<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0807</journal-id>
<journal-title><![CDATA[Revista de la Universidad Industrial de Santander. Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Univ. Ind. Santander. Salud]]></abbrev-journal-title>
<issn>0121-0807</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-08072025000100019</article-id>
<article-id pub-id-type="doi">10.18273/saluduis.57.e:25v57a23</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Association of age, frailty, polypharmacy, and multimorbidity with PIP in older adults according to the STOPP/START and Beers criteria in Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[Asociación entre la edad, la fragilidad, la polimedicación y la pluripatología con la PPI en adultos mayores según criterios STOPP/START y criterios Beers en Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyave García]]></surname>
<given-names><![CDATA[Olga Lucia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura Cardona]]></surname>
<given-names><![CDATA[Angela María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Madrigal Cadavid]]></surname>
<given-names><![CDATA[Juliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giraldo Gallo]]></surname>
<given-names><![CDATA[Erika Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Helpharma  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>57</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-08072025000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-08072025000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-08072025000100019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Inappropriate prescription of medications in older adults can increase the risk of adverse drug reactions and interactions, causing higher numbers of consultations, hospital admissions, readmissions, and/or prolonged stays, all of which put well-being and quality of life at risk for these patients.  Objective: To determine the association between potentially inappropriate prescriptions (PIPs) and factors such as frailty, sex, age, multiple pathologies, and polypharmacy.  Methodology: A cross-sectional analytical study was carried out using the STOPP/ START criteria and the Beers criteria. A total of 3,325 prescriptions for patients treated by a Health Care Provider (HCP) in Medellín during 2023 were analyzed.  Results: The general PIP percentage in the patients studied was 31.5%, out of which 19.5% met any of the Beers criteria and 14.4% met any of the STOPP/START criteria. The main medications identified using the Beers criteria were proton pump inhibitors (PPIs), followed by diuretics, antipsychotics, and antidepressants. A significant association was found between PIP and the variables sex and number of medications, with a greater probability of PIP in women compared to men (OR: 1.80 95% CI 1.64-2.86) and those receiving a prescription with 8-9 medications (OR: 0.10 95% CI 0.06-0.24) or more than ten of them (OR: 0.21 95% CI 0.18-0.38).  Conclusions: The safe use of medications among older adults requires tools that promote adequate prescription and contribute to achieving therapeutic objectives.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La prescripción inadecuada de medicamentos en los adultos mayores puede aumentar el riesgo de aparición de reacciones adversas medicamentosas e interacciones, ocasionando el incremento de consultas, ingresos y reingresos hospitalarios o días de estancia prolongados, todo ello coloca en riesgo la salud y la calidad de vida de estos pacientes.  Objetivo: Determinar la asociación entre factores como la fragilidad, el sexo, la edad, la pluripatología y la polimedicación y la prescripción potencialmente inadecuada (PPI).  Metodología: Se realizó un estudio analítico transversal. Utilizando los criterios STOPP/START y los criterios Beers. Se estudiaron 3325 prescripciones de pacientes atendidos por un gestor farmacoterapéutico de la ciudad de Medellín durante el año 2023.  Resultados: La PPI general en los pacientes estudiados fue del 31.52%. El 19.51% de estos cumplió algún criterio Beers y el 14.41% cumplió alguno de los criterios STOPP/START. Los principales medicamentos relacionados con los criterios Beers son los inhibidores de la bomba de protones (IBP), seguidos de los diuréticos, antipsicóticos y antidepresivos. Se encontró asociación significativa de la PPI con las variables: sexo y número de medicamentos, siendo las mujeres quienes presentan mayor probabilidad de PPI que los hombres (OR:I.80 IC95% 1.162.86) y, además, tener una prescripción entre 8 y 9 medicamentos o más de diez medicamentos (OR: 0.10 IC95% 0.06-0.24) (OR: 0.21 IC95% 0.18-0.38).  Conclusiones: Es importante para un uso seguro de los medicamentos entre adultos mayores contar con herramientas que propendan a una prescripción adecuada y que aporten al logro de los objetivos terapéuticos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Polypharmacy]]></kwd>
<kwd lng="en"><![CDATA[Inappropriate Prescription]]></kwd>
<kwd lng="en"><![CDATA[Older Adults]]></kwd>
<kwd lng="es"><![CDATA[Polifarmacia]]></kwd>
<kwd lng="es"><![CDATA[Prescripción Inadecuada]]></kwd>
<kwd lng="es"><![CDATA[Anciano]]></kwd>
</kwd-group>
</article-meta>
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