INAPPROPRIATE PRESCRIBING IN ELDERLY: STOPP START CRITERIA APPLYING A FAMILY HEALTH CENTER IN SOUTHERN CHILE

STOPP START criteria are a screening tools that facilitates the identification of potentially inappropriate prescribing (PIP) in adults which highlights deficiencies in medical practice in Primary Health Care (PHC) in the background questioning the undergraduate training programs. AIMS First, To identify PIP in elderly care programs for patients with chronic diseases which mostly have two or more disease and therefore are polipharmacy-exposed. Second, introduce corrections to inappropriate prescribing using the criteria START. Third, create strategies for the personalized desprescribing with preserving of the principle of "primum non nocere". Methods Random review of 73 medical records of elderly over 65 years enrolled in programs to control chronic diseases and using the STOPP-START criteria in these records, in Cesfam Arrau Mendez of Parral city in the province of Linares in the Seventh Region Chile. Results: The average age was 73.6 years, 97% with multiple conditions, with PIP in 70% of the people, involved from 1-6 PIP, the necessary drugs were not prescribed in 35%. Conclusions: It is important to use tools such as STOPP-START criteria or Beers criteria in daily clinical practice. You need to build roads for desprescribing individualized. Finally, the search for strategies for creation of opportunities for development of health teams such as workshops where the desprescribing mode is promoted in the context of ethical and legal commitment to care communities especially by elderly.