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Analysis of Potentially Inappropriate Medication by Use and Type of Long-term Care Services and Related Factors in Elderly Patients with Parkinson’s Disease
Yakhak Hoeji 2019;63(1):54-63
Published online February 28, 2019
© 2019 The Pharmaceutical Society of Korea.

Seong-Ok Kim*, Hyemin Cho**, Hyeo-il Ma***, and Sunmee Jang**#

*College of Pharmacy and Inje Institute of Pharmaceutical Sciences and Research, Inje University **College of Pharmacy and Gachon Institute of Pharmaceutical Sciences, Gachon University ***Department of Neurology, Hallym University College of Medicine
Correspondence to: Sunmee Jang, College of Pharmacy, Gachon University, Incheon, Korea, Tel: +82-32-820-4941, Fax: +82-32-820-4829, E-mail: smjang@gachon.ac.kr
Received December 18, 2019; Revised February 22, 2019; Accepted February 23, 2019.
Abstract
The objective of this study was to evaluate the prevalence rate of potentially inappropriate medication (PIM) in elderly patients with Parkinson’s disease and compare the prevalence rate by Long-term Care service use and service type. We analysed the National Health Insurance Claims data and Long-term Care Claims data. In this study, the prevalence rate of PIM in Korean elderly patients with Parkinson’s disease was very high (LTC user group-45.6% vs. non user-40%). We found that prevalence rate of PIM was related with poly-pharmacy, women, advanced age, high number of medical institutions, high hospitalization days and outpatient days, and disabled. The commonly used PIM drugs were found as benzodiazepines, first generation antihistamines. In particular, the prevalence of PIM was higher in the Long-term care facility user group than in-home service user group. The high prevalence of PIM in elderly patients with Parkinson’s disease suggests that systematic and comprehensive measures should be prioritized.
Keywords : Potentially Inappropriate Medication (PIM), Parkinson’s Disease, Elderly Patients, Long-term Care Service


February 2019, 63 (1)
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