Inappropriate proton pump inhibitor lansoprazole prescription in older adults hospitalized in long-term care unit

1Citations
Citations of this article
20Readers
Mendeley users who have this article in their library.

Abstract

Purpose: We evaluated the use of the PPI treatment by physicians in older adults hospitalized in a long-term care unit. Methods: We included 40 patients aged 65 years or older with a lansoprazole prescription hospitalized in long-term care unit from January 2018 to January 2022. Patient characteristics, gastroduodenal history, dose of lansoprazole, indication, days of prescription, and number of medications were collected from electronic patient records. Results: The mean age of patients was 84.2 ± 9.3. Patients were taking between 5 and 24 (mean = 12.7, SD = 4.4) medications overall with 15 patients taking low dose of aspirin (75 mg daily) and 8 patients taking an antiplatelet. Most patients (82.5%) received once-daily lansoprazole treatment, 55% of whom took a dose of 15 mg. Five patients were treated with the maximum dose of lansoprazole 30 mg twice daily. Only seven patients had an appropriate indication. The minimum of treatment time was 3 days and the maximum was 1198 days; moreover, 24 patients (60%) were still in treatment. Conclusion: Few PPI prescriptions had an indication in the patient’s electronic record. Prescriptions were ongoing with no date of discontinuation or re-evaluation.

References Powered by Scopus

American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

2546Citations
N/AReaders
Get full text

American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults

2263Citations
N/AReaders
Get full text

The Risks and Benefits of Long-term Use of Proton Pump Inhibitors: Expert Review and Best Practice Advice From the American Gastroenterological Association

625Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Trends in use of proton pump inhibitors among adults in the United States from 1999 to 2018

3Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Ladjouzi, N., Romdhani, A., Zouloumis, G., & Schlatter, J. (2023). Inappropriate proton pump inhibitor lansoprazole prescription in older adults hospitalized in long-term care unit. Irish Journal of Medical Science, 192(4), 1661–1664. https://doi.org/10.1007/s11845-022-03207-3

Readers over time

‘23‘24‘250481216

Readers' Seniority

Tooltip

Lecturer / Post doc 1

50%

PhD / Post grad / Masters / Doc 1

50%

Readers' Discipline

Tooltip

Pharmacology, Toxicology and Pharmaceut... 3

50%

Arts and Humanities 2

33%

Medicine and Dentistry 1

17%

Save time finding and organizing research with Mendeley

Sign up for free
0