Population ageing is increasing the complexity of medication management in older adults, particularly after stroke, when multimorbidity and polypharmacy are common. This study examined the prevalence and patterns of potentially inappropriate medications (PIMs) among older patients hospitalized with stroke at Dr. Drs. M. Hatta Brain Hospital, Bukittinggi, Indonesia. We conducted a prospective cross-sectional study involving 110 patients aged 60 years or older who were hospitalized for at least 24 hours and received more than one medication. PIMs were evaluated using the 2023 Beers Criteria. All patients had at least one PIM, and most experienced two to three PIMs (49%). PIMs were identified across five categories: medications considered potentially inappropriate in older adults (29.1%), medications potentially inappropriate in patients with certain diseases or syndromes (100%), medications to be used with caution (20.0%), potentially inappropriate drug-drug interactions (5.5%), and medications requiring dose adjustment based on renal function (40.0%). Ranitidine (100%) and haloperidol (10%) were the most frequently prescribed medicines. A higher number of PIM categories was significantly associated with the total number of medications, the number of doctors involved in patient care, renal function, age, and history of heart disease (p<0.05), but not with length of stay, stroke type, gender, or other sociodemographic variables. These findings highlight the need for careful medication review in older stroke patients. Integrating national stroke guidelines with international geriatric prescribing tools may enhance medication safety and support appropriate treatment in acute care.

Authors:
Beba Shiami, Universitas Baiturrahmah, Indonesia
Kusnandar Anggadiredja, Institut Teknologi Bandung, Indonesia
Khairil Arma, Dr. Drs. M. Hatta Brain Hospital, Indonesia

About the Presenter(s)
Beba Shiami is a Clinical Pharmacy lecturer at Universitas Baiturrahmah, Indonesia, interested in clinical pharmacy, medication safety, and geriatric care. Her current project examines potentially inappropriate prescribing in older stroke patients.

Connect on Linkedin
https://www.linkedin.com/in/bebashiami

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