Evidence map›Paper›PMID 30799958›Full record

ArticleDrug, healthcare and patient safety2019

Pattern of medication use in geriatric patients at primary health care facilities in Karawang, Indonesia.

Rizky Abdulah, Widya N Insani, Novia E Putri, Helda P Purba, Dika P Destiani, Melisa I Barliana

Open access · goldAbstract read
In one paragraph

Article in Drug, healthcare and patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rizky AbdulahDepartment of Pharmacology and Clinical Pharmacy, Universitas Padjadjaran, Bandung, Indonesia, r.abdulah@unpad.ac.id.
Widya N InsaniDepartment of Pharmacology and Clinical Pharmacy, Universitas Padjadjaran, Bandung, Indonesia, r.abdulah@unpad.ac.id.
Novia E PutriDepartment of Pharmacology and Clinical Pharmacy, Universitas Padjadjaran, Bandung, Indonesia, r.abdulah@unpad.ac.id.
Helda P PurbaDepartment of Pharmacology and Clinical Pharmacy, Universitas Padjadjaran, Bandung, Indonesia, r.abdulah@unpad.ac.id.
Dika P DestianiDepartment of Pharmacology and Clinical Pharmacy, Universitas Padjadjaran, Bandung, Indonesia, r.abdulah@unpad.ac.id.
Melisa I BarlianaDepartment of Biological Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.
Padjadjaran University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRational drug use is a critical component in patient care, particularly among the elderly who often have multiple medical problems. The aim of this study was to assess the pattern of medication use among the elderly visiting primary health care facilities.

methodsA retrospective cross-sectional study was conducted at 25 primary health care facilities in Karawang District, Indonesia, and patients aged ≥60 years visiting the facilities from January to December 2014 were included. A systematic random sampling technique was used to select the study samples. Each prescription was assessed using the WHO prescribing indicators.

resultsA total of 10,118 prescriptions with 31,927 drugs were assessed. The average number of drugs prescribed was 3.15 (range: 1-7). Drugs prescribed by generic name comprised 98.09% (n=31,318) of the total number of drugs. Medical appointments wherein an antibiotic was prescribed constituted 23.45% (n=2373) of the total number of prescriptions. No injections were prescribed in this study setting. Drugs prescribed from the essential drug list comprised 83.07% (n=26,522). Paracetamol (13.44%), vitamin B complex (8.05%), and aluminum-magnesium hydroxide (7%) were the most frequently prescribed drugs, whereas amoxicillin (44.03%), chloramphenicol (13.10%), and ciprofloxacin (12.00%) were the most frequently prescribed antibiotics.

conclusionOur findings highlight that polypharmacy and prescription of essential drugs remain subjects of concern in geriatric health care. Regular medication review and promoting the use of the essential drug list among health care professionals are encouraged in primary care settings.

Indexed as

inappropriate prescribingrationale prescribingWHO prescribing indicators

Identifiers

PMID30799958
PMCPMC6371933
OpenAlexW2912836308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.