Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting

Detalhes bibliográficos
Autor(a) principal: Oliveira, Márcio Galvão
Data de Publicação: 2012
Outros Autores: Amorim, Welma Wildes, Jesus, Sandra Rêgo de, Rodrigues, Victor Alves, Passos, Luiz Carlos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/15497
Resumo: Texto completo: acesso restrito. p. 626-632
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spelling Oliveira, Márcio GalvãoAmorim, Welma WildesJesus, Sandra Rêgo deRodrigues, Victor AlvesPassos, Luiz CarlosOliveira, Márcio GalvãoAmorim, Welma WildesJesus, Sandra Rêgo deRodrigues, Victor AlvesPassos, Luiz Carlos2014-08-06T15:39:36Z20122210-7703http://repositorio.ufba.br/ri/handle/ri/15497v. 34, n. 4Texto completo: acesso restrito. p. 626-632Background The exposure of elderly patients to potentially inappropriate medication (PIM) is associated with the increased use of health care services. Objective To evaluate both the prevalence of and the factors associated with the use of PIM by elderly patients who are being treated in primary healthcare facilities. Setting Family Health Programme centres in northeastern Brazil. Method A prospective survey of the medications used by elderly patients was performed. A total of 142 participants were randomly selected via systematic sampling. Beers criteria were applied to assess the use of PIM among the investigated sample. All of the medications included in these criteria were assessed for their availability in Brazil. The prevalence of inappropriate medications was chosen as an occurrence measure and was compared among the exposure groups using the prevalence ratio (PR) as a measure of association. Main outcome measure Prevalence and various factors associated with the use of PIM. Results The prevalence of PIM usage was 34.5 %. The factors that exhibited associations included the following: illiteracy (PR = 1.51; 95 % CI = 1.02–2.24); black skin colour (PR = 1.80; 95 % CI = 1.40–2.32); the use of ≥4 drugs per day (PR = 2.36; 95 % CI = 1.79–3.11); the use of medications prescribed by a doctor (PR = 2.52; 95 % CI = 1.12–5.69), and the use of medications supplied by the Brazilian government (PR = 1.42; 95 % CI = 1.10–1.81). The most frequently prescribed PIM included short-acting nifedipine (34.5 %) and methyldopa (9.1 %). Conclusion The data collected in this study indicated a high prevalence of the use of PIM. The factors that contributed the most to this prevalence included medical prescriptions, polypharmacy, medications supplied by the Brazilian National Health System, and black skin colour (specifically, being of African descent).Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-07-30T12:13:08Z No. of bitstreams: 1 Luiz Carlos Passos.pdf: 207073 bytes, checksum: b638b175019beaaa51ab8564a9528251 (MD5)Approved for entry into archive by Delba Rosa (delba@ufba.br) on 2014-08-06T15:39:35Z (GMT) No. of bitstreams: 1 Luiz Carlos Passos.pdf: 207073 bytes, checksum: b638b175019beaaa51ab8564a9528251 (MD5)Made available in DSpace on 2014-08-06T15:39:36Z (GMT). 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dc.title.pt_BR.fl_str_mv Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
dc.title.alternative.pt_BR.fl_str_mv International Journal of Clinical Pharmacy
title Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
spellingShingle Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
Oliveira, Márcio Galvão
Beers criteria
Brazil
Elderly
Inappropriate drug use
title_short Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
title_full Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
title_fullStr Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
title_full_unstemmed Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
title_sort Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting
author Oliveira, Márcio Galvão
author_facet Oliveira, Márcio Galvão
Amorim, Welma Wildes
Jesus, Sandra Rêgo de
Rodrigues, Victor Alves
Passos, Luiz Carlos
author_role author
author2 Amorim, Welma Wildes
Jesus, Sandra Rêgo de
Rodrigues, Victor Alves
Passos, Luiz Carlos
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Oliveira, Márcio Galvão
Amorim, Welma Wildes
Jesus, Sandra Rêgo de
Rodrigues, Victor Alves
Passos, Luiz Carlos
Oliveira, Márcio Galvão
Amorim, Welma Wildes
Jesus, Sandra Rêgo de
Rodrigues, Victor Alves
Passos, Luiz Carlos
dc.subject.por.fl_str_mv Beers criteria
Brazil
Elderly
Inappropriate drug use
topic Beers criteria
Brazil
Elderly
Inappropriate drug use
description Texto completo: acesso restrito. p. 626-632
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2014-08-06T15:39:36Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/15497
dc.identifier.issn.none.fl_str_mv 2210-7703
dc.identifier.number.pt_BR.fl_str_mv v. 34, n. 4
identifier_str_mv 2210-7703
v. 34, n. 4
url http://repositorio.ufba.br/ri/handle/ri/15497
dc.language.iso.fl_str_mv por
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.pt_BR.fl_str_mv http://dx.doi.org/ 10.1007/s11096-012-9656-9
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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