Medication Review in Turkish Older Adults at Community Pharmacy: A Pilot Study by Using Medication Appropriateness Index

Authors : Şefika DAL, Nazlıcan UÇAR, Öznur ALTIPARMAK, Mesut SANCAR, Betül OKUYAN

Pages : 725-729

Doi:10.33808/clinexphealthsci.1012114

View : 19 | Download : 7

Publication Date : 2022-09-28

Article Type : Research Paper

Abstract :Objective: The study aimed to evaluate medication review in older adults insert ignore into journalissuearticles values(≥65 years); at a community pharmacy by identifying the prevalence of potentiality inappropriate medication and calculating medication appropriateness index. Methods: This descriptive study was carried out in a community pharmacy for six months. The older adults insert ignore into journalissuearticles values(≥65 years); using one or more medications were included. During clinical pharmacist-led medication review; the medication appropriateness index was calculated for each medication of older adults. Potentially inappropriate medications were evaluated according to the 2019 American Geriatrics Society Beers Criteria®. Result: Among a hundred older adults, 46.0% were female. The median age of the patients was 75.5 insert ignore into journalissuearticles values(IQR, 68.0-78.8);. The median number of medications was 9.0 insert ignore into journalissuearticles values(7.0-10.0);. Polypharmacy has been detected in 97.0% of the patients. At least one potentially inappropriate medication was detected in 63.0% of them. The median score of medication appropriateness index score was 53.0 insert ignore into journalissuearticles values(IQR: 38.6-67.9);. Conclusion: To best our knowledge, this is the first study of clinical pharmacist-led medication review by calculating the medication appropriateness index carried out at a community pharmacy in Turkey. There was a high rate of potentially inappropriate medication with a higher score of medication appropriateness in older adults. This study highlights the importance of medication review led by the clinical pharmacist at community pharmacy to optimize medication usage in older adults.
Keywords : Older adults, clinical pharmacist, medication appropriateness index, potentially inappropriate medication