Evaluation of the Rational Analgesic use in elderly adults: A cross-sectional study

Melike Mercan Baspınar; Okcan Basat

doi:10.12669/pjms.36.5.2331

Melike Mercan Baspınar University of Health Sciences, Gaziosmanpaşa Training and Research Hospital http://orcid.org/0000-0003-3183-3438
Okcan Basat University of Health Sciences Gaziosmanpaşa Training and Research Hospital Istanbul, Turkey http://orcid.org/0000-0002-5222-9136

DOI: https://doi.org/10.12669/pjms.36.5.2331

Keywords: Analgesic, Beers, family medicine, pain, STOPP/START

Abstract

Objectives: To assess inappropriate analgesic use (IAU) by comparison of STOPP/START Version-2 and Beers 2019 criteria.

Methods: This is a cross-sectional study of 331 elderly patients admitted to family medicine clinics at a tertiary hospital between February and July 2018. Data were collected from face-to-face surveys, including informed patient consent and electronic drug monitoring databases.

Results: The presence of IAU by STOPP version2 was higher than the Beers criteria (19.6%, 14.5%, respectively; P<0.04; Z= –2.5) with a moderate agreement (Kappa= 0.458). The number of drugs and pain score were predictors of IAU. The most commonly caused IAU was diclofenac, although naproxen was the most used analgesic. Almost 39% of diclofenac use, 18.5% of naproxen use, and 33% of etodolac use were IAU. Most commonly, IAU reasons were; (i) NSAID use in hearth failure (Beers) (ii) NSAID use with an antiplatelet agent(s) without PPI (STOPP).

Conclusions: The difference between criteria in terms of IAU was significant in favor of STOPP V2.

doi: https://doi.org/10.12669/pjms.36.5.2331

How to cite this:
Baspınar MM, Basat O. Evaluation of the Rational Analgesic use in elderly adults: A cross-sectional study. Pak J Med Sci. 2020;36(5):1063-1068. doi: https://doi.org/10.12669/pjms.36.5.2331

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.