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. 2018 Jul 19;8(7):e021152. doi: 10.1136/bmjopen-2017-021152

Table 4.

Total number of PIMs* according to the subcategories of drugs taken at admission, newly started during hospitalisation and taken at discharge

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.