Medication regimen complexity in institutionalized elderly people in an aging society
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10174/12488 https://doi.org/10.1007/s11096-014-9963-4. Epub 2014 Jun 7 |
Resumo: | Background Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective To use the MRCI to assess medication regimen complexity in institutionalized elderly people. Setting Five nursing homes in mainland Portugal. Methods A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. Main outcome measure Medication regimen complexity index. Results The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). Conclusion Medication regimen complexity proved to be high. There is certainly potential for the pharmacist’s intervention to reduce it as part as the medication review routine in all the patients. |
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Medication regimen complexity in institutionalized elderly people in an aging societyBackground Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective To use the MRCI to assess medication regimen complexity in institutionalized elderly people. Setting Five nursing homes in mainland Portugal. Methods A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. Main outcome measure Medication regimen complexity index. Results The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). Conclusion Medication regimen complexity proved to be high. There is certainly potential for the pharmacist’s intervention to reduce it as part as the medication review routine in all the patients.2015-01-22T11:54:45Z2015-01-222014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10174/12488http://hdl.handle.net/10174/12488https://doi.org/10.1007/s11096-014-9963-4. Epub 2014 Jun 7engAdvinha, Ana Margarida; de Oliveira-Martins, Sofia; Mateus, Vanessa; Pajote, Sara Grou; Lopes, Manuel José. Medication regimen complexity in institutionalized elderly people in an aging society, International Journal of Clinical Pharmacy, XX, XX-XX, 2014.ana.advinha@gmail.comsom@ff.ul.ptndsarapajote@sapo.ptmjl@uevora.pt240Advinha, Ana Margaridade Oliveira-Martins, SofiaMateus, VanessaPajote, Sara GrouLopes, M. J.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-03T18:54:37Zoai:dspace.uevora.pt:10174/12488Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:04:56.445825Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Medication regimen complexity in institutionalized elderly people in an aging society |
title |
Medication regimen complexity in institutionalized elderly people in an aging society |
spellingShingle |
Medication regimen complexity in institutionalized elderly people in an aging society Advinha, Ana Margarida |
title_short |
Medication regimen complexity in institutionalized elderly people in an aging society |
title_full |
Medication regimen complexity in institutionalized elderly people in an aging society |
title_fullStr |
Medication regimen complexity in institutionalized elderly people in an aging society |
title_full_unstemmed |
Medication regimen complexity in institutionalized elderly people in an aging society |
title_sort |
Medication regimen complexity in institutionalized elderly people in an aging society |
author |
Advinha, Ana Margarida |
author_facet |
Advinha, Ana Margarida de Oliveira-Martins, Sofia Mateus, Vanessa Pajote, Sara Grou Lopes, M. J. |
author_role |
author |
author2 |
de Oliveira-Martins, Sofia Mateus, Vanessa Pajote, Sara Grou Lopes, M. J. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Advinha, Ana Margarida de Oliveira-Martins, Sofia Mateus, Vanessa Pajote, Sara Grou Lopes, M. J. |
description |
Background Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective To use the MRCI to assess medication regimen complexity in institutionalized elderly people. Setting Five nursing homes in mainland Portugal. Methods A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. Main outcome measure Medication regimen complexity index. Results The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). Conclusion Medication regimen complexity proved to be high. There is certainly potential for the pharmacist’s intervention to reduce it as part as the medication review routine in all the patients. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01T00:00:00Z 2015-01-22T11:54:45Z 2015-01-22 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10174/12488 http://hdl.handle.net/10174/12488 https://doi.org/10.1007/s11096-014-9963-4. Epub 2014 Jun 7 |
url |
http://hdl.handle.net/10174/12488 https://doi.org/10.1007/s11096-014-9963-4. Epub 2014 Jun 7 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Advinha, Ana Margarida; de Oliveira-Martins, Sofia; Mateus, Vanessa; Pajote, Sara Grou; Lopes, Manuel José. Medication regimen complexity in institutionalized elderly people in an aging society, International Journal of Clinical Pharmacy, XX, XX-XX, 2014. ana.advinha@gmail.com som@ff.ul.pt nd sarapajote@sapo.pt mjl@uevora.pt 240 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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