title: [Medical treatment of the elderly in residential care: a multicenter cross-sectional study].
abstract: OBJECTIVE
  To retrospectively assess the quality of prescriptions in elderly patients prior the distribution of guidelines for geriatric drug prescriptions.
  
  
  METHODS
  A cross-sectional study was conducted for one day in 2012 to investigate the quality of the prescriptions in 495 residents of 8 nursing homes. A 6 items-quality score was calculated, ranging from 0 (lowest quality) to 6 (highest quality).
  
  
  RESULTS
  The median number of prescribed drugs was 8,5 per resident. Over a total of 4311 prescribed drugs, the average quality score was 4,96 ± 0,45; 4,54 ± 0,70 in computerized orders and 3,4 ± 1,02 in handwritten orders. Among 939 drugs considered as at high risk of inducing serious adverse reactions, monitoring was prescribed 154 times only (16,4%).
  
  
  CONCLUSIONS
  A lack of drug monitoring was highlighted, especially for high risk drugs. The quality of prescription may be improved by the use of computerized orders.
authors.affiliation: Service Pharmacie, Groupe hospitalier Le Raincy-Montfermeil, Montfermeil, France.
authors.forename: Francis
authors.initials: F
authors.lastname: Fauvelle
authors.affiliation: Service de Gériatrie, Groupe hospitalier Le Raincy-Montfermeil, Montfermeil, France.
authors.forename: Fariba
authors.initials: F
authors.lastname: Kabirian
authors.affiliation: Omedit Ile-de-France, Agence régionale de Santé, Paris, France.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Bernard
authors.affiliation: Omedit Ile-de-France, Agence régionale de Santé, Paris, France - AP-HP, Hôpital Bichat, Département épidémiologique et Recherche clinique, Paris, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Bonnet-Zamponi
authors.affiliation: AP-HP, Hôpital Bichat, Département épidémiologique et Recherche clinique, Paris, France - INSERM CIE 801, Paris, France.
authors.forename: Marina
authors.initials: M
authors.lastname: Esposito-Farèse
authors.affiliation: AP-HP, Hôpital Bichat, Département épidémiologique et Recherche clinique, Paris, France - INSERM CIE 801, Paris, France - Université Paris Diderot, Sorbonne Paris-Cité, Paris, France.
authors.forename: Florence
authors.initials: F
authors.lastname: Tubach
authors.affiliation: AP-HP, Hôpital Bichat, Département épidémiologique et Recherche clinique, Paris, France - INSERM CIE 801, Paris, France - Université Paris Diderot, Sorbonne Paris-Cité, Paris, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Gault
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016903:Drug Monitoring