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Table 1 PIM prevalence according to stop-frail version2 in all residents, residents with vs. without cognitive impairment, with longer versus shorter life expectancy*

From: Prevalence of potentially inappropriate medications according to STOPP-Frail criteria in nursing home residents, the SHELTER study

  

All

CPS

Life expectancy in months

 

PIM (ATC code)

(n = 3832)

> 2 (n = 1999)

0–2 (n = 1783)

P value

< 6 months (n = 120)

> 6 months (n = 3698)

P value

Section B: Cardiac system

Lipid- lowering therapies (C10AA, C10AB)

10.3 (396)

7.2 (143)

14.0 (250)

< 0.01

5.8 (7)

10.5 (388)

ns

Antihypertensive therapies (C03A, C03BA, C03EA, C03B, C08CA, C08GA01, C08GA02, C09BB, C09BX01, C09XA53, C09)

35.7 (1369)

28.3 (566)

44.7 (797)

< 0.01

20.8 (25)

36.3 (1341)

< 0.01

Anti-anginal therapy (nitrates, nicorandil, ranolazine), (C01DA, C01DX16, C01EB18)

8.1 (312)

6.4 (127)

10.2 (181)

< 0.01

3.3 (4)

8.2 (305)

ns

Section C: Coagulation system

Anti-platelets (B01AC)

And Aspirin (N02BA01, A01AD05)

38.5 (1475)

35.3 (706)

42.0(757)

< 0.01

20.8 (25)

39.0 (1444)

< 0.01

Section D: Central nervous system

Neuroleptic- antipsychotics (N05A)

20.6 (790)

26.6 (532)

14.0 (250)

< 0.01

20.8 (25)

20.6 (763)

ns

Memantine (N06DX01)

4.4 (170)

6.1 (121)

2.7 (49)

< 0.01

0.8 (1)

4.5 (167)

ns

Section E: Gastrointestinal system

Proton pump inhibitors (A02BC)

35.7 (1368)

31.7 (634)

40.4 (720)

< 0.01

42.5 (51)

35.4 (1308)

ns

H2 receptor antagonist (A02BA)

1.7 (64)

1.2 (2.4)

2.1 (38)

< 0.05

3.3 (4)

1.6 (59)

ns

Section F: Respiratory system

Theophylline (R03D)

2.2 (84)

1.8 (36)

2.5 (45)

ns

5.0 (6)

2.1 (78)

ns

Leukotriene antagonist (R03DC)

0.3 (10)

0.2 (4)

0.3 (6)

ns

0.0 (0)

0.3 (10)

 

Section G: Musculoskeletal system

Calcium_supplements (A12AX)

8.5 (324)

8.2 (163)

9.0 (161)

ns

2.5 (3)

8.6 (309)

< 0.05

Vitamin D (ergocalifero and calciferol) (A11CC01, A11CC, M05BB03, M05BB04, M05BB05, M05BB06, M05BB07, M05BB08, M05BX53)

8.1 (309)

7.6 (152)

8.7 (157)

ns

3.3 (4)

8.1 (299)

ns

Anti-resorptive/bone anabolic drugs for osteoporosis (bisphosphonates, strontium, teriparatide, denosumab), (M05B)

4.5 (172)

3.1 (62)

6.1 (109)

< 0.01

3.3 (4)

4.5 (168)

ns

Long-term oral nonsteroidal anti-inflammatory drugs (M01A)

3.6 (138)

2.1 (42)

5.4 (96)

< 0.01

4.2 (5)

3.6 (133)

ns

Long-term oral corticosteroids (H02)

3.5 (134)

3.0 (59)

4.2 (74)

< 0.05

7.5 (9)

3.4 (125)

ns

Section H: Urogenital system

Drugs for benign prostatic hyperplasia (5-alpha reductase inhibitors (G04CA, G04CB)and alpha-blockers (C02CA, C02LE)

3.3 (126)

2.9 (58)

3.8 (68)

ns

2.5 (3)

3.3 (123)

ns

Drugs for overactive bladder (muscarinic antagonists and mirabegron (A04AD01, G04BD12)

0.1 (4)

0.1 (2)

0.1 (2)

ns

0.0 (0)

0.1 (4)

ns

Section I: Endocrine system

Anti-diabetic drugs (A10AD, A10B)

10.7 (411)

9.3 (185)

12.4 (221)

< 0.01

10.8 (13)

10.7 (397)

ns

Section J: Miscellaneous

Multivitamin combination supplements (A11)

10.6 (407)

9.9 (198)

11.6 (207)

ns

3.3 (4)

10.7 (396)

< 0.01

Folic acid (B03BB, B03AD, B03AE01, B03AE02, L01BA, V04CX02)

5.8 (221)

5.9 (118)

5.5 (98)

ns

5.8 (7)

5.8 (214)

ns

  1. Ns = not significant (P > 0.05)
  2. CPS = Cognitive Performance Scale
  3. *Life expectancy less than 6 months with documented end stage disease and discussed with resident and/or relatives