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. 2018 Mar 16;14:557–564. doi: 10.2147/TCRM.S157469

Table 3.

Potentially inappropriate medications and classes to be avoided in geriatric patients with a particular diagnosis (n=400) based on 2015 Beers criteria in pre-intervention and intervention groups

Diagnosis/therapeutic category/drug(s) Pre-intervention n=200
n (%)
Intervention n=200
n (%)
p-value*
Heart failure 13 (6.5) 3 (1.5) 0.011
• NSAIDs and COX-2 inhibitors
• CCB
Syncope 6 (3.0) 2 (1.0) 0.284
• Alpha blockers
• Tertiary TCAs
Chronic seizures 7 (3.5) 1 (0.5) 0.068
• Olanzapine
• Chlorpromazine
Delirium 9 (4.5) 0 (0.0) 0.004
• Benzodiazepines
• Sedative hypnotics
Dementia and cognitive impairment 9 (4.5) 2 (1.0) 0.031
• Anticholinergics
• Benzodiazepines
• Antipsychotics
History of falls or fractures 5 (2.5) 2 (1.0) 0.449
• Antipsychotics
• Benzodiazepines TCAs/SSRIs
Insomnia 7 (3.5) 1 (0.5) 0.068
• Pseudoephedrine
• Phenylephrine stimulants
Parkinson’s disease 6 (3.0) 4 (2.0) 0.751
• First-generation antihistamines
• Anticholinergics/antispasmodics
• Antipsychotics
Chronic constipation 13 (6.5) 5 (2.5) 0.044
• Nondihydropyridine CCB
• First-generation antihistamines
• Antipsychotics
History of gastric or duodenal ulcers 11 (5.5) 3 (1.5) 0.053
• Aspirin (>325 mg/day)
• Non-COX-2 selective NSAIDs
Chronic kidney disease (stages IV, V) 9 (4.5) 3 (1.5) 0.140
• NSAIDs
BPH 8 (4.0) 1 (0.5) 0.037
• Inhaled anticholinergic agents
• Strong anticholinergic drugs
Stress or mixed urinary incontinence 6 (3.0) 3 (1.5) 0.503
Alpha blockers

Note:

*

Chi-square test.

Abbreviations: NSAIDs, non-steroidal anti-inflammatory drugs; TCAs, tricyclic antidepressants; SSRIs, selective serotonin reuptake inhibitors; CCB, calcium channel blockers; BPH, benign prostatic hyperplasia; COX-2, cyclooxygenase 2.