Polypharmacy, inappropriate medication use and associated factors among brazilian older adults
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos Saúde Coletiva (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2020000300400 |
Resumo: | Abstract Background Population aging is still an important worldwide phenomenon. Elderly people suffer from multiple chronic diseases that require the use of several drugs, and this demographic scenario fosters the increased prescription of multiple drugs, or Polypharmacy (PP) and Potentially Inappropriate Medication (PIM). Objective This study aimed to identify the prevalence rates and associated factors of PP and PIM in Brazilian older adults. Method The prevalence of PIM use and PP was estimated in a sample of 222 patients enrolled in the Family Health Program in Niterói, Brazil. Logistic regression models were used to analyze the data. Age and sex were kept in the models as potential confounding factors. Results PP and PIM use presented prevalence rates of 23.9 and 24.8%, respectively. PP was associated with body mass index, coronary heart disease, diabetes mellitus, and a number of comorbidities, whereas PIM use was associated with PP. Conclusion The prevalence rates of PP and PIM use found were lower than those reported in previous studies. This could be a result of differences in availability of drugs or prescribing habits. Multiple chronic diseases were associated with PP. These results suggest that more care should be taken in prescribing for the elderly population. |
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Polypharmacy, inappropriate medication use and associated factors among brazilian older adultsdrug therapyepidemiologyolder adultsAbstract Background Population aging is still an important worldwide phenomenon. Elderly people suffer from multiple chronic diseases that require the use of several drugs, and this demographic scenario fosters the increased prescription of multiple drugs, or Polypharmacy (PP) and Potentially Inappropriate Medication (PIM). Objective This study aimed to identify the prevalence rates and associated factors of PP and PIM in Brazilian older adults. Method The prevalence of PIM use and PP was estimated in a sample of 222 patients enrolled in the Family Health Program in Niterói, Brazil. Logistic regression models were used to analyze the data. Age and sex were kept in the models as potential confounding factors. Results PP and PIM use presented prevalence rates of 23.9 and 24.8%, respectively. PP was associated with body mass index, coronary heart disease, diabetes mellitus, and a number of comorbidities, whereas PIM use was associated with PP. Conclusion The prevalence rates of PP and PIM use found were lower than those reported in previous studies. This could be a result of differences in availability of drugs or prescribing habits. Multiple chronic diseases were associated with PP. These results suggest that more care should be taken in prescribing for the elderly population.Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro2020-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2020000300400Cadernos Saúde Coletiva v.28 n.3 2020reponame:Cadernos Saúde Coletiva (Online)instname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ10.1590/1414-462x202028030245info:eu-repo/semantics/openAccessConstantino,Juliana LimaBozzi,Ronielly PereiraSouza,Gustavo Pinheiro Machado Motta deMarchesi,RenanJorge,Antonio José LagoeiroCorreia,Dayse Mary da SilvaRosa,Maria Luiza GarciaGiordani,FabíolaBaltar,Valéria Troncosoeng2020-12-11T00:00:00Zoai:scielo:S1414-462X2020000300400Revistahttp://www.iesc.ufrj.br/cadernos/ONGhttps://old.scielo.br/oai/scielo-oai.phpabelha@iesc.ufrj.br||abelha@iesc.ufrj.br2358-291X1414-462Xopendoar:2020-12-11T00:00Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ)false |
dc.title.none.fl_str_mv |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
title |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
spellingShingle |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults Constantino,Juliana Lima drug therapy epidemiology older adults |
title_short |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
title_full |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
title_fullStr |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
title_full_unstemmed |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
title_sort |
Polypharmacy, inappropriate medication use and associated factors among brazilian older adults |
author |
Constantino,Juliana Lima |
author_facet |
Constantino,Juliana Lima Bozzi,Ronielly Pereira Souza,Gustavo Pinheiro Machado Motta de Marchesi,Renan Jorge,Antonio José Lagoeiro Correia,Dayse Mary da Silva Rosa,Maria Luiza Garcia Giordani,Fabíola Baltar,Valéria Troncoso |
author_role |
author |
author2 |
Bozzi,Ronielly Pereira Souza,Gustavo Pinheiro Machado Motta de Marchesi,Renan Jorge,Antonio José Lagoeiro Correia,Dayse Mary da Silva Rosa,Maria Luiza Garcia Giordani,Fabíola Baltar,Valéria Troncoso |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Constantino,Juliana Lima Bozzi,Ronielly Pereira Souza,Gustavo Pinheiro Machado Motta de Marchesi,Renan Jorge,Antonio José Lagoeiro Correia,Dayse Mary da Silva Rosa,Maria Luiza Garcia Giordani,Fabíola Baltar,Valéria Troncoso |
dc.subject.por.fl_str_mv |
drug therapy epidemiology older adults |
topic |
drug therapy epidemiology older adults |
description |
Abstract Background Population aging is still an important worldwide phenomenon. Elderly people suffer from multiple chronic diseases that require the use of several drugs, and this demographic scenario fosters the increased prescription of multiple drugs, or Polypharmacy (PP) and Potentially Inappropriate Medication (PIM). Objective This study aimed to identify the prevalence rates and associated factors of PP and PIM in Brazilian older adults. Method The prevalence of PIM use and PP was estimated in a sample of 222 patients enrolled in the Family Health Program in Niterói, Brazil. Logistic regression models were used to analyze the data. Age and sex were kept in the models as potential confounding factors. Results PP and PIM use presented prevalence rates of 23.9 and 24.8%, respectively. PP was associated with body mass index, coronary heart disease, diabetes mellitus, and a number of comorbidities, whereas PIM use was associated with PP. Conclusion The prevalence rates of PP and PIM use found were lower than those reported in previous studies. This could be a result of differences in availability of drugs or prescribing habits. Multiple chronic diseases were associated with PP. These results suggest that more care should be taken in prescribing for the elderly population. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-09-01 |
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=S1414-462X2020000300400 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2020000300400 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1414-462x202028030245 |
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 de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
dc.source.none.fl_str_mv |
Cadernos Saúde Coletiva v.28 n.3 2020 reponame:Cadernos Saúde Coletiva (Online) instname:Universidade Federal do Rio de Janeiro (UFRJ) instacron:UFRJ |
instname_str |
Universidade Federal do Rio de Janeiro (UFRJ) |
instacron_str |
UFRJ |
institution |
UFRJ |
reponame_str |
Cadernos Saúde Coletiva (Online) |
collection |
Cadernos Saúde Coletiva (Online) |
repository.name.fl_str_mv |
Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ) |
repository.mail.fl_str_mv |
abelha@iesc.ufrj.br||abelha@iesc.ufrj.br |
_version_ |
1750128226689089536 |