Criteria of potentially inappropriate medications for older adults in China
Based on the potentially inappropriate medication(PIM)criteria in older adults of the United States,Canada,Japan,France,Norway,Germany,South Korea,Austria,Thailand and Chinese Taiwan,and combined with the severe adverse drug reaction(ADR)data in the elderly of China National Center for ADR Monitoring,ADR monitoring center in the Chinese People′s Liberation Army,Beijing Center for ADR Monitoring and drug data of people over 60 years from Beijing 22 hospitals,3 rounds of Delphi expert consultation were made to accomplish the final criteria. The criteria was divided into high risk and low risk medications according to the experts evaluation and divided into A and B alert categories according to DDDs. Finally,criteria of potentially inappropriate medications for older adults in China was formed, including medication risk and medication risk under morbid state. A sum of 13 categories 72 medications or medication classes were selected in medication risk part,for example,neurologic medication,psychotropic medication,antipyretic,analgesic and anti-inflammatory medication and cardiovascular medication. The 72 medications were divided into 28 kinds of high risk and 44 kinds of low risk medications. The 72 medications were also divided into 24 kinds of preferred alert medications(A)and 48 kinds of routinely alert medications (B).PIM in the elderly under morbid state contained 44 medications or medication classes under 27 kinds of morbid states,in which 35 medications under 25 morbid states of preferred alert medications(A)and 9 medications under 9 morbid states of routinely alert medications(B).