Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic

Detalhes bibliográficos
Autor(a) principal: Linkievicz,Natascha Melo
Data de Publicação: 2024
Outros Autores: Sgnaolin,Vanessa, Engroff,Paula, Pereira,Mateus Fraga, Neto,Alfredo Cataldo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Geriatrics, Gerontology and Aging (Online)
Texto Completo: https://ggaging.com/details/1821
Resumo: <p><b>OBJECTIVE:</b> To describe the psychotropic drug deprescription process in older patients of a geriatric psychiatry outpatient clinic. <br> <b>METHODS:</b> We conducted a quasi-experimental study of people aged &ge;&thinsp; 60 years who were treated at Hospital São Lucas' Geriatric Psychiatry Outpatient Clinic, which is affiliated with Pontifícia Universidade Católica do Rio Grande do Sul, Brazil. Data on 150 older people were collected from March 2021 to August 2022 and were evaluated by the pharmacists. The inclusion criteria were age &ge; 60 years, being a patient of the hospital's Geriatric Psychiatry Outpatient Clinic, use of at least one psychotropic drug, and agreeing to participate in the study. Those unable to report their medications and those who only came to the first appointment were excluded. <br> <b>RESULTS:</b> Overall, deprescription of at least one psychotropic drug was indicated in 61.3% (n = 92) of the participants, and it was effectively implemented in 68.5% (n = 63) of this group. Deprescribing, which was more frequent in the youngest age group (60&ndash;69 years) (p = 0.049), was indicated for 37.4% (n = 136) of psychotropic drugs, 67.6% (n = 92) of which were effectively deprescribed. The main classes indicated for deprescription were hypnotics and sedatives (90.0%; n = 18) and anxiolytics (73.3%; n = 11). <br> <b>CONCLUSIONS:</b> At least 1 psychotropic drug was indicated for deprescription in the majority of the patients, and in most cases it was effectively implemented. One-third of the prescribed psychotropic drugs were indicated for deprescription, and more than half were successfully deprescribed.</p>
id SBGG_730d07c4501e9966331a69cc1c15e687
oai_identifier_str oai:ggaging.com:1821
network_acronym_str SBGG
network_name_str Geriatrics, Gerontology and Aging (Online)
repository_id_str
spelling Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinicaged deprescriptions drugs psychotropic drugs.<p><b>OBJECTIVE:</b> To describe the psychotropic drug deprescription process in older patients of a geriatric psychiatry outpatient clinic. <br> <b>METHODS:</b> We conducted a quasi-experimental study of people aged &ge;&thinsp; 60 years who were treated at Hospital São Lucas' Geriatric Psychiatry Outpatient Clinic, which is affiliated with Pontifícia Universidade Católica do Rio Grande do Sul, Brazil. Data on 150 older people were collected from March 2021 to August 2022 and were evaluated by the pharmacists. The inclusion criteria were age &ge; 60 years, being a patient of the hospital's Geriatric Psychiatry Outpatient Clinic, use of at least one psychotropic drug, and agreeing to participate in the study. Those unable to report their medications and those who only came to the first appointment were excluded. <br> <b>RESULTS:</b> Overall, deprescription of at least one psychotropic drug was indicated in 61.3% (n = 92) of the participants, and it was effectively implemented in 68.5% (n = 63) of this group. Deprescribing, which was more frequent in the youngest age group (60&ndash;69 years) (p = 0.049), was indicated for 37.4% (n = 136) of psychotropic drugs, 67.6% (n = 92) of which were effectively deprescribed. The main classes indicated for deprescription were hypnotics and sedatives (90.0%; n = 18) and anxiolytics (73.3%; n = 11). <br> <b>CONCLUSIONS:</b> At least 1 psychotropic drug was indicated for deprescription in the majority of the patients, and in most cases it was effectively implemented. One-third of the prescribed psychotropic drugs were indicated for deprescription, and more than half were successfully deprescribed.</p>Sociedade Brasileira de Geriatria e Gerontologia2024-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/1821Geriatrics, Gerontology and Aging v.18 n.0 2024reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGG10.53886/gga.e0000043_ENinfo:eu-repo/semantics/openAccess Linkievicz,Natascha Melo Sgnaolin,Vanessa Engroff,Paula Pereira,Mateus Fraga Neto,Alfredo Cataldoeng2024-01-01T00:00:00Zoai:ggaging.com:1821Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2024-01-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse
dc.title.none.fl_str_mv Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
title Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
spellingShingle Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
Linkievicz,Natascha Melo
aged
deprescriptions
drugs
psychotropic drugs.
title_short Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
title_full Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
title_fullStr Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
title_full_unstemmed Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
title_sort Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
author Linkievicz,Natascha Melo
author_facet Linkievicz,Natascha Melo
Sgnaolin,Vanessa
Engroff,Paula
Pereira,Mateus Fraga
Neto,Alfredo Cataldo
author_role author
author2 Sgnaolin,Vanessa
Engroff,Paula
Pereira,Mateus Fraga
Neto,Alfredo Cataldo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Linkievicz,Natascha Melo
Sgnaolin,Vanessa
Engroff,Paula
Pereira,Mateus Fraga
Neto,Alfredo Cataldo
dc.subject.por.fl_str_mv aged
deprescriptions
drugs
psychotropic drugs.
topic aged
deprescriptions
drugs
psychotropic drugs.
description <p><b>OBJECTIVE:</b> To describe the psychotropic drug deprescription process in older patients of a geriatric psychiatry outpatient clinic. <br> <b>METHODS:</b> We conducted a quasi-experimental study of people aged &ge;&thinsp; 60 years who were treated at Hospital São Lucas' Geriatric Psychiatry Outpatient Clinic, which is affiliated with Pontifícia Universidade Católica do Rio Grande do Sul, Brazil. Data on 150 older people were collected from March 2021 to August 2022 and were evaluated by the pharmacists. The inclusion criteria were age &ge; 60 years, being a patient of the hospital's Geriatric Psychiatry Outpatient Clinic, use of at least one psychotropic drug, and agreeing to participate in the study. Those unable to report their medications and those who only came to the first appointment were excluded. <br> <b>RESULTS:</b> Overall, deprescription of at least one psychotropic drug was indicated in 61.3% (n = 92) of the participants, and it was effectively implemented in 68.5% (n = 63) of this group. Deprescribing, which was more frequent in the youngest age group (60&ndash;69 years) (p = 0.049), was indicated for 37.4% (n = 136) of psychotropic drugs, 67.6% (n = 92) of which were effectively deprescribed. The main classes indicated for deprescription were hypnotics and sedatives (90.0%; n = 18) and anxiolytics (73.3%; n = 11). <br> <b>CONCLUSIONS:</b> At least 1 psychotropic drug was indicated for deprescription in the majority of the patients, and in most cases it was effectively implemented. One-third of the prescribed psychotropic drugs were indicated for deprescription, and more than half were successfully deprescribed.</p>
publishDate 2024
dc.date.none.fl_str_mv 2024-01-01
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 https://ggaging.com/details/1821
url https://ggaging.com/details/1821
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.53886/gga.e0000043_EN
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 Sociedade Brasileira de Geriatria e Gerontologia
publisher.none.fl_str_mv Sociedade Brasileira de Geriatria e Gerontologia
dc.source.none.fl_str_mv Geriatrics, Gerontology and Aging v.18 n.0 2024
reponame:Geriatrics, Gerontology and Aging (Online)
instname:Sociedade Brasileira de Geriatria e Gerontologia
instacron:SBGG
instname_str Sociedade Brasileira de Geriatria e Gerontologia
instacron_str SBGG
institution SBGG
reponame_str Geriatrics, Gerontology and Aging (Online)
collection Geriatrics, Gerontology and Aging (Online)
repository.name.fl_str_mv Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia
repository.mail.fl_str_mv executiveditors@ggaging.com||nacional@sbgg.org.br
_version_ 1797174503295418368