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Table 3 Comparison of prevalence rates of PIM among theĀ control and intervention groups

From: The impact of a multifaceted intervention to reduce potentially inappropriate prescribing among dischargedĀ older adults: a before-and-after study

Type of PIMs according to STOPP criteria

Control group N (%)

Intervention group N (%)

Drug Indication Criteria

ā€ƒā€œAny duplicate drug class prescriptionā€

2 (0.8)

0

Coagulation System

ā€ƒā€œAspirin plus clopidogrel as secondary stroke prevention, unless the patient has a coronary stent(s) inserted in the previous 12ā€‰months or concurrent acute coronary syndrome or has a high grade symptomatic carotid arterial stenosisā€

3 (1.3)

0

ā€ƒā€œAspirin in combination with vitamin K antagonist, direct thrombin inhibitor or factor Xa inhibitors in patients with chronic atrial fibrillationā€

1 (0.4)

0

ā€ƒā€œTiclopidine in any circumstancesā€

5 (2.1)

7 (2.9)

Central Nervous System and Psychotropic Drugs

ā€ƒ ā€œFirst-generation antihistaminesā€

1 (0.4)

1 (0.4)

Renal System

ā€ƒ ā€œNSAIDā€™s if eGFR <ā€‰50ā€‰ml/min/1.73m2ā€

1 (0.4)

1 (0.4)

ā€ƒ ā€œMetformin if eGFR <ā€‰30ā€‰ml/min/1.73m2ā€

6 (2.5)

4 (1.7)

Gastrointestinal System

ā€ƒ ā€œDrugs likely to cause constipation in patients with chronic constipation where non-constipating alternatives are availableā€

1 (0.4)

0

ā€ƒ ā€œProton pump inhibitor for uncomplicated peptic ulcer disease or erosive peptic oesophagitis at full therapeutic dosage for >ā€‰8ā€‰weeksā€

14 (5.8)

13 (5.4)

Respiratory System

ā€ƒ ā€œAnti-muscarinic bronchodilators with a history of narrow-angle glaucoma or bladder outflowā€

2 (0.8)

0

Musculoskeletal System

ā€ƒ ā€œLong-term NSAID or colchicine (>ā€‰3ā€‰months) for chronic treatment of gout where there is no contraindication to a xanthine-oxidase inhibitorā€

2 (0.8)

1 (0.4)

Endocrine System

ā€ƒ ā€œSulphonylureas with a long duration of action with type 2 diabetes mellitusā€

1 (0.4)

0

ā€ƒ ā€œBeta-blockers in diabetes mellitus with frequent hypoglycaemic episodesā€

10 (4.2)

4 (1.7)

Drugs that predictably increase the risk of falls in older people

ā€ƒ ā€œVasodilator drugs with persistent postural hypotensionā€

23 (9.6)

24 (10%)

Analgesic Drugs

ā€ƒ ā€œUse of regular opioids without concomitant laxativeā€

0

4 (1.7)