Chronic Disease Clinical Trial
Official title:
Potentially Inappropriate Prescription Associated to Multimorbidity, Using the Explicit STOPP-START (Screening Tool of Older Persons' Potentially Inappropriate Prescriptions/Screening Tool to Alert Doctors to the Right Treatment) Criteria
A prospective multicenter cohort study in 5 hospitals in Spain will be initiated in 2016.
Objectives:
1. To estimate and describe patterns of multimorbidity and polypharmacy in patients over 64
admitted for a chronic disease exacerbation.
2. To analyze the potentially inappropriate prescribing (PPI) drugs according to STOPP /
START (SS) criteria.
3. To evaluate the relationship between multimorbidity and PPI and adverse medication (RAM)
preventable reaction.
The cohort will include 800 patients >64 years admitted in internal medicine and / or
geriatric department of 5 hospitals of the National Health Service. Application of the SS
criteria (released in 2015) on admission and at discharge, and collection of demographic and
clinical variables including comorbidities, baseline chronic medication, geriatric syndromes,
functional capacity and RAM. Descriptive analysis and bivariate parametric or nonparametric
tests will be applied to analyze relationship between morbidity, polypharmacy, SS criteria
and RAM. Intraobserver agreement will be assessed for SS criteria. Multiple regression
techniques will be applied, where the dependent variable will be the PPI or the RAM.
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