Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade
Main Author: | |
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Publication Date: | 2017 |
Format: | Master thesis |
Language: | por |
Source: | Manancial - Repositório Digital da UFSM |
Download full: | http://repositorio.ufsm.br/handle/1/18941 |
Summary: | This study aimed to investigate the use of drugs and their potential drug interactions as factors associated with the fragility syndrome. Research of observational, transversal, descriptive, analytical, population-based design; Linked to the research "The Health of the Elderly in Primary Care". The study population was aged 60 years and older, both sexes, enrolled in one of the twelve Family Health Strategies (ESFs) of the urban area of the municipality in the northwestern region of Rio Grande do Sul. The study sample was probabilistic and the reference for the calculation Of the sample size were the data from the Brazilian Institute of Geography and Statistics and the number of elderly people attached to Thus, a size of 636 elderly people was reached and the stratified sampling technique was used by ESF and by sex. Due to losses during the study, the final sample occurred with 554 subjects. Data collection was performed in the home, with information on sociodemographic characteristics, pharmacotherapeutic profile and fragility evaluation, based on Fried et al., (2001) criteria. The results highlight the association between fragility and the variables: polypharmacy; Use of potentially inappropriate drugs (MPI); Potential drug interactions (MI) and more than two potential drug interactions with or without MPI. In addition, there was a relationship between: fragility and polypharmacy, where the elderly who used five or more drugs had a 2.24 times greater chance for this condition; (OR = 1.59, 95% CI 1.12-2.25), and in the elderly with more than two interactions with or without MPI. When considering specific IM potentials present in the fragile elderly, there was a higher frequency between Enalapril and Metformin; And between Digoxin and Omeprazole, when considered interactions between inappropriate drugs. A significant association between fragility and interactions between calcium and hydrochlorothiazide (p = 0.02) and between Digoxin and Omeprazole (p = 0.02) was observed. It is important to consider the problems arising from Elderly drug therapy, in order to meet the needs for the detection, prevention and resolution of iatrogenies caused by the use of drugs and how much they interfere in the fragility so that full care can be given to the elderly. |
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2019-11-14T21:19:09Z2019-11-14T21:19:09Z2017-08-31http://repositorio.ufsm.br/handle/1/18941This study aimed to investigate the use of drugs and their potential drug interactions as factors associated with the fragility syndrome. Research of observational, transversal, descriptive, analytical, population-based design; Linked to the research "The Health of the Elderly in Primary Care". The study population was aged 60 years and older, both sexes, enrolled in one of the twelve Family Health Strategies (ESFs) of the urban area of the municipality in the northwestern region of Rio Grande do Sul. The study sample was probabilistic and the reference for the calculation Of the sample size were the data from the Brazilian Institute of Geography and Statistics and the number of elderly people attached to Thus, a size of 636 elderly people was reached and the stratified sampling technique was used by ESF and by sex. Due to losses during the study, the final sample occurred with 554 subjects. Data collection was performed in the home, with information on sociodemographic characteristics, pharmacotherapeutic profile and fragility evaluation, based on Fried et al., (2001) criteria. The results highlight the association between fragility and the variables: polypharmacy; Use of potentially inappropriate drugs (MPI); Potential drug interactions (MI) and more than two potential drug interactions with or without MPI. In addition, there was a relationship between: fragility and polypharmacy, where the elderly who used five or more drugs had a 2.24 times greater chance for this condition; (OR = 1.59, 95% CI 1.12-2.25), and in the elderly with more than two interactions with or without MPI. When considering specific IM potentials present in the fragile elderly, there was a higher frequency between Enalapril and Metformin; And between Digoxin and Omeprazole, when considered interactions between inappropriate drugs. A significant association between fragility and interactions between calcium and hydrochlorothiazide (p = 0.02) and between Digoxin and Omeprazole (p = 0.02) was observed. It is important to consider the problems arising from Elderly drug therapy, in order to meet the needs for the detection, prevention and resolution of iatrogenies caused by the use of drugs and how much they interfere in the fragility so that full care can be given to the elderly.Esse estudo propôs investigar a utilização de medicamentos e suas potenciais interações medicamentosas como fatores associados à síndrome da fragilidade. Pesquisa de delineamento observacional, transversal, descritiva, analítica, de base populacional; vinculada à pesquisa ―A Saúde do Idoso na Atenção Primária‖. A população do estudo foram idosos com idade igual ou superior a 60 anos, ambos os sexos, cadastrados em uma das doze Estratégias Saúde da Família (ESFs) da área urbana de um município da região noroeste do Rio Grande do Sul. A amostra do estudo foi probabilística e a referência para o cálculo do tamanho da amostral foram os dados do Instituto Brasileiro de Geografia e Estatística e o número de idosos adstritos as ESFs. Dessa forma chegou-se a um tamanho de 636 idosos e utilizou-se a técnica de amostragem estratificada proporcional por ESF e por sexo. Devido a perdas no decorrer do estudo, a amostra final se deu com 554 sujeitos. A coleta de dados foi realizada no espaço domiciliar, com informações referentes a características sociodemográficas, perfil farmacoterapêutico e avaliação de fragilidade, baseado nos critérios de Fried et al., (2001). Dos resultados destaca-se a associação entre a fragilidade e as variáveis: polifarmácia; uso de medicamentos potencialmente inapropriados (MPI); potenciais interações medicamentosas (IM) e mais de duas potenciais interações medicamentosas com presença ou não de MPI. Além disso, verificou-se relação entre: a fragilidade e polifarmácia, onde os idosos que faziam o uso de cinco medicamentos ou mais apresentavam 2,24 vezes mais chances para essa condição; nos idosos sujeitos a IM (OR = 1,59; IC 95% 1,12-2,25) e nos idosos com presença de mais de duas interações com presença ou não de MPI. Ao considerar as potenciais IM específicas presentes nos idosos frágeis, verificou-se maior frequência entre Enalapril e Metformina; e entre Digoxina e Omeprazol, quando considerado interações entre medicamentos inapropriados. Ainda, observou-se associação estatisticamente significativa entre fragilidade e as interações entre os medicamentos Cálcio e Hidroclorotiazida (p= 0,02) e entre Digoxina e Omeprazol (p=0,02). Ressalta-se a importância de considerar os problemas decorrentes da terapia medicamentosa dos idosos, a fim de suprir as necessidades de detecção, prevenção e resolução de iatrogenias decorrentes do uso de medicamentos e o quanto interferem na fragilidade para que se possa ter uma assistência integral ao idoso.porUniversidade Federal de Santa MariaCentro de Educação Física e DesportosPrograma de Pós-Graduação em GerontologiaUFSMBrasilCiências da SaúdeAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessIdosoIdoso fragilizadoMedicamentosInterações medicamentosasInterações medicamentosasElderlyFragile elderlyMedicinesDrug interactionsCNPQ::CIENCIAS DA SAUDEEstudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidadeStudy of iatrogenia by medicinal interaction and its relationship with the fragility of elderly residents in the communityinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisBerlezi, Evelise Moraeshttp://lattes.cnpq.br/8373298120143786Alves, Izabel Almeidahttp://lattes.cnpq.br/0091667422924639Dallepiane, Loiva Beatrizhttp://lattes.cnpq.br/5570695730349223http://lattes.cnpq.br/8800671606595801Pagno, Andressa Rodrigues4000000000016002d2104c7-e232-473e-a04c-26fb5f4666aa30e6214f-f8f7-4310-b0da-0667958335fa50c9c60c-3ef5-49b2-b646-28cf48e2160fbc3a4cf6-0c4f-47b1-a78f-7362cf56cdc1reponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
dc.title.alternative.eng.fl_str_mv |
Study of iatrogenia by medicinal interaction and its relationship with the fragility of elderly residents in the community |
title |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
spellingShingle |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade Pagno, Andressa Rodrigues Idoso Idoso fragilizado Medicamentos Interações medicamentosas Interações medicamentosas Elderly Fragile elderly Medicines Drug interactions CNPQ::CIENCIAS DA SAUDE |
title_short |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
title_full |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
title_fullStr |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
title_full_unstemmed |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
title_sort |
Estudo da iatrogenia por interação medicamentosa e sua relação com a fragilidade em idosos residentes na comunidade |
author |
Pagno, Andressa Rodrigues |
author_facet |
Pagno, Andressa Rodrigues |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Berlezi, Evelise Moraes |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8373298120143786 |
dc.contributor.referee1.fl_str_mv |
Alves, Izabel Almeida |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0091667422924639 |
dc.contributor.referee2.fl_str_mv |
Dallepiane, Loiva Beatriz |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/5570695730349223 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8800671606595801 |
dc.contributor.author.fl_str_mv |
Pagno, Andressa Rodrigues |
contributor_str_mv |
Berlezi, Evelise Moraes Alves, Izabel Almeida Dallepiane, Loiva Beatriz |
dc.subject.por.fl_str_mv |
Idoso Idoso fragilizado Medicamentos Interações medicamentosas Interações medicamentosas |
topic |
Idoso Idoso fragilizado Medicamentos Interações medicamentosas Interações medicamentosas Elderly Fragile elderly Medicines Drug interactions CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Elderly Fragile elderly Medicines Drug interactions |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
This study aimed to investigate the use of drugs and their potential drug interactions as factors associated with the fragility syndrome. Research of observational, transversal, descriptive, analytical, population-based design; Linked to the research "The Health of the Elderly in Primary Care". The study population was aged 60 years and older, both sexes, enrolled in one of the twelve Family Health Strategies (ESFs) of the urban area of the municipality in the northwestern region of Rio Grande do Sul. The study sample was probabilistic and the reference for the calculation Of the sample size were the data from the Brazilian Institute of Geography and Statistics and the number of elderly people attached to Thus, a size of 636 elderly people was reached and the stratified sampling technique was used by ESF and by sex. Due to losses during the study, the final sample occurred with 554 subjects. Data collection was performed in the home, with information on sociodemographic characteristics, pharmacotherapeutic profile and fragility evaluation, based on Fried et al., (2001) criteria. The results highlight the association between fragility and the variables: polypharmacy; Use of potentially inappropriate drugs (MPI); Potential drug interactions (MI) and more than two potential drug interactions with or without MPI. In addition, there was a relationship between: fragility and polypharmacy, where the elderly who used five or more drugs had a 2.24 times greater chance for this condition; (OR = 1.59, 95% CI 1.12-2.25), and in the elderly with more than two interactions with or without MPI. When considering specific IM potentials present in the fragile elderly, there was a higher frequency between Enalapril and Metformin; And between Digoxin and Omeprazole, when considered interactions between inappropriate drugs. A significant association between fragility and interactions between calcium and hydrochlorothiazide (p = 0.02) and between Digoxin and Omeprazole (p = 0.02) was observed. It is important to consider the problems arising from Elderly drug therapy, in order to meet the needs for the detection, prevention and resolution of iatrogenies caused by the use of drugs and how much they interfere in the fragility so that full care can be given to the elderly. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-08-31 |
dc.date.accessioned.fl_str_mv |
2019-11-14T21:19:09Z |
dc.date.available.fl_str_mv |
2019-11-14T21:19:09Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/18941 |
url |
http://repositorio.ufsm.br/handle/1/18941 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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400000000001 |
dc.relation.confidence.fl_str_mv |
600 |
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dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Educação Física e Desportos |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Gerontologia |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Educação Física e Desportos |
dc.source.none.fl_str_mv |
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