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Pattern of medication use among the elderly at one nursing center for terminally-ill patients in the east coast Malaysia: a cross-sectional study

Ismail, Azlini and Mustafa Al-Ahmad, Basma Ezzat and Mohd, Farah Natashah and Mustafa, Nazih Shaban and Che Musa, Muhd Firdaus and Ardini, Yunita Dewi and Abdul Halim, Mohd Firdaus Akbar (2021) Pattern of medication use among the elderly at one nursing center for terminally-ill patients in the east coast Malaysia: a cross-sectional study. In: IIUM Research Day 2021: An International Online for Life Sciences, 24 November 2021, Research Management Centre, IIUM. (Unpublished)

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The elderly populations who often have multiple medical problems usually requires comprehensive care and this include an increase in medication use. This project aims to assess the pattern of medication use and the prevalence of polypharmacy as well as to screen for the use of potentially inappropriate medications among the elderly residents at one nursing centre for terminally-ill patients in East coast Malaysia. Prior to the study, ethical approval was obtained from IIUM Research Ethical Committee (IREC 2019-166). This cross-sectional study involved residents aged 60 years old and above (n=73) that fulfil the inclusion criterion of taking at least one medication. Patient’s sociodemographic profile and medication use patterns were obtained from patient’s personal folder and descriptive analysis was run using IBM SPSS Version 26 software. The list of medications was cross-checked with the list of American Geriatrics Society (AGS) 2019 Updated AGS Beers Criteria® for potentially inappropriate medication (PIM) use in older adults. From 73 elderly residents, their mean age was 72 ± 9.07 years old, with the majority were Malays (83.6%), males (50.7%), Muslims (86.3%), single (53.4%), bed-bound, and dependent to the care-takers for their daily activities (75.3%). Polypharmacy (concurrent drugs between five to eight drugs) occurred in one-fifth of the residents (21.9%). Most residents were on cholesterol-lowering (72.6%) and antihypertensive (64.4%) drugs. Other common medications include blood-thinning agents (37%), anti-diabetic (21.9%), vitamin B (19.2%) and iron (16.4%) supplements. Several medications listed in 2019 AGS Updated Beers Criteria such as prazosin (1.4%), ranitidine (6.8%), colchicine (1.4%), lorazepam (1.4%), and chlorpromazine (1.4 %) were in use by the minority of residents. In conclusion, the prevalence of polypharmacy in this study was moderate with some minor use of PIM. The use of PIM however should be re-considered to minimise adverse drug reactions and to improve health conditions of these residents.

Item Type: Conference or Workshop Item (Slide Presentation)
Additional Information: 7407/95586 - MFI 301221
Uncontrolled Keywords: Elderly, medication, geriatrics, polypharmacy, potentially inappropriate medication, beers criteria
Subjects: R Medicine > R Medicine (General)
R Medicine > RM Therapeutics. Pharmacology
R Medicine > RS Pharmacy and materia medica
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Dentistry
Kulliyyah of Dentistry > Department of Fundamental Dental and Medical Sciences
Kulliyyah of Dentistry > Department of Oral Maxillofacial Surgery and Oral Diagnosis
Kulliyyah of Dentistry > Department of Paediatric Dentistry and Dental Public Health
Depositing User: DR. AZLINI ISMAIL
Date Deposited: 31 Dec 2021 08:26
Last Modified: 17 Feb 2022 16:41
URI: http://irep.iium.edu.my/id/eprint/95586

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