PIM-check; a newly developed screening tool to identify potentially inappropriate prescribing in non-elderly patients.: A first step to validate the tool for use in Swedish hospitals
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Introduction: To reduce the risk of inappropriate prescribing a number of screening tools have been developed. Current screening tools are designed to be applicable in elderly patients. PIM-check (Potentially Inappropriate Medication Check-list for prescriptions in internal medicine) is a new screening tool and the first directed toward patients 65 years and younger. Elderly patients are prioritized when it comes to medication reviews, and there is a lack of knowledge about the need of medication reviews among non-elderly patients.
Aim: The aim of this study was to evaluate the need for medication reviews in patients between 45 – 75 years of age and to start a validation process to evaluate PIM-check’s applicability in Swedish healthcare.
Materials and Methods: An electronic health record based study, including 101 patients admitted to three wards at Uppsala University Hospital. Potentially inappropriate medications (PIMs) were identified using the PIM-check tool. Patients were divided into subgroups regarding age and number of drugs and compared in number of patients with PIMs. Also, patients with and without identified PIMs were compared regarding characteristics.
Results: There was a difference in number of drugs between patients with PIMs and patients without PIMs. No difference was seen regarding age.
Conclusions: Patients with more drugs were shown to have more PIMs and this should lead to further discussions about the need for medication reviews in patients with five or more drugs, even when below 75 years. Some discrepancies were seen between PIM-check’s criteria and Swedish national guidelines and this should be taken into account when used in Swedish healthcare.
Place, publisher, year, edition, pages
2016. , 20 p.
potentially inappropriate prescribing
Social and Clinical Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-274166OAI: oai:DiVA.org:uu-274166DiVA: diva2:895888
Subject / course
Master of Science Programme in Pharmacy