Prevalence and Predictors of Excessive Polypharmacy in Geriatric Inpatients: A Retrospective Cross-Sectional Study in Indonesia

Shah Faisal, Elida Zairina, Surakit Nathishuwan, Junaidi Khotib, Susi Ari Kristina, Gesnita Nugraheni

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1 Citation (Scopus)

Abstract

Objectives: To investigate the prevalence and predictors of excessive polypharmacy in geriatric inpatients in Indonesia. Methods: This retrospective cross-sectional study included 1533 inpatients over the age of 60 years at Universitas Airlangga Hospital, Indonesia. Effects of a patient’s baseline characteristics on excessive polypharmacy were evaluated using logistic regression analysis. Results: Excessive polypharmacy was observed in 133 (8.67%) patients. Ulcer (OR 8.151,95% CI 2.234-29.747, P =.001), cancer (OR 5.551, 95% CI 1.602-19.237, P =.007), and renal diseases (OR 3.710, 95% CI 1.965-7.006, P <.001) were the 3 strongest predictors of excessive polypharmacy. An association between hospital stay of more than 3 days and excessive polypharmacy was identified (OR 2.382, 95% CI 1.109-5.115, P =.026). Discussion: One in 12 elderly Indonesians was found to practice excessive polypharmacy. Several chronic conditions and increased length of hospital stay were the factors associated with excessive polypharmacy.

Original languageEnglish
JournalJournal of primary care & community health
Volume14
DOIs
Publication statusPublished - 1 Jan 2023

Keywords

  • Indonesia
  • chronic disease
  • geriatrics
  • polypharmacy
  • risk factors

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