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Potentially inappropriate prescriptions for elderly people taking antidepressant: comparative tools

Overview of attention for article published in BMC Geriatrics, December 2017
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  • Good Attention Score compared to outputs of the same age (67th percentile)
  • Average Attention Score compared to outputs of the same age and source

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1 policy source
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Citations

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78 Mendeley
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Title
Potentially inappropriate prescriptions for elderly people taking antidepressant: comparative tools
Published in
BMC Geriatrics, December 2017
DOI 10.1186/s12877-017-0674-2
Pubmed ID
Authors

Izabela Fulone, Luciane Cruz Lopes

Abstract

The use of psychotropic drugs by elderly people is widely spread around the world, given that prevalence of inappropriate medication is frequent. Strictly speaking, in Brazil, the vulnerable population of elderly people is more likely to use Potentially Inappropriate Psychotropic (PIP) due to the impact of social-economic characteristics, to the Brazilian Public Health System, and to the lack of patient monitoring. However, neither the use pattern nor the prevalence rate of PIP have been studied in Brazil so far. The objectives of this study were to determine the prevalence of PIP in elderly outpatients taking antidepressants, and to compare the performance of two different tools (Beers, STOPP). This cross-sectional study involved all the aged outpatients (≥ 60 years of age) taking antidepressants attended by the public health system in a city of the State of São Paulo, Brazil. Data were obtained from a pharmacy database and medical records. All psychotropic drugs evaluated included: antidepressants, antipsychotics, anti-epileptics and benzodiazepines. STOPP and Beers criteria were applied to detect PIP. One thousand one hundred forty prescriptions from 174 outpatients were subjected to two different screening tools. The average patient age was 67 (interquartile range 63-74) and the median number of drugs used was 3.0 (interquartile 2-4) per patient. The overall prevalence of PIP was 121 (69.5%). The levels of PIP observed according to tools were 39.6% (STOPP) and 29.9% (Beers).The long-term use of benzodiazepines was the most common PIP recognized, and the one which contributed more significantly to higher levels of PIP than other medications. The prevalence of PIP was high among the elderly. STOPP criteria identified more PIP than Beers criteria. Knowledge of PIP prevalence should gear efforts to reduce the level of inappropriate prescriptions and may provide the need for developing national criteria.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 78 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 15 19%
Student > Master 14 18%
Student > Ph. D. Student 8 10%
Researcher 4 5%
Professor > Associate Professor 4 5%
Other 13 17%
Unknown 20 26%
Readers by discipline Count As %
Pharmacology, Toxicology and Pharmaceutical Science 28 36%
Medicine and Dentistry 12 15%
Nursing and Health Professions 6 8%
Psychology 5 6%
Biochemistry, Genetics and Molecular Biology 1 1%
Other 4 5%
Unknown 22 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 January 2023.
All research outputs
#7,332,223
of 23,842,189 outputs
Outputs from BMC Geriatrics
#1,766
of 3,230 outputs
Outputs of similar age
#141,241
of 442,475 outputs
Outputs of similar age from BMC Geriatrics
#31
of 54 outputs
Altmetric has tracked 23,842,189 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 3,230 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.0. This one is in the 44th percentile – i.e., 44% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 442,475 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 67% of its contemporaries.
We're also able to compare this research output to 54 others from the same source and published within six weeks on either side of this one. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.