Uso de medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil: um inquérito de base populacional

Martins, Giselle; Acúrcio, Francisco de Assis; Franceschini, Sylvia do Carmo Castro; Priore, Sílvia Eloíza; Ribeiro, Andréia Queiróz

doi:10.1590/0102-311x00128214

Cited by 40 publications

(50 citation statements)

References 37 publications

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“…17,22 All of these changes that the elderly undergo in their clinical conditions and the concomitant use of medications stand out as factors that should be evaluated by the health team. 23 In this context, this study ratifies the NANDA-I Taxonomy through the diagnosis of the risk of falls. Nurses evaluating the risk factors guarantees prevention of the adverse event of falls, and their evaluation should be used to develop care plans.…”

Section: 15mentioning

confidence: 92%

Relationship of Polypharmacy and Polypathology With Falls Among Institutionalized Elderly

Jesus

2017

Texto contexto - enferm.

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Objective: identify relationships of association between the risk of falls in institutionalized elderly people with polypharmacy and polypathy, as well as to outline the epidemiological profile of its casuistry.Method: a prospective obseracional study with 271 elderly residents in long-stay institutions in the Federal District (Brazil). The date were a actualized by inferencial statistics.Results: a monitoring of elderly confirmed the association between polypathology and falls (p: 0.0028), however, it did not follow the trend of other studies in identifying polypharmacy as a risk factor for falls (p: 0.141). Among the most prevalent comorbidities, changes in blood pressure levels (77.4%), followed by Diabetes Mellitus (27.37%), depression (17.7%) and dementia (46.8%) may be highlighted. The most identified drugs were antihypertensives (73.8%), sleep inducers (61.2%), diuretics (50.1%) and antidepressants (34.3%).Conclusion: multiple disabilities associated with chronic-degenerative diseases and the chronic use of medications may interfere with the incidence of falls, ratifying factors related to the diagnosis of risk for falls presented in the NANDA-I Taxonomy I. This contribution to the nurses' diagnostic rationale ensures better evaluation of the elderly, ensuring a care plan focused on prevention and detection of risk conditions. DESCRIPTORS:Health of the elderly. Use of medications. Accidental falls. Nursing diagnosis. RELAÇÃO DA POLIFARMÁCIA E POLIPATOLOGIA COM A QUEDA DE IDOSOS INSTITUCIONALIZADOS RESUMOObjetivo: identificar relações de associação entre o risco de queda em idosos intitucionalizados com a polifarmácia e a polipatologia, bem como traçar o perfil epidemiológico desta casuística.Método: estudo prospectivo, observacional realizado com 271 idosos moradores de instituições de longa permanência do Distrito Federal. Os dados foram atualizados por estatística inferencial.Resultados: o acompanhamento dos idosos confirmou a associação entre a polipatologia e a queda (p: 0,0028), porém não seguiu a tendência de outros estudos em identificar a polifarmácia como fator de risco de queda (p: 0,141). Entre as comorbidades mais prevalentes destacou-se alteração dos níveis tensionais (77,4%), seguida de Diabetes Mellitus (27,37%), depressão (17,7%) e demência (46,8%). Já os medicamentos mais identificados foram os anti-hipertensivos (73,8%), indutores do sono (61,2%), diuréticos (50,1%) e antidepressivos (34,3%).Conclusão: que múltiplas incapacidades associado a doenças crônico-degenerativas e o uso crônico de medicamentos, podem interferir na incidência de queda, ratificando os fatores relacionados ao diagnóstico risco de queda presente na Taxonomia I da NANDA-I. Essa contribuição ao raciocínio diagnóstico do enfermeiro garante melhor avaliação do idoso, garantindo um plano de cuidados voltado a prevenção e detecção de condições de risco. Objetivo: identificar relaciones de asociación entre riesgo de caída en adultos mayores institucionalizados con la polifarmacia y la polipatología, asi como trazar...

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Section: 15mentioning

confidence: 92%

Relationship of Polypharmacy and Polypathology With Falls Among Institutionalized Elderly

Jesus

2017

Texto contexto - enferm.

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“…This can increase the risk of iatrogenic effects 5,9 , hospitalizations 11 and even death 10 . In this same context, studies have demonstrated that the physiological variations regarding aging tend to significantly change the pharmacokinetics and pharmacodynamics of medications 12,13 . Therefore, elderly people are more sensitive to the therapeutic and adverse effects of pharmaceuticals, which, in many cases, can be more damaging than beneficial to patients 12,14,15 .…”

Section: Introductionmentioning

confidence: 99%

“…In this same context, studies have demonstrated that the physiological variations regarding aging tend to significantly change the pharmacokinetics and pharmacodynamics of medications 12,13 . Therefore, elderly people are more sensitive to the therapeutic and adverse effects of pharmaceuticals, which, in many cases, can be more damaging than beneficial to patients 12,14,15 . RESUMO: Objetivo: Investigar a polifarmácia em idosos residentes na área urbana de Florianópolis, Santa Catarina, Brasil, estimando a prevalência e os fatores a ela associados.…”

Section: Introductionmentioning

confidence: 99%

Polifarmácia em idosos: um estudo de base populacional

Pereira

Peres

Iop

et al. 2017

Rev. bras. epidemiol.

152

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ABSTRACT:Objective: To investigate polypharmacy among the elderly living in the urban area of Florianopolis, in the state of Santa Catarina, Brazil, estimating the prevalence and associated factors. Methods: This is a crosssectional population-based study with a sample of 1,705 individuals aged 60 years old or older, between 2009 and 2010. The dependent variable was polypharmacy (defined as "use of five or more medications"). The following exploratory variables were utilized: sociodemographic data, use of health services and self-rated health status. Prevalence ratios (PR) were estimated by multivariate analysis using the Poisson regression. Results: The mean for the medications used by the elderly population was 3.8 (ranging from 0 to 28). The prevalence of polypharmacy was 32%, with 95% confidence interval (95% CI) 29.8 -34.3. The characteristics presenting a positive association with polypharmacy were: female gender (PR = 1.27; 95%CI 1.03 -1.57), increasing age (PR = 1.38; 95% CI 1.08 -1.77), negative self-rated health status (PR = 1.99; 95% CI 1.59 -2.48) and medical appointments in the 3 months prior to the interview (PR = 1.89; 95% CI 1.53 -2.32). The groups of medication most utilized by the elderly individuals in polypharmacy were those indicated for the cardiovascular system, digestive tract and metabolism, as well as the nervous system. Conclusion: The pattern of medication use among this elderly population is within the national average. The prevalence of polypharmacy and the characteristics associated with it were similar to those found in other regions of Brazil.

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“…8,20,21 Around half the patients (49.8%) were aged between 75-84 years, which reflects a national and global tendency of increasing life expectancy. The sample of a study by Periquito (2014) included ages from 67 to 97 years, with a mean age of 84.81 years.…”

Section: Discussionmentioning

confidence: 99%

Identification of inappropiate prescribing in a Geriatric outpatient clinic using the Criteria Stopp Start

Rosa

Costa

Kapper

et al. 2016

Rev. bras. geriatr. gerontol.

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Identified the inappropriate prescription of drugs in elderly assisted geriatric outpatient clinic in the region of Vale do Rio Pardo in Rio Grande do Sul according to the criteria of STOPP and START. Cross-sectional study of 221 elderly, based on retrospective analysis of medical records using comprehensive geriatric assessment data held in the first visit. Descriptive variables were age, sex, number of pathologies and number of medications in use. And the study variables were potentially inappropriate medications (MPI) and potentially omitted medications (MPO), according to the STOPP and START criteria. Descriptive statistics were performed with frequencies, means and standard deviations where appropriate. It was observed 157 (71%) female patients. The average age was 75 (±8.26) years, 49.8% in the range of 75-84 years. The average number of drugs was 3 (±2.27), with 22.63% using 5 or more medications. The average pathologies was 3.45 (±2.02). They identified 194 prescriptions of MPI and observed 93 MPO. The most identified were the MPI for the cardiovascular system, especially β noncardioselective blockers and acetylsalicylic acid. Also MPO were found most of the cardiovascular system, with emphasis on acetylsalicylic acid and inhibitors of angiotensin converting enzyme. This is sample of elderly with significant prevalence of inappropriate prescribing of drugs. Studies using the STOPP criteria and START in different health care settings can qualify the care provided to the elderly.

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Uso de medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil: um inquérito de base populacional

Cited by 40 publications

References 37 publications

Relationship of Polypharmacy and Polypathology With Falls Among Institutionalized Elderly

Relationship of Polypharmacy and Polypathology With Falls Among Institutionalized Elderly

Polifarmácia em idosos: um estudo de base populacional

Identification of inappropiate prescribing in a Geriatric outpatient clinic using the Criteria Stopp Start

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