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Table 1 Characteristics of the patients of the BELFRAIL cohort (N = 567)

From: Detection of potentially inappropriate prescribing in the very old: cross-sectional analysis of the data from the BELFRAIL observational cohort study

Characteristics of the patients

  
 

Age (years), median [Q25;Q75]

84.0 [81.7;86.6]

 

Gender, women, n (%)

356 (62.8)

 

Resident in a nursing home, n (%)

57 (10.1)

 

Number of drugs/day, median [Q25;Q75]

5 [4;7]

Geriatric features

  
 

Polypharmacy (≥ 5 drugs/day), n (%)

337 (61)

 

ADL,a median [Q25;Q75]

25 [21;27]

 

Living alone at home, n (%)

212 (37.4)

 

Urinary incontinence, n (%)

126 (22.2)

 

Cognitive impairement, n (%)

89 (15.7)

 

BMI < 21 kg/m², n (%)

49 (8.6)

 

MMSE,b median [Q25;Q75]

28 [25;29]

 

Tinetti score,c median [Q25;Q75]

27 [24;28]

 

GDS-15,d median [Q25;Q75]

2 [1;4]

 

CIRS median [Q25;Q75]

4 [3;5]

Most frequent comorbidities

  
 

Hypertension, n (%)

396 (69.8)

 

Osteoarthritis, n (%)

324 (57.1)

 

Ischemic disease, n (%)

210 (37.0)

 

Chronic heart failure, n (%)

166 (29.3)

 

Chronic renal disease (GFR < 50 ml/min), n (%)

143 (25.2)

 

Osteoporosis, n (%)

125 (22.0)

 

Diabetes, n (%)

107 (18.9)

 

Depression, n (%)

74 (13.1)

 

COPD, n (%)

65 (11.5)

 

Atrial fibrillation, n (%)

58 (10.2)

Most frequent drugs prescribed, n patients (%)

  
 

Antithrombotic agents (B01)

312 (55.0)

 

Beta-blocking agents (C07)

238 (42.0)

 

Agents acting on the renin-angiotensin system (C09)

237 (41.8)

 

Psycholeptics (N05)

220 (38.8)

 

Diuretics (C03)

189 (33.3)

 

Lipid Modifying Agents (C10)

180 (31.7)

 

Drugs for acid related disorders (A02)

138 (24.3)

 

Calcium Channel Blockers (C08)

135 (23.8)

 

Psychoanaleptics (N06)

131 (23.1)

 

Cardiac Therapy (C01)

115 (20.3)

Potentially inappropriate prescribing, n patients (%)

  
 

START-PIPs

336 (59.3)

 

STOPP-PIPs

232 (40.9)

 

Beers-PIPs

180 (31.7)

  1. Abbreviations: ADL activities of daily living, BMI body mass index, CIRS cumulative illness rating scale, COPD chronic obstructive pulmonary disease, GDS geriatric depression scale, GFR glomerular filtration rate, MMSE mini mental state examination, PIPs potentially inappropriate prescribing
  2. aADL ranged between 6 and 30, lower score is related to functional dependency
  3. bMMSE <25 was considered as “cognitive impairment”
  4. cTinetti score >24 was considered as “low fall risk”
  5. dGDS-15 score >4 was considered as “possible depression”