Evidence map›Paper›PMID 31157048›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2018

Applicability of the STOPP/START criteria to older polypathological patients in a long-term care hospital.

Julia Hernandez Martin, Virginia Merino-Sanjuán, Juan Peris-Martí, Marta Correa-Ballester, Raquel Vial-Escolano, Matilde Merino-Sanjuán

Open access · bronzeAbstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 38% 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, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  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.

Julia Hernandez MartinFarmacia, Hospital San José, Teruel, Spain.ORCID 0000-0002-0708-3190
Virginia Merino-SanjuánInstituto Interuniversitario Reconocimiento Molecular y Desarrollo Tecnológico, Departamento de Farmacia y Tecnología Farmacéutica y Parasitología de la Universidad de Valencia., Valencia, Spain.
Juan Peris-MartíServicio de Farmacia, Residencia Personas Mayores Dependientes La Cañada., Valencia, Spain.
Marta Correa-BallesterFarmacia, Hospital San José, Teruel, Spain.
Raquel Vial-EscolanoUnidad de Geriatría, Hospital San José., Teruel, Spain.
Matilde Merino-SanjuánInstituto Interuniversitario Reconocimiento Molecular y Desarrollo Tecnológico, Departamento de Farmacia y Tecnología Farmacéutica y Parasitología de la Universidad de Valencia., Valencia, Spain.
Universitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the applicability of the STOPP/START criteria as a tool to identify patients with potentially inappropriate medications (PIM) during pharmaceutical validation of prescriptions in a long-term care hospital, to identify risk factors for PIM and to characterise the physiological systems and drugs more frequently associated with these PIM.

methodsAn interventional, prospective and longitudinal study was conducted in polypathological patients aged >65 years. Usual pharmaceutical care and the STOPP/START criteria were used to identify PIM and to plan pharmaceutical interventions at admission. At discharge, the discharge summaries were reviewed using the STOPP/START criteria.

results112 patients were included. The prevalence of patients with PIM at admission was 76.8%. The STOPP criteria identified a high number of PIM and almost all entailed pharmaceutical intervention. On the other hand, most of the START criteria identified did not entail pharmaceutical intervention. Usual pharmaceutical care detected a different type of PIM; a high percentage of pharmaceutical interventions to resolve them were accepted. At discharge, the prevalence of patients with PIM was 61.3%. At admission, none of the analysed variables was associated with the PIM identified using any of the tools. At discharge STOPP criteria identified a higher percentage of patients with PIM in the geriatric outpatient consultation group.

conclusionsThe prevalence of PIM in older polypathological patients is high. The STOPP criteria are useful for reducing inappropriate prescribing during the pharmaceutical validation process. In contrast, routine incorporation of the START criteria in the pharmaceutical validation may be not necessary in a hospital of this type.

Indexed as

AgedComorbidityInappropriate PrescribingLong-term CarePharmaceutical ServicesStopp/start Criteria

Identifiers

PMID31157048
PMCPMC6319405
OpenAlexW2745061326

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.