Table 1.
Category | Variable name | Definition | Scale | Valid range/levels | Units |
---|---|---|---|---|---|
Main exposure variable | First PIP ever | Occurrence of the first PIP ever experienced by a patient during his/her study eligibility period | Dichotomous | Yes or no | 1 if PIP 0 if no PIP |
Secondary exposure variable | First criterion-specific PIP incidence density | Number of instances of first PIP for each criterion experienced by a patient during his/her eligibility period divided by the duration of the study eligibility period in years (will be calculated separately for STOPP/START and Beers’ criteria). | Continuous | 0 to unlimited | Counts/year |
Primary outcome variable | Time to any outcome | Time between first PIP and first of ER visit, hospitalisation or death, occurring within the time window for ‘PIP relevant outcomes’ (usually up to 3 months after an instance of PIP, but may be longer for some criteria—see text for examples) | Ordinal | 0–90 | Days |
Secondary outcome variables | Time to ER visit | Time between first PIP and first ER visit | Ordinal | 0–90 | Days |
Time to hospitalisation | Time between first PIP and first hospitalisation | Ordinal | 0–90 | Days | |
Time to ADE | Time to any diagnostic code for an ADE | Ordinal | 0–90 | Days | |
Covariates | Patient age | Patient's age at time of first PIP | Continuous | 66–116 | Years |
Patient sex | Patient's biological gender | Dichotomous | Male or female | Male or female | |
Patient location | Type of setting a patient lives in at time of PIP | Dichotomous | Long-term care vs community setting | Long-term care vs community setting | |
Number of prescribers | Number of prescribers who have issued prescriptions for a patient in year prior to the first PIP | Continuous | 1 to unlimited | Count | |
Number of dispensing pharmacists | Number of pharmacists from whom a patient obtained medication in the year prior to the first PIP | Continuous | 1 to unlimited | Count | |
Polypharmacy | Number of medications concurrently in use at time of prescription of a PIP | Continuous | 1 to unlimited | Count | |
SES | Socioeconomic quintile attributed to patient on the basis of his/her census data and postal code | Ordinal | Very low SES, low SES, middle SES, high SES, very high SES | Quintile | |
Prior hospitalisations | Number of hospital admissions experienced by a patient in the 12 months preceding a PIP | Continuous | 0 to unlimited | Count | |
ER visit in past 6 months | Number of visits made to the emergency room by a patient in the 6 months preceding a PIP | Continuous | 0 to unlimited | Count | |
Comorbidities | Deyo modification of Charlson Comorbidity Index for a patient calculated at the time of first PIP, if patient was hospitalised in the year prior to the first PIP; for patients who were not hospitalised, we will use the Johns Hopkins ADG score | Continuous | 0–32 | NA | |
Acuity of prior hospitalisations | Whether a hospitalisation occurring in the 12 months preceding a PIP was coded as ‘acute’ or not in the Discharge Abstract Database | Dichotomous | Acute vs other | 1 if acute 0 if other | |
Discharge diagnosis | Most responsible diagnosis for a hospitalisation occurring in the 12 months preceding a PIP as recorded in the Discharge Abstract Database | Categorical | ICD groups | Diagnostic groups | |
Prescribing physician age | Physician age | Continuous | 20 to ?? | years | |
Prescribing physician sex | Physician's biological gender | Dichotomous | Male or female | Male or female | |
Prescribing physician year of graduation | Physician year of graduation | Ordinal | 1945 to ?? | Year (date) | |
Prescribing physician location | Physician location of practice (rural vs urban) | Dichotomous | Rural vs urban | 0 rural, 1 urban | |
Type of prescribing physician | Type of physician prescribing a PIP for a given patient | Dichotomous | Specialist vs family physician | Specialist or family MD |
ADE, adverse drug event; ADG, Aggregated Diagnostic Group; ER, emergency room; ICD, International Classification of Disease; NA, not available; PIP, potentially inappropriate prescribing; SES, socioeconomic status.