Potentially Inappropriate Medication Inpatient Elderly with DM Type 2 at RSUD M. Yunus Bengkulu based on Beer's Criteria 2019
Abstract
This study aims to determine the incidence of PIMs and the factors that influence PIMs in geriatric patients with type 2 DM. This study was a non-experimental study with a cross-sectional method. The data collection technique uses medical record data of Type 2 DM patients without or with comorbidities who are elderly in the period of January-December 2022 who are receiving drug therapy. Sampling was done by purposive sampling of 42 patients and data were analyzed using Fisher's statistical test. The results showed that the use of PIMs at RSUD M. Yunus was 92.86% (39 patients). The incidence of PIMs for Type 2 DM drugs were insulin sliding scale (1 patient) and glimepiride (4 patients). For drugs other than Type 2 DM, PPI class drugs are 43.82%. Fisher's test showed that only the number of drugs had a significant relationship with the incidence of PIMs (p=0.019), while other characteristics such as age, gender, comorbidities and length of stay had no effect on PIMs.
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Afrilianto, M. B., Syamsi, N., & Asrinawati, A. N. (2020). Identifikasi Interaksi Obat Pada Pasien Lanjut Usia Instalasi Rawat Jalan Di Rumah Sakit Umum Daerah Madani Palu. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 6(1), 28-31
Al-Azayzih, A., Alamoori, R., & Altawalbeh, S. M. (2019). Potentially inappropriate medications prescribing according to Beers criteria among elderly outpatients in Jordan: a cross sectional study. Pharmacy Practice (Granada), 17(2)
AS, A. N. M. S., Darmawan, E., & Mustofa, M. (2015). Penggunaan Potentially Inappropriate Medications (PIMs) pada pasien geriatri rawat inap osteoarthritis di RS PKU Muhammadiyah Yogyakarta. Pharmaciana, 5(1): 77-84
Astuti, R., Nurmainah, N., & Susanti, R. (2020). Deteksi Peresepan Obat Yang Tidak Tepat Pada Pasien Lansia Rawat Jalan Di Klinik Penyakit Dalam Rsud Sultan Syarif Mohamad Alkadrie. Jurnal Mahasiswa Farmasi Fakultas Kedokteran Untan, 6(1)
BPS, U. H. H. S. L. (2020). Badan Pusat Statistik, 2021. Berita resmi statistik: Hasil sensus penduduk
Cahyaningsih, I., & Amaliya, N. (2019). Kajian resiko penggunaan obat yang harus digunakan dengan hati-hati pada pasien geriatri dengan diagnosis gangguan saraf berdasarkan Beers Criteria. Media Farm, 16(1), 51-62
Demirer Aydemir, F., Oncu, S., Yakar, N. M., Utkugun, G. A., Gokmen, N., Comert, B., ... & Gelal, A. (2021). Potentially inappropriate medication use in elderly patients treated in intensive care units: A cross‐sectional study using 2019 Beers, STOPP/v2 Criteria and EU (7)‐PIM List. International Journal of Clinical Practice, 75(11), e14802
Escrivá Gracia, J., Brage Serrano, R., & Fernández Garrido, J. (2019). Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study. BMC health services research, 19(1), 1-9
Gagnon, M. E., Sirois, C., Simard, M., Roux, B., & Plante, C. (2020). Potentially inappropriate medications in older individuals with diabetes: a population-based study in Quebec, Canada. Primary Care Diabetes, 14(5), 529-537
Hakim, M. A. R., Rahayu, S., Rizal, S., & Bahari, A. I. (2023). The Implication of Flipped Classroom Toward Students’ Reading Ability in English Class. Cakrawala: Jurnal Pendidikan, 17(1), 25-41
Isnaini, N., & Ratnasari, R. (2018). Faktor risiko mempengaruhi kejadian Diabetes mellitus tipe dua. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 14(1), 59-68
Julaiha, S. (2018). Identifikasi potentially inappropriate medications (PIMs) berdasarkan kriteria STOPP START pada pasien geriatri rawat inap di RS Advent Bandar Lampung. Jurnal Analis Kesehatan, 7(1), 657-665
Mampa, M., Wowor, R., & Rattu, A. J. M. (2022). Analisis Penerapan Pelayanan Kesehatan Lanjut Usia di Puskesmas Pineleng pada Masa Pandemi Covid–19. KESMAS, 11(4)
Masumoto, S., Sato, M., Maeno, T., Ichinohe, Y., & Maeno, T. (2018). Potentially inappropriate medications with polypharmacy increase the risk of falls in older J apanese patients: 1‐year prospective cohort study. Geriatrics & gerontology international, 18(7), 1064-1070
Otuonye, N. M., Olumade, T. J., Ojetunde, M. M., Holdbrooke, S. A., Ayoola, J. B., Nyam, I. Y., ... & Odunukwe, N. N. (2021). Clinical and demographic characteristics of COVID-19 patients in Lagos, Nigeria: A descriptive study. Journal of the National Medical Association, 113(3), 301-306
Queale, W. S., Seidler, A. J., & Brancati, F. L. (1997). Glycemic control and sliding scale insulin use in medical inpatients with diabetes mellitus. Archives of internal medicine, 157(5), 545-552
Raasyidah, F., Laksono, H., Pudiarifanti, N., & Suryanti, S. (2020). Gambaran Kadar Glukosa Darah Sewaktu Pada Penjual Nasi Goreng Di Kecamatan Singaran Pati Kota Bengkulu Tahun 2020. Journal of Nursing and Public Health, 8(2), 46-52
Rahmawati, R., Putri, Y. H., Handayani, D., Pertiwi, R., Nurlita, S. P., Putri, D. K., & Simanullang, K. A. (2022). Potensi Penggunaan Obat Tidak Tepat Pada Pasien Rawat Jalan Geriatri Berdasarkan Kriteria Beers 2019. Jurnal Kefarmasian Akfarindo, 60-65
Rochon, P. A., Petrovic, M., Cherubini, A., Onder, G., O'Mahony, D., Sternberg, S. A., ... & Gurwitz, J. H. (2021). Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens. The Lancet Healthy Longevity, 2(5), e290-e300
Rufaidah, A., Pramantara, I. D. P., & Sari, I. P. (2015). Kajian Drug Related Problems Pada Terapi Pasien Gagal Jantung Rawat Inap. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 5(2), 88-94
Sarwar, M. R., Dar, A. R., Mahar, S. Y., Riaz, T., Danish, U., & Iftikhar, S. (2018). Assessment of prescribing potentially inappropriate medications listed in Beers criteria and its association with the unplanned hospitalization: a cross-sectional study in Lahore, Pakistan. Clinical interventions in aging, 1485-1495
Sharma, R., Chhabra, M., Vidyasagar, K., Rashid, M., Fialova, D., & Bhagavathula, A. S. (2020). Potentially inappropriate medication use in older hospitalized patients with type 2 diabetes: a Cross-Sectional Study. Pharmacy, 8(4), 219
Sirajuddin, M. (2012). Tipologi intelektual Muslim dalam bidang kajian fikih: studi terhadap karya-karya fikih dosen STAIN Bengkulu. Ijtihad: Jurnal Wacana Hukum Islam dan Kemanusiaan, 12(2), 237-258
Sukmawati, S., Kosman, R., & Damayanti, I. (2016). Identifikasi Penggunaan Obat Pada Pasien Hipertensi Usia Lanjut Dengan Beer’s Criteria Di Instalasi Rawat Inap Rumah Sakit Ibnu Sina Makassar Periode Tahun 2012. As-Syifaa Jurnal Farmasi, 8(1), 52-58
Tesfaye, B. T., Tessema, M. T., Yizengaw, M. A., & Bosho, D. D. (2021). Potentially inappropriate medication use among older adult patients on follow-up at the chronic care clinic of a specialized teaching hospital in Ethiopia. A cross-sectional study. BMC geriatrics, 21(1), 1-11
Thorell, K., Midlöv, P., Fastbom, J., & Halling, A. (2020). Use of potentially inappropriate medication and polypharmacy in older adults: a repeated cross-sectional study. BMC geriatrics, 20, 1-9
Vasani, P., Savsani, D., Mehta, D., Bhatt, P., & Solanki, S. (2015). A comparative study of efficacy and safety of pitavastatin versus atorvastatin in the patients of dyslipidemia in medicine department of a tertiary care teaching hospital. International Journal of Basic & Clinical Pharmacology, 4(1), 24-30
Viviandhari, D., Nurhasnah, N., Sakinah, R. N., & Wulandari, D. (2022). A Comparison of Potentially Inappropriate Medications Identification Using Beers and STOPP Criteria in Hospitalized Geriatric Patients in Jakarta. Indonesian Journal of Clinical Pharmacy, 11(2), 105-115
Yakaryılmaz, F. D., & Öztürk, Z. A. (2017). Treatment of type 2 diabetes mellitus in the elderly. World journal of diabetes, 8(6), 278
Yeomans, N. D., Svedberg, L. E., & Naesdal, J. (2006). Is ranitidine therapy sufficient for healing peptic ulcers associated with non‐steroidal anti‐inflammatory drug use?. International journal of clinical practice, 60(11), 1401-1407
Zulkarnaini, A., & Martini, R. D. (2019). Gambaran Polifarmasi Pasien Geriatri Dibeberapa Poliklinik RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 8(1S), 1-6
DOI: http://dx.doi.org/10.18415/ijmmu.v10i10.5157
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