[Results of analysis of the prescriptions for elderly patients in ambulatory practice.]

A randomized retrospective analysis of medical records of patients aged 65 years and older receiving ambulatory medical care was carried out in order to assess drug prescriptions for the detection of polypharmacy and potentially dangerous and significant drug interactions. The average number of visits per patient over 65 is 11,2±8,4. Comorbidity was detected in 89,4% of patients. Polypharmacy was detected in 76,6% of patients. In 1/3 of cases, patients were prescribed not recommended drugs (Beers criteria 2015). Authors found 364 interactions of various hazard categories. The obtained data shows that it is mandatory to implement various systems of prescription audit for the timely detection of potentially hazardous and incompatible drugs, as well as to correct prescriptions and improve efficacy and safety of drug use in patients older than 65 years.