title: [Potentially inappropriate prescribing in patients over 65 years-old in a primary care health centre].
abstract: OBJECTIVE
  To identify potentially inappropriate prescriptions (PPI) and prescribing omissions (OP) by means of the STOPP/START criteria, as well as associated factors in ≥65year old patients in a Primary Care setting in Spain.
  
  
  METHODS
  A cross-sectional, descriptive study.
  
  
  METHODS
  Centro de Salud Monóvar, Primary Health Care.
  
  
  METHODS
  6months.
  247patients.
  
  
  METHODS
  ≥65years patients who attended an urban Primary Care clinic 2 or more times were studied. Terminally ill and nursing home residents were excluded.
  
  
  METHODS
  Data were collected from electronic clinical records. STOPP and START criteria were evaluated in each clinical record, including age, sex, co-morbidity, number of chronic prescriptions.
  
  
  RESULTS
  PPI and OP identified by STOPP and START criteria, respectively.
  
  
  RESULTS
  A total of 81 patients (32.8%) had PPI, with the most common being the long-term use of long-acting benzodiazepines in 17 (6.9%). OP was found in 73 (29.6%) patients, with the most common being the omission of statins in patients diagnosed with diabetes mellitus and/or one or more major cardiovascular risk factors in 21 (8.5%). After adjustment by gender and age, correlations were found between PPI and multiple medication (OR: 2.02; 95%CI: 1.15-3.53; P=.014), and OP and polypharmacy (OR: 2.37; 95%CI: 1.32-4.24; P=0.004).
  
  
  CONCLUSIONS
  Inappropriate prescribing in older people is frequent, and is mainly associated with long-acting benzodiazepines. There are diabetic patients who do not have statins prescribed. Multiple medication is associated with PPI and OP.
authors.affiliation: Medicina Familiar y Comunitaria, Centro de Salud Monóvar, Madrid, España. Electronic address: naldypa@yahoo.es.
authors.forename: Naldy
authors.initials: N
authors.lastname: Parodi López
authors.affiliation: Medicina Familiar y Comunitaria, Centro de Salud Alameda de Osuna, Madrid, España.
authors.forename: Yuri Fabiola
authors.initials: YF
authors.lastname: Villán Villán
authors.affiliation: Docencia y Residentes, Centro de Salud Monóvar, Centro de Salud Monóvar, Madrid, España.
authors.forename: María Isabel
authors.initials: MI
authors.lastname: Granados Menéndez
authors.affiliation: CIBER Epidemiología y Salud Pública (CIBERESP), Unidad de Bioestadística Clínica, Hospital Ramón y Cajal, IRYCIS, Madrid, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Royuela
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data*; D008297:Male; D011320:Primary Health Care
keywords: Anciano; Atención primaria de salud; Drug prescriptions; Elderly; Prescripción de medicamentos; Primary care