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Master Thesis

Prévalence des ordonnances inappropriées de psychotropes selon les critères STOPP/START chez le sujet âgé en médecine générale : étude observationnelle descriptive en cabinet de médecine générale

Abstract : Context: Inappropriate prescribing is a major public health issue for the elderly, given its consequences on functional decline, morbidity and mortality. Psychotropic drugs especially are among the medications most involved in inducing side effects. The STOPP/START 2nd version tool is validated in France, clinically relevant and reproducible. Objective: The aim of the study is to assess the prevalence of inappropriate prescribing according to the STOPP/START, focusing on psychotropics drugs, among patients above 65 years old in primary care. Setting, subjects and method: All prescriptions of patients 65 years old and above seen in consultation or home visit for a prescription renewal were included, from two primary care centers in Haute-Savoie, France. The appropriateness of the prescription according to STOPP/START was determined from a dual blinded assessment. Results: 220 prescriptions were analysed from November 2019 to April 2020. The prevalence of inappropriate prescribing concerning psychotropic drugs was 33,6%. 119 STOPP and START criteria were found, mainly the prescription of benzodiazepine for more than 4 weeks, followed by the lack of antidepressants in severe persistent anxiety. Conclusion: This high prevalence of inappropriate prescribing concerning psychotropics drugs highlights the need for better awareness for general practitioners regarding their prescribing practices. The expansion of the STOPP/START tool, as well as the establishment of a medical consultation dedicated to reviewing prescriptions in elderly subjects are avenues to explore.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02957932
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Submitted on : Wednesday, October 14, 2020 - 12:11:44 PM
Last modification on : Friday, October 23, 2020 - 4:52:01 PM

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Cécile Douest, Morgane Bigeard. Prévalence des ordonnances inappropriées de psychotropes selon les critères STOPP/START chez le sujet âgé en médecine générale : étude observationnelle descriptive en cabinet de médecine générale. Médecine humaine et pathologie. 2020. ⟨dumas-02957932⟩

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