International Journal of Clinical Pharmacy

, Volume 40, Issue 6, pp 1596–1600 | Cite as

Prescribing omissions among elderly Brazilian patients at their hospital admission and discharge: cross-sectional study

  • Aline Cristina LuzEmail author
  • Márcio Galvão de Oliveira
  • Lúcia Noblat
Research Article


Background Potentially inappropriate prescribing for older people has become a global concern, although few researchers have analyzed potential prescribing omissions for this population. Objective This study aimed to compare the frequency of potential prescribing omissions for elderly patients at their admission to and discharge from a university hospital in northeast Brazil, using the validated and adapted Brazilian START criteria. Setting A university hospital in northeast Brazil. Methods This cross-sectional study examined data from patients who were ≥ 60 years old when they were admitted for > 24 h to a northeastern Brazil teaching hospital during June–December 2016. Main outcome measure Frequency of potential prescribing omissions for elderly patients at their admission to and discharge. Results Data from 227 patients were included. The mean patient age was 71 ± 8.23 years. The patients included 131 women (57.7%), and 176 patients (77.5%) presented with a Charlson Comorbidity Index of ≥ 3. Based on the START criteria, the frequency of potential prescribing omissions was 44.1% (100/227) at the admission and decreased to 39.6% (90/227) at the discharge. The most common potential omissions at the admission were beta-blockers in cases of stable chronic angina, and angiotensin converting enzyme inhibitors or angiotensin receptor blockers in cases of diabetic nephropathy or renal dysfunction. Conclusion The prevalence of potential prescribing omissions among elderly patients remained relatively high at their discharge from a northeastern Brazilian university hospital. The START criteria could be a useful tool to optimize the clinical management of the elderly.

Key words

Admission Brazil Hospital discharge Prescribing habits Prescribing omissions 



We would like to thank Dr. Mário Borges Rosa for the contributions made in the discussion of this article.


This study was partially funded by the National Council for Scientific and Technological Development (CNPq).

Conflicts of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Hospital Santa IzabelSalvadorBrazil
  2. 2.Instituto Multidisciplinar em SaúdeUniversidade Federal da Bahia (UFBA)Vitória da ConquistaBrazil
  3. 3.Faculdade de FarmáciaUniversidade Federal da Bahia (UFBA)SalvadorBrazil

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