Prioritising Risk Factors for Prescription Drug Overdose among Older Adults in South Korea
A Multi-Method Study
Bibliographic Data
| ID | 15488448 |
|---|---|
| Authors | Eun Hae Lee (0000-0003-3169-751X, Korea Disease Control and Prevention Agency), Eun-Hae Lee (Korea Disease Control and Prevention Agency), Ju Ok Park (0000-0002-1024-3626, Hallym University Dongtan Sacred Heart Hospital), Joon-Pil Cho (Ajou University), Choung Ah Lee (0000-0003-2487-8988, Hallym University Dongtan Sacred Heart Hospital, corresponding author) |
| Year | 2021 |
| Volume | 18 |
| Issue | 11 |
| Pages | 5948-5948 |
| Publication date | 2021-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18115948 |
| PMID | 34206039 |
| OpenAlex | W3170508559 |
| Language | EN |
| References cited | 30 |
Older adults are vulnerable to drug overdose. We used a multi-method approach to prioritise risk factors for prescription drug overdose among older adults. The study was conducted in two stages. First, risk factors for drug overdose were classified according to importance and changeability through literature review, determined through 2-phase expert surveys. Second, prescription drug overdose cases during 2011-2015 were selected from a national cohort; the prevalence of 'more important' or 'more changeable' factors determined in stage one was investigated. Scores were assigned according to the Basic Priority Rating Scale formula, reflecting the problem size and seriousness and intervention effectiveness. In the first stage, polypharmacy, old-old age, female sex, chronic disease, psychiatric disease, and low socioeconomic status (SES) were selected as risk factors. In the second stage, 93.9% of cases enrolled had chronic medical disease; 78.3% were using multiple drugs. Low SES was more prevalent than other risk factors. As per the scoring formula, chronic medical disease, polypharmacy, psychiatric disease, low SES, female sex, and old-old age were the most important risk factors in order of priority. Patients with chronic medical disease and those using multiple medications should be prioritised in overdose prevention interventions among older adults
Disease · Drug overdose · Environmental health · Medical prescription · Poison control · Polypharmacy · Population · Psychiatry · Psychological intervention · Seriousness · Socioeconomic status · Blood Pressure and Hypertension Studies · Medicine · Opioid Use Disorder Treatment · Pharmaceutical Practices and Patient Outcomes · Emergency Medicine · Internal Medicine
| Highly cited | No |
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