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Prevalence of potentially inappropriate medication use in older drivers

BMC Geriatrics Oct 16, 2019

Li G, Andrews HF, Chihuri S, et al. - Researchers examined a geographically diverse, community-dwelling sample of 2,949 older drivers, to determine the prevalence as well as correlates of Potentially Inappropriate Medication (PIM) use in these individuals. They used baseline data from the “brown-bag” review of medications for participants of the Longitudinal Research on Aging Drivers study, and to this, they applied the American Geriatrics Society 2015 Beers Criteria. Findings revealed the use of PIM was prevalent in approximately one in five older drivers. Medications that impair driving ability and increase crash risk were found as commonly used PIMs. Benzodiazepines constituted the most commonly used therapeutic category of PIM, followed by nonbenzodiazepine hypnotics, antidepressants, and first-generation antihistamines. Relative to older drivers on four or fewer medications, the adjusted ORs of PIM use were estimated to be 2.43, 4.19, and 8.01 for those on 5–7 medications, for those on 8–11 medications, and for those on ≥ 12 medications. A significantly increased risk of PIM use was observed in older drivers who were female, white, or residing in urban regions. By implementing evidence-based interventions to decrease PIM use in older drivers, health and safety advantages may be obtained.
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