0220/2019 - Prevalência e Fatores Associados à Polifarmácia em Idosos Atendidos na Atenção Primária à Saúde Em Belo Horizonte, M.G. Prevalence and Factors Associated with polypharmacy in Elderly Treated the Primary Healthcare in Belo Horizonte, M.G.
O objetivo deste artigo é analisar a prevalência de polifarmácia e de polifarmácia excessiva, bem como seus fatores associados, entre idosos atendidos em duas Unidades Básicas de Saúde de Belo Horizonte, MG. Foi conduzido um estudo observacional transversal, realizado por meio de informações resultantes de uma entrevista estruturada ao paciente. Foram analisadas as associações individuais de cada variável explicativa com a polifarmácia e polifarmácia excessiva. Para as variáveis que apresentaram associação significativa com polifarmácia, foi realizada análise multivariada por meio do modelo de regressão logística. Os idosos utilizavam, em média, 5,2 fármacos. A prevalência de polifarmácia foi de 57,7% e de polifarmácia excessiva foi de 4,8%. Na análise univariada, mostraram-se associadas à polifarmácia as condições idade ?70 anos, escolaridade >8 anos, presença de mais de três doenças e presença de sintomas de depressão. Para polifarmácia excessiva, mostraram-se associadas as condições presença de mais de três doenças, autopercepção da saúde negativa e dependência parcial nas atividades instrumentais de vida diária. No modelo multivariado final para polifarmácia, permaneceram as variáveis idade ?70 anos e presença de mais de três doenças.
Palavras-chave:
Polimedicação; idoso; tratamento farmacológico; assistência farmacêutica; atenção primária a saúde.
Abstract:
The objective of this article is to analyze the prevalence of polypharmacy and excessive polypharmacy , as well as its associated factors among the elderly attended at two Basic Health Units of Belo Horizonte, MG. Cross-sectional observational study performed through information resultinga structured interview to the patient. We analyzed the individual associations of each explanatory variable with polypharmacy and with excessive polypharmacy. For the variables that showed a significant association with polypharmacy, a multivariate analysis was performed using the logistic regression model. The elderly used, on average, 5.2 drugs. The prevalence of polypharmacy was 57.7% and excessive polypharmacy was 4.8%. In univariate analysis the variables associated with polypharmacy were: conditions age ≤70 years, schooling > 8 years, presence of more than three diseases and presenting symptoms of depression. For excessive polypharmacy, the presence of more than three diseases, self-perception of negative health, and partial dependence on instrumental activities of daily living were associated with conditions. In the final multivariate model for polypharmacy, the variables age ≤70 years and presence of more than three diseases remained.
Keywords:
Polypharmacy; aged; drug therapy; pharmaceutical services; primary health care.
Prevalence and Factors Associated with polypharmacy in Elderly Treated the Primary Healthcare in Belo Horizonte, M.G.
Resumo (abstract):
The objective of this article is to analyze the prevalence of polypharmacy and excessive polypharmacy , as well as its associated factors among the elderly attended at two Basic Health Units of Belo Horizonte, MG. Cross-sectional observational study performed through information resultinga structured interview to the patient. We analyzed the individual associations of each explanatory variable with polypharmacy and with excessive polypharmacy. For the variables that showed a significant association with polypharmacy, a multivariate analysis was performed using the logistic regression model. The elderly used, on average, 5.2 drugs. The prevalence of polypharmacy was 57.7% and excessive polypharmacy was 4.8%. In univariate analysis the variables associated with polypharmacy were: conditions age ≤70 years, schooling > 8 years, presence of more than three diseases and presenting symptoms of depression. For excessive polypharmacy, the presence of more than three diseases, self-perception of negative health, and partial dependence on instrumental activities of daily living were associated with conditions. In the final multivariate model for polypharmacy, the variables age ≤70 years and presence of more than three diseases remained.
Palavras-chave (keywords):
Polypharmacy; aged; drug therapy; pharmaceutical services; primary health care.
Oliveira, P.C, Silveira, M.R, Ceccato, M.G.B, Reis, A.M.M, Pinto, I.V.L, Reis, E.A. Prevalência e Fatores Associados à Polifarmácia em Idosos Atendidos na Atenção Primária à Saúde Em Belo Horizonte, M.G.. Cien Saude Colet [periódico na internet] (2019/jul). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-e-fatores-associados-a-polifarmacia-em-idosos-atendidos-na-atencao-primaria-a-saude-em-belo-horizonte-mg/17294?id=17294
