Assesses adults 65 and older who received at least one high-risk medication or who received at least two different high-risk medications.Prescription drug use by the elderly can often result in adverse drug events that contribute to hospitalization, increased duration of illness, nursing home placement, falls and fractures.Noteworthy additions to the 2015 Beers Criteria include, but are not limited to: · The recommendation to avoid nitrofurantoin in individuals with decreased renal function has been revised down from a Cr Cl of 60 ml/min to a Cr Cl of 30 ml/min.Evidence shows that this medication may actually be used with relative safety in these individuals.
With that in mind, in this commentary we discuss some of the history of the Beers criteria as well as briefly describe the process of updating the criteria, highlighting some of the key changes made.
These criteria were used as a process measure in Dr. Hartford Foundation-funded cluster randomized trial of a computer feedback intervention aimed at improving prescribing for older nursing home patients. In addition, these updated criteria included severity ratings for the “do-not-use” list of medications.
The results of this successful trial were presented by Dr. Moreover, new explicit criteria were agreed upon for 35 drug-disease interactions to be avoided in older adults.
The American Geriatrics Society announced the release of the updated Beers Criteria on March 1, 2012.
The revised, expanded, and evidence-based list can help providers identifiy medications that pose risks outweighing their potential benefits for people 65 and older.