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"Hyuk Ga"

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"Hyuk Ga"

Original Articles
Survey of Potentially Inappropriate Prescription Using STOPP/START Criteria in Inha University Hospital
Sang-Jin Lee, Se-Wook Cho, Yeon Ji Lee, Ji-Ho Choi, Hyuk Ga, You-Hoi Kim, So-Yun Woo, Woo-Suc Jung, Dong-Yop Han
Korean J Fam Med 2013;34(5):319-326.   Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.319
Background

Prescribing potentially harmful drugs and omitting essential drugs to older patients is a common problem because they take so many medications. In this study, our goal was to identify potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) using Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) and Screening Tool to Alert doctors to the Right Treatment (START) criteria to improve proper prescription and reduce improper prescription.

Methods

Enrolled in this study were 117 patients older than 65 years old who were hospitalized at Inha University Hospital in Incheon due to pneumonia from January 2012 to March 2012. Patient data, including medical histories, current diagnoses, current medications, and biochemical data were recorded from electronic records. STOPP and START were applied to their clinical datasheets.

Results

STOPP criteria identified 24 patients who had 29 PIMs. Most potential inappropriate prescribing was of cardiovascular medications, followed by drugs whose primary effect is on the urogenital system and gastrointestinal system. START criteria identified 31 patients who had 46 PPOs. The cardiovascular system drugs comprised most of the PPOs. No PPOs were identified under the central nervous system criteria.

Conclusion

Given the current Korean medical system conditions and considering the many clinically important situations when prescribing drugs, STOPP/START criteria are not absolute criteria to prevent improper prescription, but sagacious usage of these standards can help physicians to prescribe properly in clinical practice.

Citations

Citations to this article as recorded by  
  • Enhancing medication appropriateness: Insights from the STOPP (Screening Tool of Older Persons’ Prescriptions) criteria version 3 on prescribing practices among the older adults in Pakistan
    Halima Sadia, Safila Naveed, Hina Rehman, Shazia Jamshed, Huma Dilshad
    Frontiers in Pharmacology.2025;[Epub]     CrossRef
  • The impact of a multifaceted intervention to reduce potentially inappropriate prescribing among discharged older adults: a before-and-after study
    Muhammad Eid Akkawi, Mohamad Haniki Nik Mohamed, Mohd Aznan Md Aris
    Journal of Pharmaceutical Policy and Practice.2020;[Epub]     CrossRef
  • Evaluation of potentially inappropriate medication utilization in elderly patients with cancer at outpatient oncology unit
    Ceylan Paksoy, Öznur Özkan, Bala BÖ Ustaalioğlu, Mesut Sancar, Refik Demirtunç, Fikret V Izzettin, Betul Okuyan
    Journal of Oncology Pharmacy Practice.2019; 25(6): 1321.     CrossRef
  • Usefulness of STOPP/START criteria to assess appropriateness of medicines prescribed to older adults in a resource-limited setting
    U. G. S. Siripala, S. P. K. Premadasa, N. R. Samaranayake, C. A. Wanigatunge
    International Journal of Clinical Pharmacy.2019; 41(2): 525.     CrossRef
  • Potentially inappropriate prescribing and associated factors in elderly patients at hospital discharge in Brazil: a cross-sectional study
    Ana Luiza Pereira Moreira Mori, Renata Cunha Carvalho, Patricia Melo Aguiar, Maria Goretti Farias de Lima, Magali da Silva Pacheco Nobre Rossi, José Fernando Salvador Carrillo, Egídio Lima Dórea, Sílvia Storpirtis
    International Journal of Clinical Pharmacy.2017; 39(2): 386.     CrossRef
  • Evaluation of polypharmacy and appropriateness of prescription in geriatric patients: A cross-sectional study at a tertiary care hospital
    K. B. Rakesh, Mukta N. Chowta, Ashok K. Shenoy, Rajeshwari Shastry, Sunil B. Pai
    Indian Journal of Pharmacology.2017; 49(1): 16.     CrossRef
  • Examining potentially inappropriate prescribing in residential care using the STOPP/START criteria
    N.J. Ailabouni, P.S. Nishtala, J.M. Tordoff
    European Geriatric Medicine.2016; 7(1): 40.     CrossRef
  • Prevalence of inappropriate medication prescription in the elderly in Nigeria: A comparison of Beers and STOPP criteria
    Joseph O. Fadare, Olufemi O. Desalu, Abimbola M. Obimakinde, Adekunle O. Adeoti, Segun M. Agboola, Felix O. Aina
    International Journal of Risk & Safety in Medicine.2015; 27(4): 177.     CrossRef
  • Difficulty in managing polypharmacy in the elderly: Case report and review of the literature
    Rhita Bennis Nechba, Moncif El M'barki Kadiri, Mounia Bennani-Ziatni, Amine Ali Zeggwagh, Abdelhalim Mesfioui
    Journal of Clinical Gerontology and Geriatrics.2015; 6(1): 30.     CrossRef
  • Consensus Validated List of Potentially Inappropriate Medication for the Elderly and Their Prevalence in South Korea
    Seong-Ok Kim, Sunmee Jang, Chul-Min Kim, Yu-Ri Kim, Hyun Soon Sohn
    International Journal of Gerontology.2015; 9(3): 136.     CrossRef
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Association of TV Viewing and Computer Using Habits with Obesity and Obesity Related Lifestyles.
Mi Sook Kim, Ji Ho Choi, Ho Chol Shin, Kyu Jin Joo, Youk Jin Yoo, Hee Jung Ko, Hyuk Ga, Sae Ron Shin, Chang Hae Park
J Korean Acad Fam Med 2008;29(3):182-188.   Published online March 10, 2008
Background
TV viewing and computer use are sedentary behaviors and recent surveys report that they are associated with obesity in children. Association of these activities with obesity or obesity related lifestyles was investigated in this study. Methods: Using the database of questionnaires and physical check-ups among 4th to 6th grade elementary school students in Incheon, the association of television viewing and internet using time with obesity and obesity related factors (dietary habits, and physical activities) were investigated. A total of 2,750 students (1,100 normal weighted/1,650 overweight or obese) were included. Results: In the multiple analyses of computer using time among the boys and girls in weekdays and weekends respectively, according to their obesity degree, except for overweight and obese boys in weekends (P<0.001), there were no significant differences examined. Multiple logistic regression revealed that children who watched TV more than 2 hours per day ate faster (OR 1.27), had breakfast more irregularly (OR 1.41) and ate vegetables more rarely (OR 1.53). The children who used computer more than 1 hour per day in weekdays were faster eaters (OR 1.38) and hardly ate fruits (OR 1.26) or vegetables (OR 1.60). In weekends, the children who spent time more than 90 minutes in the computer were faster to eat (OR 1.46), more snack eating (OR 1.22), less vegetable consuming (OR 1.59) and more obese (OR 1.46, 95%CI 1.24∼1.73) compared to the others. Conclusion: TV viewing and computer use were associated with several obesity related lifestyles in children. (J Korean Acad Fam Med 2008;29:182-188)
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  • 25 Download
Standardization of the Korean Version of Patient Health Questionnaire-9 as a Screening Instrument for Major Depressive Disorder.
Hong Seok Choi, Ji Ho Choi, Ki Ho Park, Kyu Jin Joo, Hyuk Ga, Hee Jung Ko, Sung Ryul Kim
J Korean Acad Fam Med 2007;28(2):114-119.   Published online February 10, 2007
Background
Depression is the most frequently encountered mental disorder in primary care. In it is necessary to order to, have a screening tool has high sensitivity and specificity and consumes less time. Therefore, the aim of this study was to assess the validity of the Korean version of Patient Health Questionnaire-9 (PHQ-9). Methods: A convenience sample of 160 ambulatory patients in a family practice clinic at Inha university hospital and the health care center at Bakae hospital received the Korean version of PHQ-9. Then the subjects were interviewed by a resident of family medicine according to DSM- IV criteria. The sensitivity, the specificity, the likelihood ratio, the ROC curve, the validity and the reliability of the Korean version of PHQ-9, and the consumptive time were examined. Results: There were 22 pationts in the depression group and 138 in the non-depression group. The Cronbach's α was 0.852. The sensitivity and the specificity were 81.8% and 89.9%, respectively, and the positive likelihood ratio was 8.10. The area under curve had an excellent value, 0.944 (P<0.05). The consumptive time was 2.66⁑1.13 minutes. Conclusion: The Korean version of PHQ-9 hay a good reliability and validity, less consumptive time, and easy calculating score. Therefore, the Korean version of PHQ-9 seems to be a useful measure for detecting depression in primary care. (J Korean Acad Fam Med 2007;28:114-119)
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The Frequency and Related Factors of Masked Hypertension among Volunteers.
Hyuk Ga, Ho Young Pyoun, Hee Jeong Koh, Ji Ho Choi, Sung Ryul Kim, Jin Sung Han
J Korean Acad Fam Med 2007;28(1):24-31.   Published online January 10, 2007
Background
: 'Masked Hypertension' is a phenomenon of blood pressure that is normotensive by clinic measurement but proves to be hypertensive by 24 hour-AMBP and is associated with many cardiovascular complications and its clinical importance has become the center of public interest. However, in Korea no study concerning masked hypertension has ever been published so far. We investigated the frequency and the related factors of masked hypertension among Koreans.

Methods : Overall, 53 volunteers from Incheon and Seoul, Korea, who were 40 years old and abov were enrolled from August 2003 to August 2004. We checked their blood pressure and pulse rate every hour using an ambulatory blood pressure monitoring device [SpaceLabs 90207] for 24 hours. Masked hypertension was defined as office mean BP less than 140/90 mmHg and daytime mean BP over 135/85 mmHg.

Results : Among the total, 15 subjects met the criteria of masked hypertension (28.3%) Current smoking (P=0.021), higher clinic mean SBP (P=0.011) and DBP (P=0.027), and prehypertension (P=0.04) were identified as related factors. And when adjusted for sex by logistic regression, only current smoking was statistically significant (P=0.039) and prehypertension showed borderline significance (P=0.092) (CI=95%). Additionally, mean pulse pressures and mean standard deviation of individual mean SBP were higher in the masked hypertension group.

Conclusion : The frequency of masked hypertension was 28.3% the and related factors were current smoking and higher office BP, especially prehypertension that was introduced in JNC-7. The fact that the pulse pressure and the variability of individual SBP were higher in the masked hypertension group remains thought-provoking.
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