2. In older patients, what is the risk of hospitalization from adverse effects of medications on the Beer’s list of potentially inappropriate medications?

Bottom line:  In adults over the age of 65, medications on the Beer’s list are associated with a small percentage of adverse drug event-related hospitalizations.

Summary:  Budnitz DS, et al.  Emergency hospitalizations for adverse drug events in older Americans.  N Engl J Med.  2011; 365:2002-2012.

The Beer’s criteria (Arch Intern Med. 2003;163:2716-2724) were developed by group consensus and review by experts.
Review of data 2007-2009) from database of adverse event surveillance.  RESULTS:  Based on data in sample, there were estimated 99,628 hospitalizations for adverse events in US adults age 65+.  Medications on the Beer’s criteria list of potentially inappropriate medications accounted for 6.6% of the hospitalizations, while 67% of the hospitalizations involved at least one of these medication classes:  warfarin (33.3%), insulins (13.9%), oral antiplatelet agents (13.3%), and oral hypoglycemic agents (10.7%).

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About Amy

Clinical Informationist at EUH Branch Library
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