IDENTIFICATION OF POTENTIALLY INAPPROPRIATE MEDICATION (PIM) BASED ON BEERS CRITERIA IN GERIATRIC INPATIENT AT ANUTAPURA HOSPITAL PALU CITY, CENTRAL SULAWESI PROVINCE INDONESIA: A DESCRIPTIVE CROSS-SECTIONAL DESIGN

Muhamad Rinaldhi Tandah; Muhammad Fakhrul Hardani; Desika Aulia Putri; Andi Atirah Masyita; Rudi Safarudin; Arya Dibyo Adisaputra

doi:10.46903/gjms/23.1.Special.1674

IDENTIFICATION OF POTENTIALLY INAPPROPRIATE MEDICATION (PIM) BASED ON BEERS CRITERIA IN GERIATRIC INPATIENT AT ANUTAPURA HOSPITAL PALU CITY, CENTRAL SULAWESI PROVINCE INDONESIA: A DESCRIPTIVE CROSS-SECTIONAL DESIGN

Muhamad Rinaldhi Tandah, Muhammad Fakhrul Hardani, Desika Aulia Putri, Andi Atirah Masyita, Rudi Safarudin, Arya Dibyo Adisaputra

Abstract

Background: The geriatric population comprises elderly individuals exhibiting multipathological characteristics and physiological decline, rendering them susceptible to the potential pitfalls of inappropriate medication use, with consequential impacts on morbidity, mortality, healthcare costs, and the risk of drug-related side effects. The aim of this study was to determine the incidence rate of inappropriate medication use (Potentially Inappropriate Medication or PIM) based on the Beers Criteria 2019 in geriatric inpatients at Anutapura Hospital

Materials & Methods: This research aimed to elucidate the medication usage profile and the incidence of Potentially Inappropriate Medication (PIM) based on the Beers Criteria 2019 among geriatric inpatients at Anutapura Hospital. Applying a descriptive research design, data collection was carried out retrospectively utilizing medical records from the year 2022. A controlled quota sampling method was applied to select 321 patient records for analysis based on the Beers Criteria 2019.

Results: The findings revealed that out of 321 geriatric inpatients at Anutapura Hospital, 49 (15.26%) patients were identified with PIM, resulting in a total of 56 instances of PIM. Category 1 medications comprised digoxin (45.83%), alprazolam (43.75%), and diazepam (10.42%). Category 2 medications included meloxicam (100%). Category 3 medications encompassed diuretic (100%). Category 4 medications involved corticosteroid-NSAID interactions (50%) and opioid-benzodiazepine interactions (50%). Category 5 medications included spironolactone (25%) and ranitidine (75%).

Conclusions: The medication usage profile in geriatric inpatients at Anutapura Hospital involved a total of 2287 medication items. The total incidence of Potentially Inappropriate Medication (PIM) was 56 medications out of the total identified medication usage based on the Beers Criteria.

Keywords

Beers Criteria; Geriatrics; Potentially Inappropriate Medication.

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DOI: https://doi.org/10.46903/gjms/23.1.Special.1674