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Prescription of potentially inappropriate medication in Korean older adults based on 2012 Beers Criteria: a cross-sectional population based study

Overview of attention for article published in BMC Geriatrics, June 2016
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Title
Prescription of potentially inappropriate medication in Korean older adults based on 2012 Beers Criteria: a cross-sectional population based study
Published in
BMC Geriatrics, June 2016
DOI 10.1186/s12877-016-0285-3
Pubmed ID
Authors

You-Seon Nam, Jong Soo Han, Ju Young Kim, Woo Kyung Bae, Kiheon Lee

Abstract

A high number of elderly people with multiple comorbidities are exposed to the risk of polypharmacy and prescription of potentially inappropriate medication (PIM). The purpose of this study was to determine the prevalence and patterns of PIM prescription in Korean older adults according to the 2012 Beers Criteria. A retrospective study was conducted using data from the Korean Health Insurance Review and Assessment (KHIRA) database of outpatient prescription claims collected from January 1, 2009 to December 31, 2011. A total of 523,811 elderly subjects aged 65 years and older were included in the study, and several covariates related to the prescription of PIMs were obtained from the KHIRA database. These covariates were analyzed using Student's t test and the chi-square test; furthermore, multivariate logistic regression analysis was used to evaluate the risk factors associated with the prescription of PIMs. A total of 80.96 % subjects were prescribed at least one PIM independent of their diagnosis or condition according to the 2012 Beers Criteria. The most commonly prescribed medication class was first-generation antihistamines with anticholinergic properties (52.33 %). Pain medications (43.04 %) and benzodiazepines (42.53 %) were next in line. When considering subjects' diagnoses or conditions, subjects diagnosed with central nervous system conditions were most often prescribed PIMs. Female sex, severity of comorbidities, and polypharmacy were significant risk factors for PIM prescriptions. This study confirmed that PIM prescription is common among elderly Koreans. A clinical decision support system should be developed to decrease the prevalence of PIM prescriptions.

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X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 131 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
India 1 <1%
Unknown 129 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 15%
Student > Bachelor 17 13%
Student > Postgraduate 12 9%
Student > Ph. D. Student 12 9%
Student > Doctoral Student 9 7%
Other 26 20%
Unknown 36 27%
Readers by discipline Count As %
Pharmacology, Toxicology and Pharmaceutical Science 36 27%
Medicine and Dentistry 25 19%
Nursing and Health Professions 9 7%
Biochemistry, Genetics and Molecular Biology 5 4%
Computer Science 4 3%
Other 14 11%
Unknown 38 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 02 June 2017.
All research outputs
#17,810,867
of 22,880,230 outputs
Outputs from BMC Geriatrics
#2,543
of 3,204 outputs
Outputs of similar age
#240,293
of 339,292 outputs
Outputs of similar age from BMC Geriatrics
#40
of 45 outputs
Altmetric has tracked 22,880,230 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,204 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one is in the 17th percentile – i.e., 17% 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 339,292 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.