Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200175 |
Resumo: | ABSTRACT Objective: Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein. Methods: Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using updated 2003 Beers criteria. Results: Over a period of 6 months, 214 individuals were included in the study, being 53.7% male. The mean age was 70.8 years (60-107). A total of 48 registries of inappropriate prescription were recorded in 42 patients (19.6% of sample). An emergency visit related to adverse drug event was verified in 27 individuals (12.5% of the sample). From these patients, 34.5% were admitted to the emergency department because of an adverse event caused by an inappropriate medication. Conclusion: Inappropriate prescription is frequent among elderly patients admitted to emergency department. A surveillance system and a program to educate physicians on the most recent criteria of appropriate prescription may help reducing emergency visits and adverse drug events in the elderly population. |
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Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescriptionPharmaceutical preparations/adverse effectsPharmaceutical preparations/administration & dosageDrug prescriptionsEmergency service, hospitalAgedABSTRACT Objective: Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein. Methods: Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using updated 2003 Beers criteria. Results: Over a period of 6 months, 214 individuals were included in the study, being 53.7% male. The mean age was 70.8 years (60-107). A total of 48 registries of inappropriate prescription were recorded in 42 patients (19.6% of sample). An emergency visit related to adverse drug event was verified in 27 individuals (12.5% of the sample). From these patients, 34.5% were admitted to the emergency department because of an adverse event caused by an inappropriate medication. Conclusion: Inappropriate prescription is frequent among elderly patients admitted to emergency department. A surveillance system and a program to educate physicians on the most recent criteria of appropriate prescription may help reducing emergency visits and adverse drug events in the elderly population.Instituto Israelita de Ensino e Pesquisa Albert Einstein2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200175einstein (São Paulo) v.8 n.2 2010reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/s1679-45082010ao1473info:eu-repo/semantics/openAccessFarfel,José MarceloAccorsi,Tarso Augusto DuenhasFranken,MarceloDoudement,Sueli PintoMoran,MarianeIervolino,MauroBastos Neto,Antônio Silvaeng2017-03-14T00:00:00Zoai:scielo:S1679-45082010000200175Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2017-03-14T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
title |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
spellingShingle |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription Farfel,José Marcelo Pharmaceutical preparations/adverse effects Pharmaceutical preparations/administration & dosage Drug prescriptions Emergency service, hospital Aged |
title_short |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
title_full |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
title_fullStr |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
title_full_unstemmed |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
title_sort |
Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
author |
Farfel,José Marcelo |
author_facet |
Farfel,José Marcelo Accorsi,Tarso Augusto Duenhas Franken,Marcelo Doudement,Sueli Pinto Moran,Mariane Iervolino,Mauro Bastos Neto,Antônio Silva |
author_role |
author |
author2 |
Accorsi,Tarso Augusto Duenhas Franken,Marcelo Doudement,Sueli Pinto Moran,Mariane Iervolino,Mauro Bastos Neto,Antônio Silva |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Farfel,José Marcelo Accorsi,Tarso Augusto Duenhas Franken,Marcelo Doudement,Sueli Pinto Moran,Mariane Iervolino,Mauro Bastos Neto,Antônio Silva |
dc.subject.por.fl_str_mv |
Pharmaceutical preparations/adverse effects Pharmaceutical preparations/administration & dosage Drug prescriptions Emergency service, hospital Aged |
topic |
Pharmaceutical preparations/adverse effects Pharmaceutical preparations/administration & dosage Drug prescriptions Emergency service, hospital Aged |
description |
ABSTRACT Objective: Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein. Methods: Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using updated 2003 Beers criteria. Results: Over a period of 6 months, 214 individuals were included in the study, being 53.7% male. The mean age was 70.8 years (60-107). A total of 48 registries of inappropriate prescription were recorded in 42 patients (19.6% of sample). An emergency visit related to adverse drug event was verified in 27 individuals (12.5% of the sample). From these patients, 34.5% were admitted to the emergency department because of an adverse event caused by an inappropriate medication. Conclusion: Inappropriate prescription is frequent among elderly patients admitted to emergency department. A surveillance system and a program to educate physicians on the most recent criteria of appropriate prescription may help reducing emergency visits and adverse drug events in the elderly population. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200175 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200175 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1679-45082010ao1473 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.8 n.2 2010 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129905802346496 |