Potentially inappropriate medication among community-dwelling older adults : A public health issue in Burkina Faso

Abstract

piM is defined as a lack of demonstrated indication, high risk of side effects, and a sub-optimal cost effectiveness and/or cost benefit. Little data on potentially inappropriate medications (piM) in older adults with comorbidity are available in sub-Saharan africa. The aim of this study was to assess the prevalence and the factors associated with the use of piM in community-dwelling older adults in Burkina Faso. in 2012, we did a cross-sectional household survey which included 389 older adults in Bobo-dioulasso. updated 2012 Beers criteria were used to assess the piM in older adults aged ≥ 60 years. Medications from formal medical source (prescribing) and informal source (informal market, over-the counter and traditional medicines) were included. a multivariate analysis was performed to determine factors associated with the use of PIM proportion of older adults used at least one piM was 59% (196/332). The most common piM were traditional medicines 28.97% (62/214), diclofenac 21.03% (45/214) 17.5% (45/214), ibuprofen 7.76% (38/214), aspirin 7.01% (15/214), nifedipine 5.61% (12/214) and reserpine 5.61% (12/214). polypharmacy (≥ 3 drugs), is the independent factor associated with piM. Our findings highlight the need to think about integrated health care system in order to reduce the piM among older adults with multiple comorbidities.