Table 4.
Drug category | At admission | Newly started† | At discharge | P values‡ |
Total | 510 (100.0) | 50 (100.0) | 219 (100.0) | <0.001 |
Benzodiazepines | 141 (27.6) | 7 (14.0) | 65 (29.7) | <0.001 |
Proton pump inhibitors§ | 129 (25.3) | 23 (46.0) | 83 (37.9) | <0.001 |
Hypnotics (non-benzodiazepines) | 38 (7.5) | 5 (10.0) | 21 (9.6) | 0.001 |
Antipsychotics | 36 (7.1) | 1 (2.0) | 15 (6.8) | <0.001 |
NSAIDs | 28 (5.5) | 0 (0.0) | 0 (0.0) | <0.001 |
Ticlopidine or dipyridamole | 18 (3.5) | 0 (0.0) | 1 (0.5) | <0.001 |
Peripheral alpha-1 blocker | 18 (3.5) | 7 (14.0) | 12 (5.5) | 0.16 |
Digoxin | 16 (3.1) | 1 (2.0) | 2 (0.9) | <0.001 |
H2-receptor antagonists for dementia | 14 (2.7) | 0 (0.0) | 3 (1.4) | <0.001 |
Anticholinergics | 14 (2.7) | 0 (0.0) | 3 (1.4) | 0.002 |
First-generation antihistamines | 12 (2.4) | 1 (2.0) | 1 (0.5) | 0.004 |
Antidepressants | 11 (2.2) | 1 (2.0) | 4 (1.8) | 0.05 |
Verapamil or diltiazem for heart failure | 10 (2.0) | 1 (2.0) | 4 (1.8) | 0.06 |
Others | 25 (4.9) | 2 (4.0) | 4 (1.8) | <0.001 |
Values are given as numbers (percentages).
*PIMs are defined based on the 2015 American Geriatric Society Beers Criteria.
†Defined as medications that were not prescribed at admission but were prescribed at discharge.
‡Comparison of the number of PIMs at admission and at discharge using a two-tailed paired t-test.
§PPI therapy was judged to be potentially inappropriate if the patients had none of the following indications: (1) peptic ulcer disease; (2) GERD with or without oesophagitis; (3) Helicobacter pylori eradication therapy; (4) pathological hypersecretory conditions, such as Zollinger-Ellison syndrome; (5) use of NSAIDs; (6) use of antiplatelet therapy and at least one risk factor (history of peptic ulcer or concomitant use of anticoagulants or corticosteroids).
GERD, gastro-oesophageal reflux disease; NSAIDs, non-steroidal anti-inflammatory drugs; PIM, potentially inappropriate medication; PPI, proton pump inhibitor.