SUMMARY OBJECTIVE To identify the use of Potentially Inappropriate Medications with imminent risk of Cardiovascular and Cerebrovascular Adverse Events (PIM-CCVAE), in addition to the factors associated with a group of elderly individuals undergoing therapeutic care in a Brazilian public service. METHODS A cross-sectional retrospective study conducted at a secondary level service located in Carapicuíba, SP, Brasil. Only elderly individuals (≥60 years) who were treated in one of the outpatient departments were included. The use of PIM-CCVAE was defined based on the PIM-CCVAEs list. In this research, we used descriptive statistics and logistic regression to identify and track possible predictors of MPI use. All statistical analyses were performed using Stata software version 15.1 (Stata Corporation). RESULTS The sample included 233 elderly individuals, with a mean age of 74.9 (± 9.4) years. Of these, 74.2% used at least one PIM-CCVAE, with an average daily intake of 1.3 (± 1) PIM/elderly. The presence of comorbidities, diseases of the circulatory system, polypharmacy, and low to moderate scores in morbidity and mortality were important factors associated with an increased odds ratio for the consumption of PIM-CCVAE. It is also emphasized that the presence of neurological symptoms proved to be a protective factor for this outcome. CONCLUSION Given the clinical severity and imminent risk of CCVAE in the researched group, preventive measures should be instituted to minimize health problems related to medication in the public network.

Essa pesquisa se propôs a investigar a associação entre variáveis demográficas, clínicas e o uso de Medicamentos Potencialmente Inapropriados (MPI) em idosos em assistência ambulatorial medica de especialidades. Métodos. Estudo observacional, quantitativo e de base populacional conduzido com indivíduos com idade igual ou superior a 60 anos de um serviço público de nível secundário à saúde, município de Carapicuíba, SP, Brasil. Para análise, utilizaram-se informações referentes às consultas médicas consolidadas em prontuários eletrônicos e, posteriormente, empregou-se o Consenso Brasileiro de MPI (CBMPI) para idosos. Para estatística, utilizou-se analise descritiva simples e de regressão logística. Resultados. Totalizaram-se 1.548