{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T12:03:14Z","timestamp":1790337794937,"version":"4.1.0"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jbcpp-2026-0040_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine the frequency and pattern of potentially inappropriate prescriptions, including potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs), among elderly inpatients aged 65\u00a0years and above in a tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2026-0040_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This hospital-based observational Cross-sectional study was conducted from January 2019 to January 2020 in\u00a0the Medicine Department. Four hundred patients aged\u00a0\u226565\u00a0years with at least one chronic illness and complete medication records were included. The STOPP\/START version 2 criteria were applied to identify PIMs and PPOs. Demographic details, clinical diagnoses, and hospitalization data were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2026-0040_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 400 patients (233 men, 167 women; mean age 69\u00a0\u00b1\u00a04.94 years), cardiovascular diseases were the most common cause of admission (30\u202f%), followed by respiratory (21\u202f%) and nervous system disorders (12.5\u202f%). A total of 4,337 medications were prescribed, averaging 10.87 per patient. PIMs were identified in 48 patients (12\u202f%), most frequently cardiovascular drugs (36\u202f%), fall-risk\u2013increasing drugs (16\u202f%), and antiplatelet\/anticoagulant agents (13\u202f%). PPOs were observed in 38 patients (9.5\u202f%), commonly involving cardiovascular and preventive therapies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2026-0040_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Inappropriate prescribing remains prevalent among elderly inpatients. Routine use of structured tools such as STOPP\/START may enhance safer, evidence-based prescribing and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jbcpp-2026-0040","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:55:43Z","timestamp":1784260543000},"page":"417-424","source":"Crossref","is-referenced-by-count":0,"title":["Appropriateness of prescribing in elderly patients attending a tertiary care teaching hospital according to STOPP-START criteria"],"prefix":"10.1515","volume":"37","author":[{"given":"Sushmita","family":"Mukherjee Banerjee","sequence":"first","affiliation":[{"name":"Department of Pharmacology , Medical College Baroda , Gujarat , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pharmacology , Medical College Baroda , Gujarat , India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_001","doi-asserted-by":"crossref","unstructured":"Falemban, AH. Medication-related problems and their intervention in the geriatric population: a review of the literature. Cureus 2023;15:e44594. https:\/\/doi.org\/10.7759\/cureus.44594.","DOI":"10.7759\/cureus.44594"},{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_002","doi-asserted-by":"crossref","unstructured":"Narvekar, RS, Bhandare, NN, Gouveia, JJ, Bhandare, PN. Utilization pattern of potentially inappropriate medications in geriatric patients in a tertiary care hospital: a retrospective observational study. J\u00a0Clin Diagn Res 2017;11:FC04\u20138. https:\/\/doi.org\/10.7860\/JCDR\/2017\/21080.9731.","DOI":"10.7860\/JCDR\/2017\/21080.9731"},{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_003","unstructured":"Government of India Ministry of Statistics and Programme Implementation. Elderly in India 2021: profile and programmes. New Delhi: Ministry of Statistics and Programme Implementation; 2021. https:\/\/mospi.gov.in\/sites\/default\/files\/publication_reports\/Elderly%20in%20India%202021.pdf [Accessed 10 July 2025]."},{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_004","doi-asserted-by":"crossref","unstructured":"Corsonello, A, Pedone, C, Incalzi, RA. Age-related pharmacokinetic and pharmacodynamic changes and related risk of adverse drug reactions. Curr Med Chem 2010;17:571\u201384. https:\/\/doi.org\/10.2174\/092986710790416326.","DOI":"10.2174\/092986710790416326"},{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_005","doi-asserted-by":"crossref","unstructured":"Ngcobo, NN. Influence of ageing on the pharmacodynamics and pharmacokinetics of chronically administered medicines in geriatric patients: a review. 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Assessment of appropriateness of prescribing among Indian geriatric outpatients using STOPP and START criteria version 2 at a tertiary care teaching hospital. Natl J Physiol Pharm Pharmacol 2022;12:1746\u201350. https:\/\/doi.org\/10.5455\/njppp.2023.13.05208202221052022.","DOI":"10.5455\/njppp.2023.13.05208202221052022"},{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_017","doi-asserted-by":"crossref","unstructured":"Nigussie, S, Demeke, F. Potentially inappropriate medications use and associated factors among older patients on follow-up at the chronic care clinic of hiwot fana comprehensive specialized hospital in Eastern Ethiopia. Curr Ther Res Clin Exp 2023;100:100730. https:\/\/doi.org\/10.1016\/j.curtheres.2023.100730.","DOI":"10.1016\/j.curtheres.2023.100730"},{"key":"2026092511294220923_j_jbcpp-2026-0040_ref_018","doi-asserted-by":"crossref","unstructured":"Giron, MST, Cortes-Maramba, NP. 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