ASSESSMENT OF THE RATIONALITY OF PHARMACOTHERAPY IN ELDERLY PATIENTS WITH CARDIOVASCULAR DISEASES USING STOPP/START NON-COMPLIANCE MODELS

Abstract

Elderly patients, due to involutive changes in the body, have peculiarities of pharmacokinetics and pharmacodynamics, which must be taken into account when prescribing drugs. There are various tools for individualizing therapy: use the 7-step algorithm, STOPP/START criteria, anticholinergic load scales, assessment of triggers of undesirable events - GerontoNet scale, Brighton Adverse Drug Reactions Risk scale. The article examined the use of STOPP/START criteria by physicians in practical activities. It is determined that doctors pay more attention to STOPP criteria when treating the patient and prescribing drugs. It is determined that doctors pay more attention to STOPP criteria when treating the patient and prescribing drugs. Based on the data obtained during the assessment of the use of the rational pharmacotherapy tool, prognostic non-compliance with the criteria was calculated and the factors affecting this were determined: BMI for (for STOPP criteria) and a score on the Age Not Hindrance questionnaire (for START criteria).