Evaluasi Potensi Pengobatan Tidak Tepat Pada Pasien Geriatri Rawat Inap di RSUD Arjawinangun Berdasarkan Kriteria Beers 2019
DOI:
https://doi.org/10.59841/an-najat.v1i4.628Keywords:
Beers criteria 2019, geriatric, incidence of PIMs, inpatient geriatricAbstract
Indonesia is predicted to be in the top 10 largest geriatric populations in the world by 2050. One of the problems in the treatment of geriatric patients is the potential inappropriate medications (PIMs). The Beers criteria can be used to evaluate the prevalence of PIMs. This study aims to evaluate the potential incidence of inappropriate medication use in inpatient geriatric patients at RSUD Arjawinangun using update Beers criteria 2019 and analyze the relationship between the amount of medication used by geriatric patients and the incidence of PIMs. This kind of research is observational research with descriptive-analytical methods conducted retrospectively using a cross-sectional study design. The results of the study showed that of 42 geriatric patients aged >65 years, PIMs were found in 26 patients (59.09%) with a total of 44 PIMs. The incidence of PIMs, or medications that need to be avoided in general for geriatric patients were found in 54.55% of cases, drugs can still be used but with special attention, namely 43.18%, and drug interactions that must be avoided in geriatric patients. Hypertension drugs such as Amlodipine and the diuretic drug Furosemide are the most widely used, but these drugs have the potential to be inappropriate for use in geriatrics. The incidence of PIMs is correlated with the amount of medication used by geriatric patients, according to the results of the Pearson correlation analysis with a P value <0.001.
References
Abdullah, R., Barliana, M.I. (2015). Penggunaan Obat yang Berpotensi Tidak Tepat pada Populasi Geriatri di Kota Bandung Potentially Inappropriate Medication Use for Geriatric Population in Bandung City, 4(3). doi: 10.15416/ijcp.2015.4.3.226
Al-Azayzih, A., AlAmoori, R., & Altawalbeh, S. M. (2019). Potentially inappropriate medications prescribing according to Beers criteria among elderly outpatients in Jordan: A cross sectional study. Pharmacy Practice, 17(2), 1439. http://dx.doi.org/10.18549/PharmPract.2019.2.1439.
Alwahassi, T.M., Alatawi, W., & Alwhaibi, M. (2019). Prevalence of potentially inappropriate medications use among older adults and risk factors using the 2015 American Geriatrics Sociaty Beers criteria, 19:154. https://doi.org/10.1186/s12877-019-1168-1.
American Geriatrics Society Beers Criteria® Update Expert Panel. (2019). American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults: 2019 AGS BEERS CRITERIA® UPDATE EXPERT PANEL. Journal of the American Geriatrics Society,67(4), 674–694.
Campanelli C.M. (2012). American geriatrics society updated beers criteria for potentially inappropriate medication use in older adults: the american geriatrics society 2012 beers criteria update expert panel. J. Am Geriatri Socc; 60 (4): 616–63. doi: 10.1111/j.1532-5415.2012.03923.x.
Chan, J., Bajnath, A., Fromkin, B., Haine, D., Paixo, R., Sandy, D., Rhandhawa, U., Wang, F., & Braun, M. (2014). Ketorolac Prescribing Practices In An Acute Care Hospital And The Incidence Of Acute Renal Failure. World Journal Of Nephrology And Urology. 3(3): 113-117. http://dx.doi.org/10.14740/wjnu169w.
Chinthalapudi, S.S., Cheeti, S., Bajpai, A., Deepika, S., Thunga, G., Rashid, M., Acharya, R.V., & Nair, S. (2022). Prevalence and Predictors of Potentially Inappropiate Medication Use Among Elderly Patients Using Update Beers Criteria 2019: A Single Centered Retrospective Analysis, 17(1), 24-33. http://doi.org/10.2174/1574886316666210423113916.
Elliott R.A., & Stehlik P. (2013). Identifying inappropriate prescribing for older people. Journal of Pharmacy Practice and Research; 43 (4): 312-319. https://doi.org/10.1002/j.2055-2335.2013.tb00284.x.
Fatimah. (2010). Merawat Manusia Lanjut Usia. Jakarta : Trans Info Media.
Kemenkes RI, (2016). Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019. Jakarta : Kementrian Kesehatan Republik Indonesia.
Martono H., & Pranarka K. (2014). Buku Ajar Geriatri (Ilmu Kesehatan Usia Lanjut). Ed-4. Jakarta: Balai Penerbit FKUI.
Rahmawati, R., Putri, Y.H., Handayani, D., Pertiwi, R., Nurlita, S.P., Putri, D.K., & Simanullang K.A. (2022). Potensi Penggunaan Obat Yang Tidak Tepat Pada Peresepan Pasien Geriatri Rawat Jalan Geriatri Berdasarkan Kriteria Beers 2019. Jofar.afi.ac.id, 7(2):60-65
Sharma, R., Chabra, M., Vidyasagar, K., Rashid, M., Fialova, D., & Bhagavathula, A. S. (2020). Potentially Inappropriate Medication Use in Older Hospitalized Patients with Type 2 Diabetes: A Cross-Sectional Study. Pharmacy, 8(4), 219. https://doi.org/10.3390/pharmacy8040219.
Sunaryo. Wijayanti, R,. Kuhu, M., Sumedi, T., Widayanti, D.S., Sukrila, A.u., ... Riyadi,S. (2016). Asuhan Keperawatan Gerontik. Yogyakarta.
Syarif, A., Gayatri, A., Estuningtyas, A., Muchtar, A., Arif, A., Rosdiana, D.S…Sadikin, Z. D. (2016). Farmakologi dan Terapi (Edisi Keenam). Jakarta: Bulan Penerbit FKUL ISBN: 978-979-16104-1-4.
United Nations, (2015), World Populations Prospects: The 2015 revision.
Wahyuni, K., Widyaningrum, P., Sari E., Noerhalizah. (2023). Hubungan jumlah Penggunaan Obat Terhadap Potensially Inapropiate Medications Berdasarkan Beers Criteria 2019 Pasien Diabetes Melitus. Indonesian Journal of Pharmaceutical Education. ISSN: 775-3670.
Wehling, M., (2012). Drug Therapy for the Elderly. Springer Science & Business Media. Hal 21.
Wulansari, A., Wiedyaningsih, C., & Probosuseno. Potentially Inappropiate Medication (PIM) pada Pasien Geriatri Rawat Inap di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Majalah Farmasetik, 19(1), 91-98. DOI:10.22146/farmaseutik.v19i1.70420.
