Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/36065 |
Resumo: | Introduction: Brazil, like other countries, has been changing its demographic profile, increasing the number of elderly people, which reflects in changes not only for society, but also for public health. This group of patients is more vulnerable due to the inherent physiology of aging, so they become more likely to use medications that can cause other health problems. This risk probability is a current concern and has led to the creation of methods that guide prescribers to adapt their therapies in this group of patients. One of these methods is the Beers criterion, which is periodically updated with a list of potentially inappropriate medications (PIM) for the elderly. Objective: To evaluate the prescription of elderly patients hospitalized at the University Hospital of Juiz de Fora (HU-UFJF/Ebserh) regarding the prevalence of the use of PIM and polypharmacy, from July to August 2019. Material and Methods: Descriptive and retrospective observational study, whose data were collected from medical records of elderly patients aged 65 years or older to obtain the results that were statistically evaluated. Results: A total of 187 medical records were evaluated, and a prevalence of 80.2% of the prescription of PIMs was observed, the most prevalent being omeprazol and benzodiazepines. Most patients had polypharmacy (95.7%). Conclusion: The results converge, based on the Beers criterion, for the need to suit the therapy of elderly patients. It is also necessary to evaluate the benefits and alternatives regarding the most prevalent PIMs, in addition to conducting observational studies on possible adverse effects that may be a consequence of the use of these medications, aiming to refine pharmacological therapy and improve pharmacoeconomics, thus improving quality of life of elderly patients. |
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Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospitalAvaliação de medicamentos potencialmente inapropriados e da polifarmácia em pacientes idosos em um hospital universitárioPrescrições de MedicamentosSaúde do IdosoHospitalizaçãoPolimedicaçãoEfeitos Colaterais e Reações Adversas Relacionadas a MedicamentosDrug PrescriptionsHealth of the ElderlyHospitalizationPolypharmacyDrug-Related Side Effects and Adverse ReactionsIntroduction: Brazil, like other countries, has been changing its demographic profile, increasing the number of elderly people, which reflects in changes not only for society, but also for public health. This group of patients is more vulnerable due to the inherent physiology of aging, so they become more likely to use medications that can cause other health problems. This risk probability is a current concern and has led to the creation of methods that guide prescribers to adapt their therapies in this group of patients. One of these methods is the Beers criterion, which is periodically updated with a list of potentially inappropriate medications (PIM) for the elderly. Objective: To evaluate the prescription of elderly patients hospitalized at the University Hospital of Juiz de Fora (HU-UFJF/Ebserh) regarding the prevalence of the use of PIM and polypharmacy, from July to August 2019. Material and Methods: Descriptive and retrospective observational study, whose data were collected from medical records of elderly patients aged 65 years or older to obtain the results that were statistically evaluated. Results: A total of 187 medical records were evaluated, and a prevalence of 80.2% of the prescription of PIMs was observed, the most prevalent being omeprazol and benzodiazepines. Most patients had polypharmacy (95.7%). Conclusion: The results converge, based on the Beers criterion, for the need to suit the therapy of elderly patients. It is also necessary to evaluate the benefits and alternatives regarding the most prevalent PIMs, in addition to conducting observational studies on possible adverse effects that may be a consequence of the use of these medications, aiming to refine pharmacological therapy and improve pharmacoeconomics, thus improving quality of life of elderly patients.Introdução: O Brasil, assim como outros países, vem alterando seu perfil demográfico elevando o número de pessoas idosas, o que repercute em mudanças não só para sociedade, mas também para saúde pública. Este grupo de pacientes é mais vulnerável devido à fisiologia inerente ao envelhecimento, logo se tornam mais propensos ao uso de medicamentos que podem causar outros problemas de saúde. Essa probabilidade de risco é uma preocupação atual e levou a criação de métodos que norteiam os prescritores para adequarem suas terapêuticas neste grupo de pacientes. Um destes métodos é o critério de Beers, que é atualizado periodicamente trazendo uma lista de medicamentos potencialmente inapropriados (MPIs) para idosos. Objetivo: Avaliar a prescrição de pacientes idosos internados no Hospital Universitário da Universidade Federal de Juiz de Fora (HU-UFJF/Ebserh) quanto à prevalência do uso de MPI e polifarmácia, no período de julho a agosto de 2019. Material e Métodos: Estudo observacional descritivo e retrospectivo, cujos dados foram coletados de prontuários pacientes idosos com idade igual ou superior a 65 anos para obtenção dos resultados que foram avaliados estatisticamente. Resultados: Foram avaliados 187 prontuários, e observada prevalência de 80,2% da prescrição de MPIs, sendo os mais prevalentes omeprazol e benzodiazepínicos. A maioria dos pacientes tiveram polifarmácia (95,7%). Conclusão: Os resultados convergem com base no critério de Beers, para necessidade de adequar a terapia de pacientes idosos. É necessário também avaliar os benefícios e alternativas quanto aos MPIs mais prevalentes, além de realizar estudos observacionais sobre possíveis efeitos adversos que possam ser consequência do uso desses medicamentos, com objetivo de aperfeiçoar a terapia farmacológica e aprimorar a farmacoeconomia, melhorando assim a qualidade de vida dos pacientes idosos.Editora UFJF2022-03-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrvideo/mp4image/jpegapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/3606510.34019/1982-8047.2022.v48.36065HU Revista; v. 48 (2022); 1 - 81982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/36065/25104https://periodicos.ufjf.br/index.php/hurevista/article/view/36065/24960https://periodicos.ufjf.br/index.php/hurevista/article/view/36065/24194Copyright (c) 2022 Fernanda da Silva Neves, Rosana sousa, Felipe Martins, Ana Caroline Costa Pinheiro Pinto, Luana Moratori Pires , Igor Rosa Meurer https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessda Silva Neves, Fernanda sousa, RosanaMartins, FelipeCosta Pinheiro Pinto, Ana CarolineMoratori Pires , LuanaRosa Meurer , Igor2022-02-23T16:55:14Zoai:periodicos.ufjf.br:article/36065Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2022-02-23T16:55:14HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital Avaliação de medicamentos potencialmente inapropriados e da polifarmácia em pacientes idosos em um hospital universitário |
title |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital |
spellingShingle |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital da Silva Neves, Fernanda Prescrições de Medicamentos Saúde do Idoso Hospitalização Polimedicação Efeitos Colaterais e Reações Adversas Relacionadas a Medicamentos Drug Prescriptions Health of the Elderly Hospitalization Polypharmacy Drug-Related Side Effects and Adverse Reactions |
title_short |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital |
title_full |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital |
title_fullStr |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital |
title_full_unstemmed |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital |
title_sort |
Evaluation of potentially inappropriate medications and polypharmacy in elderly patients at a university hospital |
author |
da Silva Neves, Fernanda |
author_facet |
da Silva Neves, Fernanda sousa, Rosana Martins, Felipe Costa Pinheiro Pinto, Ana Caroline Moratori Pires , Luana Rosa Meurer , Igor |
author_role |
author |
author2 |
sousa, Rosana Martins, Felipe Costa Pinheiro Pinto, Ana Caroline Moratori Pires , Luana Rosa Meurer , Igor |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
da Silva Neves, Fernanda sousa, Rosana Martins, Felipe Costa Pinheiro Pinto, Ana Caroline Moratori Pires , Luana Rosa Meurer , Igor |
dc.subject.por.fl_str_mv |
Prescrições de Medicamentos Saúde do Idoso Hospitalização Polimedicação Efeitos Colaterais e Reações Adversas Relacionadas a Medicamentos Drug Prescriptions Health of the Elderly Hospitalization Polypharmacy Drug-Related Side Effects and Adverse Reactions |
topic |
Prescrições de Medicamentos Saúde do Idoso Hospitalização Polimedicação Efeitos Colaterais e Reações Adversas Relacionadas a Medicamentos Drug Prescriptions Health of the Elderly Hospitalization Polypharmacy Drug-Related Side Effects and Adverse Reactions |
description |
Introduction: Brazil, like other countries, has been changing its demographic profile, increasing the number of elderly people, which reflects in changes not only for society, but also for public health. This group of patients is more vulnerable due to the inherent physiology of aging, so they become more likely to use medications that can cause other health problems. This risk probability is a current concern and has led to the creation of methods that guide prescribers to adapt their therapies in this group of patients. One of these methods is the Beers criterion, which is periodically updated with a list of potentially inappropriate medications (PIM) for the elderly. Objective: To evaluate the prescription of elderly patients hospitalized at the University Hospital of Juiz de Fora (HU-UFJF/Ebserh) regarding the prevalence of the use of PIM and polypharmacy, from July to August 2019. Material and Methods: Descriptive and retrospective observational study, whose data were collected from medical records of elderly patients aged 65 years or older to obtain the results that were statistically evaluated. Results: A total of 187 medical records were evaluated, and a prevalence of 80.2% of the prescription of PIMs was observed, the most prevalent being omeprazol and benzodiazepines. Most patients had polypharmacy (95.7%). Conclusion: The results converge, based on the Beers criterion, for the need to suit the therapy of elderly patients. It is also necessary to evaluate the benefits and alternatives regarding the most prevalent PIMs, in addition to conducting observational studies on possible adverse effects that may be a consequence of the use of these medications, aiming to refine pharmacological therapy and improve pharmacoeconomics, thus improving quality of life of elderly patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/36065 10.34019/1982-8047.2022.v48.36065 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/36065 |
identifier_str_mv |
10.34019/1982-8047.2022.v48.36065 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/36065/25104 https://periodicos.ufjf.br/index.php/hurevista/article/view/36065/24960 https://periodicos.ufjf.br/index.php/hurevista/article/view/36065/24194 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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video/mp4 image/jpeg application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 48 (2022); 1 - 8 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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