EVALUASI PERESEPAN OBAT DENGAN DIAGNOSIS GANGGUAN SARAF PADA PASIEN GERIATRI RAWAT INAP DI RUMAH SAKIT UMUM DAERAH PANEMBAHAN SENOPATI BANTUL PERIODE TAHUN 2016 BERDASARKAN BEERS CRITERIA 2015
Abstract
Geriatric patients generally experience susceptibility to various diseases
because of decreased function of organs and one of them is a nervous disorder.
The inaccuracy of the use of drugs acting on the nervous system based on the
Beers Criteria 2015 is widely reported. This study was conducted to determine the
prevalence of prescribing drugs with the diagnosis of neurological disorders in
geriatric inpatients based on Beers Criteria 2015 at Rumah Sakit Umum Daerah
Panembahan Senopati Bantul.
This study was an observational study and data collection was conducted
retrospectively based on medical record data of geriatric inpatients with diagnosis
of neurological disorders at RSUD Panembahan Senopati Bantul from January -
December 2016. Sampling was done by systematic random sampling. Data were
collected from 153 medical records of patients which included in inclusion
criteria. Data were analyzed under the guidelines of the American Geriatrics
Society Beers Criteria 2015.
The results showed that from 153 geriatric patients in RSUD Panembahan
Senopati Bantul included in the inclusion criteria, 85 patients (55.6%) were
identified Potentially Inappropiate Medications (PIMs). The PIMs analysis
included four categories: drugs to be avoided from geriatric patients categories
with the highest percentage is diazepam with 24 usage (33.3%) and nifedipin
immediate release with 10 usage (13,9%), drug to be avoided based on disease or
a certain syndrome categories with the highest percentage is ranitidine which were
used for 5 patients with dementia (62.5%), drug used with caution in geriatric
patients categories with the highest percentage is furosemide with 37 usage
(71.2%), and drugs interaction to be avoided categories including diazepam with ≥
2 CNS medications from 4 patients (66.7%), dexamethasone with ketorolac from
1 patient (16.7%), and tramadol with amitriptiln and morphine from 1 patient
(16.7%).