Drug utilization and potentially inappropriate drug use in elderly residents of a community in Istanbul, Turkey.
OBJECTIVE
This study investigates drug utilization and estimates the prevalence of potentially inappropriate drug use in a Turkish population aged 70 years or older.


METHODS
A cross-sectional study was carried out on a total of 1019 participants who accepted face-to-face questionnaires in home interviews in Istanbul. All medications used in the three weeks prior to the study were recorded. Some major risk factors that might influence the use of inappropriate medication such as socio-demographic characteristics and concomitant disease such as depression and dementia were also questioned. Inappropriate drug use was assessed using the Beers criteria.


RESULTS
Among the 1019 participants, 903 (88.6%) had been using at least one medication during the last three weeks. The average number of medications used was 2.9 +/- 2.0. The most frequently drugs used were cardiovascular drugs (39.9%), followed by analgesics/anti-inflammatory drugs (16.2%), vitamin/mineral preparations (10.6%) and central nervous system drugs (10.2%). Of the 1,019 participants, 9.8% were using one potentially inappropriate medication and one patient was using two inappropriate drugs. The most common of these drugs were reserpine (23.7%), dipyridamole (21.8%), antihistamines (14.8%), and benzodiazepines (10.9%). Only age and total number of medications were associated with potentially inappropriate drugs in the multivariate analysis.


CONCLUSIONS
This study revealed that drug utilization and the prevalence of inappropriate medication use in the elderly were lower than in published reports from most developed countries. Furthermore, polypharmacy and higher age were the main risk factors for potentially inappropriate drug use in the elderly.
Ay
P
P
Department of Public Health, School of Medicine, Marmara University, Istanbul, Turkey. aypinar@hotmail.com
Akici
A
A
Harmanc
H
H
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics; D002317:Cardiovascular Agents; D002491:Central Nervous System Agents; D003430:Cross-Sectional Studies; D003625:Data Collection; D019587:Dietary Supplements; D017723:Drug Utilization Review / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D019338:Polypharmacy; D014421:Turkey / Q000453:epidemiology; D014815:Vitamins
D000700:Analgesics; D002317:Cardiovascular Agents; D002491:Central Nervous System Agents; D014815:Vitamins