search for




 

The Evaluation of Drug Utilization Review on Potentially Inappropriate Medications for Elderly Patients in a Tertiary Hospital
Korean J Clin Pharm 2019;29(1):25-32
Published online March 31, 2019
© 2019 Korean College of Clinical Pharmacy.

Yeo Hyang Cho1 and Kwang Joon Kim2*

1Department of Pharmacy, Chonnam National University Hospital, 42 Jebongro, Dong-gu, Gwangju, 61469, Republic of Korea
2Department of Pharmacy, Chosun University Hospital, 365 Pilmundaero, Dong-gu, Gwangju, 61453, Republic of Korea
Correspondence to: Kwang Joon Kim, Department of Pharmacy, Chosun University Hospital, 365 Pilmundaero, Dong-gu, Gwangju, 61453,Republic of Korea
Tel: +82-62-220-3296, Fax: +82-62-227-3745, E-mail: nocky@hanmail.net
Received February 22, 2019; Revised March 12, 2019; Accepted March 13, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non- Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Objective: South Korea made a list of potentially inappropriate medications (PIMs) for elderly patients in 2015 and has prompted medical professionals to prescribe proper medication by using the drug utilization review (DUR) system. It has been three years since the system was introduced, but related studies have rarely been conducted. This study aimed to evaluate the effect of the DUR system on the prescription of PIMs for elderly patients. Methods: The data on the prescription of PIMs for elderly patients (≥ 65 years) who received medical treatment between March 1st and May 31st in 2015 (before introduction of the DUR system) and who received medical treatment between March 1st and May 31st in 2018 (after introduction of the DUR system) were retrospectively collected from electronic medical records. Results: The prescriptions of PIMs decreased from 3,716 (7.7%) to 3,857 (6.9%) (p < 0.001). The prescription of escitalopram and paroxetine, among selective serotonin reuptake inhibitors, increased significantly, and that of short-acting benzodiazepines also increased significantly from 454 (0.93%) to 624 (1.2%). Conclusion: Prescription of PIMs for elderly patients significantly decreased (p < 0.001) after the DUR system was introduced. Further expanded studies of PIMs need to be conducted for the safety of elderly patients.
Keywords : Drug utilization review, elderly patient, inappropriate medications


March 2019, 29 (1)
Full Text(PDF) Free

Social Network Service
Services

Cited By Articles
  • CrossRef (0)