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Prevalence and Predictors of Potentially Inappropriate Medication Use in Older Outpatients: A Cross-Sectional Study Using the 2023 Beers Criteria at a Tertiary Care Clinic

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Cross-sectional study determines PIM use in older psychiatric outpatients, highlighting safety concerns in medication prescribing.

This study aims to assess the prevalence and predictors of potentially inappropriate medication (PIM) use in older adults with psychiatric conditions.
Conducted a cross-sectional analysis at a tertiary care psychiatric clinic in India.
Assessed older patients prescribed psychotropic medications using the 2023 Beers criteria.
Analyzed demographic, clinical, and prescription data using logistic regression to identify PIM predictors.
Found that 88.7% of older patients were using at least one potentially inappropriate medication.
Identified 692 instances of PIMs, with the most common being benzodiazepines (22.1%), SSRIs (20.2%), and antipsychotics (13.6%).
Confirmed significant predictors of PIM use were high anticholinergic burden and potential drug-drug interactions.

Bidarolli et al. (2026) studied this question.

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