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Table 3 Example of medication patterns across women 65–79 years attended in primary health centres in Barcelona during 2009 (N = 78,008)

From: Medication patterns in older adults with multimorbidity: a cluster analysis of primary care patients

 

Code&

Drugs

Preb

O/E ratioa

Exclus.

Cluster 1 n = 39,202 (50%)

 Non-specific pattern

C10AA

HMG CoA reductase inhibitors

32%

0.78

39%

A02BC

Proton pump inhibitors

21%

0.51

26%

Cluster 2 n = 14,604 (19%)

 Nervous system pattern

A02BC

Proton pump inhibitors

70%

1.68

31%

N05BA

Benzodiazepine derivatives

58%

2.18

41%

C10AA

HMG CoA reductase inhibitors

56%

1.36

25%

N06AB

Selective serotonin reuptake inhibitors

40%

2.71

51%

B01AC

Platelet aggregation inhibitors excl. Heparin

35%

1.76

33%

M05BA

Bisphosphonates

28%

1.62

30%

N02BE

Anilides

26%

1.10

21%

N06AX

Other antidepressants

14%

3.49

65%

N03AX

Other antiepileptics

10%

3.16

59%

N05CD

Benzodiazepine derivatives

9%

2.03

38%

A12AA

Calcium

7%

2.58

48%

N06AA

Non-selective monoamine reuptake inhibitors

7%

3.07

57%

C01DA

Organic nitrates

7%

2.32

43%

N02AX

Other opioids

6%

2.03

38%

A11CC

Vitamin D and analogues

6%

2.97

56%

A06AD

Osmotically acting laxatives

6%

2.04

38%

N03AE

Benzodiazepine derivatives

4%

3.69

69%

C07AA

Beta blocking agents, non-selective

4%

2.61

49%

H02AB

Glucocorticoids

4%

2.71

51%

C10AX

Other lipid modifying agents

4%

2.25

42%

N06DX

Other anti-dementia drugs

3%

2.44

46%

A03FA

Propulsive

3%

2.25

42%

Cluster 3 n = 9502 (12%)

 “Musculo-skeletal system” and “Dermatologicals” pattern

A02BC

Proton pump inhibitors

66%

1.58

19%

N02BE

Anilides

61%

2.57

31%

N05BA

Benzodiazepine derivatives

33%

1.26

15%

M02AA

Antiinflammatory preparations, non-steroids for tropical use

31%

5.96

73%

C10AA

HMG CoA reductase inhibitors

30%

0.74

9%

M01AE

Propionic acid derivatives

27%

4.30

52%

C05CA

Bioflavonoids

19%

2.88

35%

M01AX

Other antiinflammatory and antirheumatic agents, non-steroids

17%

2.84

35%

A02AD

Combinations and complexes of aluminium, calcium and magnesium compounds

15%

4.24

52%

M01AB

Acetic acid derivatives and related substances

15%

5.17

63%

D01AC

Imidazole and triazole derivatives

10%

5.93

72%

N02AX

Other opioids

10%

3.25

40%

D07AC

Corticosteroidas, potent (group III)

9%

6.65

81%

N02BB

Pyrazolones

6%

5.30

65%

A06AD

Osmotically acting laxatives

6%

2.13

26%

R05CB

Mucolytics

5%

2.83

34%

R06AX

Other antihistamines for systemic use

5%

3.34

41%

N07CA

Antivertigo preparations

5%

2.26

28%

Cluster 4 n = 8745 (11%)

 Alimentary tract and metabolism pattern

C10AA

HMG CoA reductase inhibitors

68%

1.67

19%

A10BA

Biguanides

65%

5.86

66%

B01AC

Platelet aggregation inhibitors excl. Heparin

61%

3.12

35%

A02BC

Proton pump inhibitors

50%

1.19

13%

A10BB

Sulfonylureas

37%

6.69

75%

C09AA

ACE inhibitors, plain

30%

1.70

19%

C08CA

Dihydropyridine derivatives

29%

2.68

30%

C07AB

Beta blocking agents, selective

23%

2.18

24%

N02BE

Anilides

22%

0.94

10%

A10AC

Insulins and analogues for injection, intermediate-acting

10%

6.34

71%

C01DA

Organic nitrates

9%

3.22

36%

A10AE

Insulins and analogues for injection, long-acting

9%

6.04

68%

M04AA

Preparations inhibiting uric acid production

9%

2.97

33%

C02CA

Alpha-adrenoreceptor antagonists

7%

3.57

40%

C10AB

Fibrates

7%

2.96

33%

A10AD

Insulins and analogues for injection, intermediate- or long- acting combined with fast- acting

7%

6.24

70%

G04CA

Alpha-adrenoreceptor antagonists

4%

2.13

24%

C10AX

Other lipid modifying agents

4%

2.36

26%

Cluster 5 n = 3275 (4%)

 Respiratory system pattern

R03AC

Selective beta-2-adrenoreceptor agonists

72%

16.88

71%

A02BC

Proton pump inhibitors

54%

1.30

5%

R03BB

Anticholinergics

54%

18.86

79%

R03AK

Adrenergics in combination with corticosteroids or other drugs, excl. Anticholinergics

51%

11.87

50%

R03BA

Glucocorticoids

40%

18.45

77%

C10AA

HMG CoA reductase inhibitors

38%

0.94

4%

N02BE

Anilides

32%

1.36

6%

N05BA

Benzodiazepine derivatives

27%

1.01

4%

B01AC

Platelet aggregation inhibitors excl. Heparin

23%

1.17

5%

C03CA

Sulfonamides, plain

14%

2.11

9%

R05CB

Mucolytics

11%

6.34

27%

R06AX

Other antihistamines for systemic use

6%

3.79

16%

C08DB

Benzothiazepine derivatives

5%

2.26

9%

H02AB

Glucocorticoids

4%

3.07

13%

G04CA

Alpha-adrenoreceptor antagonists

4%

2.02

8%

Cluster 6 n = 2680 (3%)

 Cardiovascular system pattern

B01AA

Vitamin K antagonists

78%

15.74

54%

C03CA

Sulfonamides, plain

66%

10.05

35%

A02BC

Proton pump inhibitors

58%

1.37

5%

C01AA

Digitalis glycosides

53%

27.60

95%

C10AA

HMG CoA reductase inhibitors

43%

1.06

4%

N02BE

Anilides

32%

1.35

5%

N05BA

Benzodiazepine derivatives

29%

1.11

4%

C09AA

ACE inhibitors, plain

27%

1.56

5%

C07AB

Beta blocking agents, selective

24%

2.25

8%

C09CA

Angiotensin II antagonists, plain

23%

1.98

7%

A12BA

Potassium

20%

16.35

56%

C03DA

Aldosterone antagonists

19%

17.02

58%

C08DB

Benzothiazepine derivatives

13%

6.07

21%

C07AG

Alpha and beta blocking agents

12%

8.91

31%

M04AA

Preparations inhibiting uric acid production

11%

3.73

13%

C01DA

Organic nitrates

9%

3.26

11%

B03AA

Iron bivalent, oral preparations

5%

3.60

12%

A10AE

Insulins and analogues for injection, long-acting

3%

2.30

8%

A02BA

H2 - receptor antagonists

3%

2.12

7%

  1. Code&:Chemical subgroup, 4rt level, ATC code (Anatomical Therapeutic Chemical classification) from the World Health Organization
  2. O/E ratioa: Observed/expected ratio
  3. Preb: Prevalence
  4. Exclus.: Exclusivity
  5. Selected criteria: Prevalence ≥ 20 or Observed/Expected ratio ≥ 2