percentage of potential prescribing (PPOs) range from 22.7% - 57.8%. PPOs have been deemed as potential inappropriate prescribing and are highly preventable. Having a protocol or a screening tool to filter potentially inappropriate medications could increase the appropriateness of a drug regimen. This study is aimed to detect PPOs among a group of elderly inpatients in Hospital Sultan Abdul Halim and to identify factors affecting PPOs occurrence. 128 medication records were included in this study. The “Screening Tools to Alert Doctors to the Right Treatment” (START) criteria were used to identify PPOs. Overall 54 elderly patients did not received medications as listed in the START criteria. The most prevalent PPOs was Aspirin or clopidogrel with a documented history of atherosclerotic coronary, cerebral or peripheral vascular disease in patients with sinus rhythm, followed by Angiotensin converting enzyme (ACE) inhibitor with chronic heart failure and Metformin with type 2 diabetes_metabolic syndrome (in the absence of renal impairment).PPO is not correlated with age, gender and number of medications. The START criteria could be used as a screening tool to alert the physicians to the right treatment. Further study to evaluate its use and applicability in Malaysian hospital settings should be undertaken. 2012 Thesis https://ir.uitm.edu.my/id/eprint/65536/ https://ir.uitm.edu.my/id/eprint/65536/1/65536.pdf text en public degree Universiti Teknologi MARA (UiTM) Faculty of Pharmacy Azahari, Khubaib
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Azahari, Khubaib
topic	Old age Old age Old age
spellingShingle	Old age Old age Old age Abdul Basit, Adilah Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit
description	The proportion of the elderly individuals is increasing dramatically. It is expected in 2020 the percentage of elderly population in Malaysia would be 9.9 percent. The elderly are more prone to have multiple co-morbidities due deterioration in organ and body functions. Therefore they require regular prescriptions of medications for treatment or for primary and secondary prevention of diseases to prolong life and improve quality of life. Nevertheless studies have shown that medication underuse have been common. Percentage of potential prescribing (PPOs) range from 22.7% - 57.8%. PPOs have been deemed as potential inappropriate prescribing and are highly preventable. Having a protocol or a screening tool to filter potentially inappropriate medications could increase the appropriateness of a drug regimen. This study is aimed to detect PPOs among a group of elderly inpatients in Hospital Sultan Abdul Halim and to identify factors affecting PPOs occurrence. 128 medication records were included in this study. The “Screening Tools to Alert Doctors to the Right Treatment” (START) criteria were used to identify PPOs. Overall 54 elderly patients did not received medications as listed in the START criteria. The most prevalent PPOs was Aspirin or clopidogrel with a documented history of atherosclerotic coronary, cerebral or peripheral vascular disease in patients with sinus rhythm, followed by Angiotensin converting enzyme (ACE) inhibitor with chronic heart failure and Metformin with type 2 diabetes_metabolic syndrome (in the absence of renal impairment).PPO is not correlated with age, gender and number of medications. The START criteria could be used as a screening tool to alert the physicians to the right treatment. Further study to evaluate its use and applicability in Malaysian hospital settings should be undertaken.
format	Thesis
qualification_level	Bachelor degree
author	Abdul Basit, Adilah
author_facet	Abdul Basit, Adilah
author_sort	Abdul Basit, Adilah
title	Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit
title_short	Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit
title_full	Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit
title_fullStr	Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit
title_full_unstemmed	Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit
title_sort	evaluation of potentially prescribing omission among the elderly admitted at sultan abdul halim hospital by using the start criteria / adilah abdul basit
granting_institution	Universiti Teknologi MARA (UiTM)
granting_department	Faculty of Pharmacy
publishDate	2012
url	https://ir.uitm.edu.my/id/eprint/65536/1/65536.pdf
_version_	1783735555179151360

Evaluation of potentially prescribing omission among the elderly admitted at Sultan Abdul Halim Hospital by using the start criteria / Adilah Abdul Basit

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