Drug usage in geriatric patients visiting medicine outpatient department

Recruiting

• Conditions: Geriatric patients visiting Medicine outpatient department

• Registration Number: CTRI/2018/05/014159
• Lead Sponsor: Pradeep G Jadhav

Brief Summary

**Background:**

Geriatrics is a branch of medicine dealing with thephysiologic characteristics of aging and the diagnosis and treatment ofdiseases affecting the aged.

In most of the countries in the worldincluding India cut-off point for geriatric age is 60 yrs. Recent increase  in the proportion and number of elderly in many developing countries have drawn attentionto issues concerning the morbidity profile of this potentially vulnerable age group.

As per the 1991 census the elderly population inIndia was 57 million as compared with 20 million in 1951.As per 2011 census thereare nearly 104 million elderly persons; 53 million female and 51 million males.It has been projected that by the year 2050, the number of elderly people would rise to about 324million. More than half of the geriatric people are suffering from any sort ofphysical morbidity.

The 2012American Geriatrics Society Beers Criteria, they include lists of potentiallyinappropriate medications to be avoided in older adults. New to the criteriaare lists of select drugs that should be avoided or have their dose adjustedbased on the individual’s kidney function and select drug–drug interactionsdocumented to be associated with harm in older adults. The specific aim was tohave a 13-member interdisciplinary panel of experts in geriatric care andpharmacotherapy update the 2012 AGS Beers Criteria using a modified Delphimethod to systematically review and grade the evidence and reach a consensus oneach existing and new criterion. The process followed an evidence-basedapproach using Institute of Medicine standards. The 2015 AGS Beers Criteria areapplicable to all older adults with the exclusion of those in palliative andhospital care.

The intentions of the criteria include:

1) Improving the selection of prescription drugs byclinicians and patients;

2) Evaluating patterns of drug use withinpopulations;

3) Educating clinicians and patients on proper drugusage; and

4) Evaluating health-outcome, quality of care,cost, and utilization data.

**Purpose of the study:**

Thepresent study intends to study drug utilization pattern in geriatric patientsof medicine outpatient department using WHO core indicators & studyexposure rates & compare with Beer’s criteria.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-01-01
• Last Update Posted: 2018-05-16

Recruitment & Eligibility

• Status: Open to Recruitment
• Sex: All
• Target Recruitment: 2000

Inclusion Criteria

Prescription data of all patients above age 60yrs of medicine out-patient department .

Exclusion Criteria

Patients below age 60yrs.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Drug utilization pattern using WHO core indicators in geriatric patients of medicine outpatient department	Six months

Secondary Outcome Measures

Name	Time	Method
Identification of the commonly used class of drugs in the above patients.	Six months
Exposure rates of different class of drugs in the geriatric patients.
Comparison of the results of drug utilization with Beer’s criteria	Six months

Trial Locations

Locations (1)

Government Medical College and Hospital Miraj; 🇮🇳 Sangli, MAHARASHTRA, India

Government Medical College and Hospital Miraj

🇮🇳Sangli, MAHARASHTRA, India

Pradeep G Jadhav

Principal investigator

9764549422

dr.jadhavpg15@gmail.com