TY - JOUR
T1 - Prevalence and Predictors of Excessive Polypharmacy in Geriatric Inpatients
T2 - A Retrospective Cross-Sectional Study in Indonesia
AU - Faisal, Shah
AU - Zairina, Elida
AU - Nathishuwan, Surakit
AU - Khotib, Junaidi
AU - Kristina, Susi Ari
AU - Nugraheni, Gesnita
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - 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.
AB - 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.
KW - Indonesia
KW - chronic disease
KW - geriatrics
KW - polypharmacy
KW - risk factors
UR - http://www.scopus.com/inward/record.url?scp=85161696263&partnerID=8YFLogxK
U2 - 10.1177/21501319231178595
DO - 10.1177/21501319231178595
M3 - Article
C2 - 37306336
AN - SCOPUS:85161696263
SN - 2150-1319
VL - 14
JO - Journal of primary care & community health
JF - Journal of primary care & community health
ER -