Inadequação do uso de medicamentos entre idosos em Pelotas, RS
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/138312 |
Resumo: | OBJECTIVE To assess the use of potentially inappropriate medications among older adults. METHODS This is a population-based cross-sectional study with 1,451 older individuals aged 60 years or more in the city of Pelotas, State of Rio Grande do Sul, Brazil, in 2014. We have investigated the use of medications in the last 15 days. Using the Beers criteria (2012), we have verified the use of potentially inappropriate medications and their relationship with socioeconomic and demographic variables, polypharmacy, self-medication, and burden of disease. RESULTS Among the 5,700 medications used, 5,651 could be assessed as to being inappropriate. Of these, 937 were potentially inappropriate for the older adults according to the 2012 Beers criteria (16.6%). Approximately 42.4% of the older adults studied used at least one medication considered as potentially inappropriate. The group of medications for the nervous system accounted for 48.9% of the total of the potentially inappropriate medications. In the adjusted analysis, the variables female, advanced age, white race, low educational level, polypharmacy, self-medication, and burden of disease were associated with the use of potentially inappropriate medications. CONCLUSIONS It is important to known the possible consequences of the use of medication among older adults. Special attention should be given to the older adults who use polypharmacy. Specific lists should be created with more appropriate medications for the older population in the National Essential Medicine List. |
id |
USP-23_da25faeadafa6a81064fbd050bce43c9 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/138312 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Inadequação do uso de medicamentos entre idosos em Pelotas, RSPotentially inappropriate medications among older adults in Pelotas, Southern BrazilIdosoAutomedicaçãoUso de MedicamentosFatores SocioeconômicosFarmacoepidemiologiaAgedSelf MedicationDrug TherapyCombinationDrug UtilizationSocioeconomic FactorsPharmacoepidemiology OBJECTIVE To assess the use of potentially inappropriate medications among older adults. METHODS This is a population-based cross-sectional study with 1,451 older individuals aged 60 years or more in the city of Pelotas, State of Rio Grande do Sul, Brazil, in 2014. We have investigated the use of medications in the last 15 days. Using the Beers criteria (2012), we have verified the use of potentially inappropriate medications and their relationship with socioeconomic and demographic variables, polypharmacy, self-medication, and burden of disease. RESULTS Among the 5,700 medications used, 5,651 could be assessed as to being inappropriate. Of these, 937 were potentially inappropriate for the older adults according to the 2012 Beers criteria (16.6%). Approximately 42.4% of the older adults studied used at least one medication considered as potentially inappropriate. The group of medications for the nervous system accounted for 48.9% of the total of the potentially inappropriate medications. In the adjusted analysis, the variables female, advanced age, white race, low educational level, polypharmacy, self-medication, and burden of disease were associated with the use of potentially inappropriate medications. CONCLUSIONS It is important to known the possible consequences of the use of medication among older adults. Special attention should be given to the older adults who use polypharmacy. Specific lists should be created with more appropriate medications for the older population in the National Essential Medicine List. OBJETIVO Avaliar o uso de medicamentos potencialmente inadequados entre idosos. MÉTODOS Estudo transversal de base populacional com 1.451 idosos com 60 anos ou mais em Pelotas, RS, em 2014. Investigou-se o uso de medicamentos nos últimos 15 dias. Utilizando os critérios de Beers (2012), verificou-se a potencial inadequação dos medicamentos e sua relação com variáveis socioeconômicas e demográficas, polifarmácia, automedicação e carga de doença. RESULTADOS Dentre os 5.700 medicamentos utilizados, 5.651 puderam ser avaliados quanto à inadequação. Destes, 937 eram potencialmente inadequados para idosos segundo os critérios de Beers de 2012 (16,6%). Cerca de 42,4% dos idosos usaram no mínimo um medicamento considerado potencialmente inapropriado. O grupo de medicamentos para o sistema nervoso correspondeu a 48,9% do total de medicamentos potencialmente inadequados. Na análise ajustada, as variáveis sexo feminino, idade avançada, cor da pele branca, baixa escolaridade, polifarmácia, automedicação e carga de doença mostraram-se associadas ao uso de medicamentos potencialmente inadequados. CONCLUSÕES É importante que sejam bem conhecidas as possíveis consequências do uso de medicamentos entre idosos. Atenção especial deve ser dada aos idosos que fazem uso de polifarmácia. É necessário existir listas específicas com medicamentos mais adequados para uso em idosos na Relação Nacional de Medicamentos Essenciais.Universidade de São Paulo. Faculdade de Saúde Pública2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/13831210.1590/s1518-8787.2017051006556Revista de Saúde Pública; Vol. 51 (2017); 52Revista de Saúde Pública; Vol. 51 (2017); 52Revista de Saúde Pública; v. 51 (2017); 521518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/138312/133775https://www.revistas.usp.br/rsp/article/view/138312/133776Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLutz, Bárbara HeatherMiranda, Vanessa Irribarem AvenaBertoldi, Andréa Dâmaso2017-12-14T10:16:02Zoai:revistas.usp.br:article/138312Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-12-14T10:16:02Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS Potentially inappropriate medications among older adults in Pelotas, Southern Brazil |
title |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS |
spellingShingle |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS Lutz, Bárbara Heather Idoso Automedicação Uso de Medicamentos Fatores Socioeconômicos Farmacoepidemiologia Aged Self Medication Drug Therapy Combination Drug Utilization Socioeconomic Factors Pharmacoepidemiology |
title_short |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS |
title_full |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS |
title_fullStr |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS |
title_full_unstemmed |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS |
title_sort |
Inadequação do uso de medicamentos entre idosos em Pelotas, RS |
author |
Lutz, Bárbara Heather |
author_facet |
Lutz, Bárbara Heather Miranda, Vanessa Irribarem Avena Bertoldi, Andréa Dâmaso |
author_role |
author |
author2 |
Miranda, Vanessa Irribarem Avena Bertoldi, Andréa Dâmaso |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Lutz, Bárbara Heather Miranda, Vanessa Irribarem Avena Bertoldi, Andréa Dâmaso |
dc.subject.por.fl_str_mv |
Idoso Automedicação Uso de Medicamentos Fatores Socioeconômicos Farmacoepidemiologia Aged Self Medication Drug Therapy Combination Drug Utilization Socioeconomic Factors Pharmacoepidemiology |
topic |
Idoso Automedicação Uso de Medicamentos Fatores Socioeconômicos Farmacoepidemiologia Aged Self Medication Drug Therapy Combination Drug Utilization Socioeconomic Factors Pharmacoepidemiology |
description |
OBJECTIVE To assess the use of potentially inappropriate medications among older adults. METHODS This is a population-based cross-sectional study with 1,451 older individuals aged 60 years or more in the city of Pelotas, State of Rio Grande do Sul, Brazil, in 2014. We have investigated the use of medications in the last 15 days. Using the Beers criteria (2012), we have verified the use of potentially inappropriate medications and their relationship with socioeconomic and demographic variables, polypharmacy, self-medication, and burden of disease. RESULTS Among the 5,700 medications used, 5,651 could be assessed as to being inappropriate. Of these, 937 were potentially inappropriate for the older adults according to the 2012 Beers criteria (16.6%). Approximately 42.4% of the older adults studied used at least one medication considered as potentially inappropriate. The group of medications for the nervous system accounted for 48.9% of the total of the potentially inappropriate medications. In the adjusted analysis, the variables female, advanced age, white race, low educational level, polypharmacy, self-medication, and burden of disease were associated with the use of potentially inappropriate medications. CONCLUSIONS It is important to known the possible consequences of the use of medication among older adults. Special attention should be given to the older adults who use polypharmacy. Specific lists should be created with more appropriate medications for the older population in the National Essential Medicine List. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/138312 10.1590/s1518-8787.2017051006556 |
url |
https://www.revistas.usp.br/rsp/article/view/138312 |
identifier_str_mv |
10.1590/s1518-8787.2017051006556 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/138312/133775 https://www.revistas.usp.br/rsp/article/view/138312/133776 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 51 (2017); 52 Revista de Saúde Pública; Vol. 51 (2017); 52 Revista de Saúde Pública; v. 51 (2017); 52 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221798425427968 |