Evaluación de las prescripciones inapropiadas según los criterios de Beers en los servicios de cardiología y neumología hospitalarios

OBJECTIVE To assess the use of potentially inappropriate medications among older adults.METHODS This is a population-based cross-sectional study with 1,451 older individuals aged 60 years or more in the city of Pelotas, State of Rio Grande do Sul, Brazil, in 2014. We have investigated the use of medications in the last 15 days. Using the Beers criteria (2012), we have verified the use of potentially inappropriate medications and their relationship with socioeconomic and demographic variables, polypharmacy, self-medication, and burden of disease.RESULTS Among the 5,700 medications used, 5,651 could be assessed as to being inappropriate. Of these, 937 were potentially inappropriate for the older adults according to the 2012 Beers criteria (16.6%). Approximately 42.4% of the older adults studied used at least one medication considered as potentially inappropriate. The group of medications for the nervous system accounted for 48.9% of the total of the potentially inappropriate medications. In the adjusted analysis, the variables female, advanced age, white race, low educational level, polypharmacy, self-medication, and burden of disease were associated with the use of potentially inappropriate medications.CONCLUSIONS It is important to known the possible consequences of the use of medication among older adults. Special attention should be given to the older adults who use polypharmacy. Specific lists should be created with more appropriate medications for the older population in the National Essential Medicine List.

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“…A study in Spain has pointed out that the average daily use of medications in this age group is four to eight per person 13 .…”

Section: Introductionmentioning

confidence: 99%

Potentially inappropriate medications among older adults in Pelotas, Southern Brazil

2017

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“…Of the articles manually assessed, 62 did not meet the inclusion criteria. At the end of the selection process, only 119 articles met the specific inclusion criteria …”

Section: Resultsmentioning

confidence: 99%

Conceptualizing and measuring potentially inappropriate drug therapy

et al. 2015

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Summary What is known and objective Elderly people are the principal consumers of prescription drugs. The more the medication used by the patient, the greater the likelihood there is of the patient being subjected to potentially inappropriate drug therapy (PIDT). PIDT has been measured in the literature with both implicit and explicit tools. The purpose of this review was to assess the use of tools to detect PIDT in various studies and to determine which terms are used to refer to PIDT in practice. Methods A systematic review was conducted according to the following steps: the first was identification. In this step, studies were selected from different combinations of the descriptors ‘aged’, ‘elderly’, ‘inappropriate prescribing’ and ‘drug utilization’ in three different languages, using the Embase, Medline, Scielo, Scopus and Web of Science databases. Second, the papers that satisfied the inclusion criteria for data extraction were carefully examined by three evaluators to determine the tools used and terms that referred to PIDT. Results and discussion From the combinations of keywords, 8610 articles were found. At the end of the selection process, 119 of the articles complied with the specified criteria. The degree of agreement among evaluators was moderate for the study titles (κ1 = 0·479) and substantial for abstracts (κ2 = 0·647). With respect to the PIDT evaluation criteria used by the studies, 27·7% used two criteria. Of the 27 evaluation criteria identified, the Beers criteria were used by 82·3% of the studies. More than 50 different terms to identify PIDT were found in the literature. What is new and conclusion This review is the first study to conceptualize and discuss terms that refer to PIDT. At present, there is no consensus regarding terms used to refer to PIDT, with over 50 different terms currently in use. This review shows an increase in the number of articles aimed at evaluating PIDT using implicit and explicit tools.

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Prescripciones inapropiadas según los criterios de Beers en cardiología y neumología

Sánchez-Muñoz

2013

Revista de Calidad Asistencial

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Evaluación de las prescripciones inapropiadas según los criterios de Beers en los servicios de cardiología y neumología hospitalarios

Cited by 5 publications

References 27 publications

Potentially inappropriate medications among older adults in Pelotas, Southern Brazil

Potentially inappropriate medications among older adults in Pelotas, Southern Brazil

Conceptualizing and measuring potentially inappropriate drug therapy

Prescripciones inapropiadas según los criterios de Beers en cardiología y neumología

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