IDENTIFIKASI POTENTIALLY INAPPROPRIATE MEDICATIONS PADA GERIATRI DENGAN PENYAKIT KRONIS DI UPTD PUSKESMAS X KABUPATEN KUNINGAN
IDENTIFICATION OF POTENTIALLY INAPPROPRIATE MEDICATIONS IN GERIATRIC WITH CHRONIC DISEASES AT UPTD PUSKESMAS X KUNINGAN
DOI:
https://doi.org/10.37090/jfl.v13i2.1718Abstract
The administration of medication and use of drugs in elderly patients must be carefully considered, as elderly patients are highly susceptible to adverse drug reactions. Beer’s and STOPP/START criteria are screening tools employed to prevent inappropriate drug use in geriatrics. This study aimed to determine the incidence of potentially inappropriate medications (PIMs) in geriatric with a history of chronic diseases at UPTD Puskesmas X. The research method was a cross-sectional observational study with prospective data collection from January to April 2024. The data was analyzed descriptively using the Beer’s 2023 criteria and STOPP/START version 3. The results of this study show that among the total sample, there were 185 geriatrics, with 132 (71.35%) females and 53 (28.65%) males. The most common chronic diseases observed were hypertension, diabetes mellitus, and osteoarthritis. According to the Beer’s criteria, there were 142 incidents of PIMs, while the STOPP criteria identified 16 incidents. Most of the drugs identified as PIMs based on both Beer’s and STOPP criteria were nonsteroid anti-inflammatory drugs (NSAIDs). Based on the results, PIMs occurred in geriatric who sought treatment from January to April 2024 at UPTD Puskesmas X. Therefore, it is necessary to enhance services and closely monitor therapy for geriatric.
Keywords: Beer’s, Geriatric, STOPP START
References
[1]. Direktorat Statistik Kesejahteraan Rakyat. Statistik Penduduk Lanjut Usia 2023. Vol. 30. Jakarta: Badan Pusat Statistik; 2023.
[2]. Dinas Kependudukan dan Pencatatan Sipil Kabupaten Kuningan. Buku Profil Kependudukan Kabupaten Kuningan Tahun 2022. Kuningan; 2023.
[3]. Susyanti S, Nurhakim DL. Karakteristik dan Tingkat Kemandirian Lansia di Panti Sosial Rehabilitasi Lanjut Usia (RSLU) Pemerintah Provinsi Jawa Barat. Jurnal Medika Cendikia. Juni 2019;6(1):1–8.
[4]. Wulansari A, Wiedyaningsih C, Probosuseno P. Potentially Inappropriate Medication (PIM) pada Pasien Geriatri Rawat Inap di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Majalah Farmaseutik. 21 Maret 2023;19(1):91.
[5]. Viviandhari D, Nurhasnah N, Sakinah RN, Wulandari D. A Comparison of Potentially Inappropriate Medications Identification Using Beers and STOPP Criteria in Hospitalized Geriatric Patients in Jakarta. Indonesian Journal of Clinical Pharmacy. 30 Juni 2022;11(2):105–15.
[6]. Muharni S, Aryani F, Fadillah R, Tinggi Ilmu Farmasi Riau S. Analisis Jumlah Obat terhadap Potentially Inappropriate Medications (PIMs) berdasarkan Beers Criteria 2015 pada Pasien Hipertensi Geriatri di Puskesmas Sidomulyo Kota Pekanbaru. Jurnal Penelitian Farmasi Indonesia. Mei 2019;7(2):71–6.
[7]. Salasanti CD, Pebiansyah A, Yuliani F, Rahayuningsih N, Rahmawati. Prosiding Seminar Nasional Farmasi ITB “Peran Farmasis dalam Mewujudkan Kemandirian Kesehatan Nasional Menuju Indonesia 5.0”. Identifikasi Penggunaan Obat Tidak Tepat pada Pasien Geriatri di UPTD Puskesmas Mangkubumi Tasikmalayabumi Tasikmalaya. Dalam Bandung: ITB Press; 2024. hlm. 207–18.
[8]. Lenaini I. Teknik Pengambilan Sampel Purposive dan Snowball Sampling. Historis : Jurnal Kajian, Penelitian dan Pengembangan Pendidikan Sejarah [Internet]. 2021;6(1):33–9. Tersedia pada: http://journal.ummat.ac.id/index.php/historis
[9]. Astuti SD, Lubis ND, Kurniasari F. Evaluasi Ketidaktepatan Pemilihan Obat Berdasarkan Kriteria STOPP Pada Pasien Geriatri. Jurnal Farmasi Indonesia [Internet]. November 2017;14(2):182–90. Tersedia pada: http://ejurnal.setiabudi.ac.id/ojs/index.php/farmasi-indonesia
[10]. Sasfi SM, Untari EK, Rizkifani S. Evaluation of Prescriptions Pattern in Geriatric Patients at Dr. Soedarso Regional Public Hospital Pontianak Based on Beers Criteria. Indonesian Journal of Clinical Pharmacy. 30 Juni 2022;11(2):95–104.
[11]. Fick DM, Semla TP, Steinman M, Beizer J, Brandt N, Dombrowski R, dkk. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 1 April 2019;67(4):674–94.
[12]. Yunita DR, Nurmainah N, Susanti R. Deteksi Peresepan Obat yang Tidak Tepat pada Lansia Rawat Jalan di Klinik Penyakit Dalam RSUD Sultan Syarif Mohamad Alkadrie dengan Menggunakan Metode STOPP/START Criteria. Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN. 2022;6(1).
[13]. Mulki MA, Julianti N, Fatimatuz Zahro A, Annajla F, Choerunnisa, Shafira R, dkk. Perbandingan Efektivitas Dan Keamanan Obat Parasetamol Dan Topikal Analgesik Untuk Pasien Osteoarthritis. INNOVATIVE: Journal Of Social Science Research. 2023;3(3):6532–43.
[14]. The 2023 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 1 Juli 2023;71(7):2052–81.
[15]. Oktovina MN, Annisa F, Ismaya NA. Penggunaan Antihistamin dan Obat Lainnya pada Pasien Dewasa di Apotek Sinar Mutiara Apotik Gunung Sindur, Bogor. Edu Masda Journal [Internet]. 1 April 2023;7(1). Tersedia pada: http://openjournal.masda.ac.id/index.php/edumasda
[16]. O’Mahony D, Cherubini A, Guiteras AR, Denkinger M, Beuscart JB, Onder G, dkk. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 1 Agustus 2023;14(4):625–32.
[17]. Listiani S, Muthoharoh A, Prafitri LD. Evaluasi Pola Peresepan pada Pasien Lanjut Usia Rawat Jalan Diabetes Melitus terhadap Kejadian Inappropriate Prescription dan Potentially Prescription Omission Di RSUD Kraton Tahun 2019. Medical Sains. 31 Maret 2021;5(2):181–90.
