Aplicação dos Critérios de Beers de 2015 Operacionalizados para Portugal em Pessoas Idosas Institucionalizadas: Um Estudo Transversal

Peixoto, Sofia; Almeida, Armando; Rego, Ana Cristina Caramelo; Mendes, Lígia

doi:10.20344/amp.13030

Cited by 4 publications

(2 citation statements)

References 45 publications

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“…Dessa forma, torna-se necessário o manejo dos esquemas terapêuticos de forma a estabelecer uma melhor relação entre o profissional cuidador e o idoso que necessita dos cuidados. Uma vez que ao se obter esquemas terapêuticos simplificados, bem como retirada de medicamentos duplicados por meio da revisão farmacoterapêutica pode-se favorecer um aumento significativo na adesão terapêutica, bem como também redução de RAM provocadas pelas PIM comumente encontrada na polifarmácia (Silva et al, 2019;Peixoto, 2021).…”

Section: Introductionunclassified

“…As RAM são consideradas uma das grandes causas de não adesão em idosos, uma vez que o organismo nesse perfil populacional já se encontra fisiologicamente debilitado. Assim, quando se fala a respeito dessa barreira em idosos, principalmente de ILPI, fala-se também de um grande obstáculo para se vencer, pensando em reformulações de tratamentos buscando pelo menor impacto negativo na vida do paciente (Peixoto, 2021).…”

Section: Introductionunclassified

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Adesão farmacoterapêutica de idosos institucionalizados: uma revisão integrativa

Carmo¹,

Fernandes²,

Martins³

et al. 2023

RSD

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O objetivo deste estudo foi avaliar os motivos que levam o idoso a não obter uma boa adesão terapêutica. Realizou-se uma revisão sistemática nas bases Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (Scielo), Instituto Brasileiro de Geografia e Estatística (IBGE), Pubmed e Google Scholar no período de 2017 a 2022. Foram identificados trinta trabalhos, observando os critérios de inclusão e exclusão estabelecidos. A partir da leitura acerca do assunto abordado, foi possível constatar que a literatura sobre o tema em questão é homogênea, sendo um consenso de que a adesão terapêutica é baixa em idosos e, em especial, em idosos institucionalizados, relatando diversos fatores que contribuem para essa realidade, como a saúde psicológica do idoso, seu tempo de internação, relação com a família, dentre demais aspectos. A revisão de literatura ressalta que essa realidade necessita de mudanças a fim de futuramente observar boa adesão terapêutica.

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Section: Introductionunclassified

Adesão farmacoterapêutica de idosos institucionalizados: uma revisão integrativa

Carmo¹,

Fernandes²,

Martins³

et al. 2023

RSD

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Characterisation of institutionalised Portuguese older adult fallers: is there a place for pharmacist intervention? A preliminary study

Ferreira¹,

Mascarenhas-Melo²,

Rodrigues³

et al. 2022

PHARMPRACT

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Background: Falls are a major public health issue, given their prevalence and social impact. Older adults living in long-term care facilities (LTCF) are at greater risk of injury resulting from a fall due to multiple factors, such as nutritional, functional/cognitive impairment, postural instability, polypharmacy, and the presence of potentially inappropriate medications (PIMs). Medication management in LTCF is complex and often sub-optimal and might be crucial for falls. Pharmacist intervention is important, since they have a unique knowledge of medication. However, studies mapping the impact of pharmaceutical activities in Portuguese LTC settings are scarce. Objective: This study aims to assess the characteristics of older adult fallers living in LTFCs and examine the relationship between falling and several factors in this population. We also intend to explore the prevalence of PIMs and their relationship with the occurrence of falls. Methods: The study was conducted in two long-term care facilities for elderly people, in the central region of Portugal. We included patients aged 65 and older with no reduced mobility or physical weakness and with the ability to understand spoken and written Portuguese. The following information was assessed: sociodemographic characteristics, comorbidities, polypharmacy, fear of falling, functional, nutritional and cognitive status. PIMs were evaluated according to the Beers criteria (2019). Results: A total of 69 institutionalised older adults, 45 women and 24 men, with a mean age of 83.14 ± 8.87 years were included. The prevalence of falls was 21.74% Out of these, 46.67% (n=7) fell once, 13.33% (n=2) fell twice, and 40% (n=6) fell 3 or more times. Fallers were mainly women, had lower levels of education, were well nourished, had moderate to severe levels of dependence, and displayed moderate cognitive impairment. All adult fallers had a fear of falling. The main comorbidities of this population were related to the cardiovascular system. Polypharmacy was present in every patient, and at least one PIM was identified in 88.41% of the subjects. Fear of falling (FOF) and cognitive impairment (in subjects with 1 to 11 years of education) showed statistically significant associations with the occurrence of falls (p=0.005 and p=0.05, respectively). No significant differences were found between fallers and non-fallers for any other factors. Conclusions: This present study is a preliminary contribution to characterise a group of older adult fallers living in Portuguese LTCFs and demonstrated that fear of falling and cognitive impairment are associated with the occurrence of falls in this population. The high prevalence of polypharmacy and PIMs emphasises the need for tailored interventions featuring the collaboration of a pharmacist to optimise medication management in this population.

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Translation and Adaptation of the STOPP/START Criteria Version 3 for Potentially Inappropriate Prescribing in Older People to European Portuguese: A Study Protocol

A. Rodrigues,

Roque,

Herdeiro

et al. 2024

Acta Med Port

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Introduction: As the global population ages, managing medication use in older adults becomes increasingly complex due to polypharmacy and the associated risks of adverse drug events. To improve the safety and appropriateness of medication use in the older population, tools like the Screening Tool of Older Persons’ Prescriptions (STOPP) and Screening Tool to Alert doctors to Right Treatment (START) criteria have been developed. The availability of updated criteria is crucial to better support healthcare professionals in Portuguese-speaking regions. The aim of this study is to translate and validate the STOPP/START version 3 criteria for Portuguese, providing an updated and useful tool for healthcare professionals.Methods and Analysis: This study will be conducted through four phases: I) translation of the STOPP/START version 3 criteria to European Portuguese; II) collection of sociodemographic, clinical, and medication data; III) intrarater reliability study; and IV) interrater agreement study. This study obtained ethics approval by the Ethics Committee of the Administração Regional de Saúde do Centro, Portugal. The availability of the translated criteria will enable the integration of STOPP/START version 3 into clinical practice in Portugal, facilitating improved medication safety and appropriateness. This integration is expected to lead to better management of polypharmacy and a reduction in adverse drug events, ultimately enhancing patient outcomes and supporting evidence-based prescribing practices.

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Aplicação dos Critérios de Beers de 2015 Operacionalizados para Portugal em Pessoas Idosas Institucionalizadas: Um Estudo Transversal

Cited by 4 publications

References 45 publications

Adesão farmacoterapêutica de idosos institucionalizados: uma revisão integrativa

Adesão farmacoterapêutica de idosos institucionalizados: uma revisão integrativa

Characterisation of institutionalised Portuguese older adult fallers: is there a place for pharmacist intervention? A preliminary study

Translation and Adaptation of the STOPP/START Criteria Version 3 for Potentially Inappropriate Prescribing in Older People to European Portuguese: A Study Protocol

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