0295/2015 - Utilização de medicamentos potencialmente inapropriados por idosos em domicílio Use of potentially inappropriate medications by elderly at home
• Soraya Coelho Costa - Costa, Soraya Coelho - Hospital das Clinicas da UFMG, Instituto Jenny de Andrade Faria - <soraya.costa@oi.com.br>
• Tácita Pires de Figueredo - de Figueredo, Tácita Pires - Hospital das Clinicas da UFMG - <tacitapf@gmail.com>
Área Temática:
Assistência Farmacêutica
Resumo:
O objetivo foi avaliar a frequência de utilização em domicílio de medicamentos potencialmente inapropriados por idosos e analisar a significância clínica. Trata-se de estudo transversal retrospectivo, recorte de um estudo de utilização de medicamentos desenvolvido em um hospital público. Os medicamentos inapropriados foram classificados empregando os três grupos de critérios explícitos incluídos na Lista de Beers de 2012. Houve inclusão de 190 idosos na pesquisa e a prevalência encontrada para utilização de medicamentos inapropriados foi 44,2%. As classes terapêuticas de medicamentos inapropriados mais utilizados foram antiinflamatórios não esteroidais, agentes cardiovasculares, benzodiazepínicos e antidepressivos. Identificou-se associação positiva entre utilização de medicamentos inapropriados e polifarmácia, polipatologia e hipertensão. Na RENAME 2013 identificou-se 35(34,3%) fármacos inapropriados. O estudo demonstrou alta prevalência de utilização de medicamentos inapropriados pelos idosos. As consequências clínicas da utilização de medicamentos inapropriados são importantes para a saúde pública devido ao risco de eventos adversos e impacto negativo na funcionalidade do idoso. Na atenção ao idoso é importante desenvolver ações para promover o uso racional de medicamentos.
Palavras-chave:
Critério de Beers
Farmacoepdemiologia
Idoso
Uso de medicamentos
Abstract:
The objective was to assess the frequency of use of potentially inappropriate medications for elderly by community-dwelling older people and analyze the clinical significance. It is a retrospective cross-sectional study, part of a drug utilization study conducted in a public hospital. Medications inappropriate for the elderly were classified using the three groups of explicit criteria included in Beers List 2012. There were included 190 older people and the prevalence for inappropriate drugs use was 44.2%. The most frequent therapeutic classes of inappropriate medication used were NSAIDs, cardiovascular, benzodiazepines and antidepressants. Positives associations between use of inappropriate drugs and polypharmacy, polipatologia and hypertension were identified. In RENAME 2013 were identified 35 (34.3%) inappropriate drugs. The study showed a high prevalence of inappropriate medication use for elderly by community-dwelling older people. The clinical consequences of using inappropriate medication are important to public health because of the risk of adverse events and negatively affect the elderly functionality. In elderly care is important to develop actions to promove the rational use of medicines.
Keywords:
Beers criteria
Pharmacoepidemiology
Aged
Drug Utilization
Use of potentially inappropriate medications by elderly at home
Resumo (abstract):
The objective was to assess the frequency of use of potentially inappropriate medications for elderly by community-dwelling older people and analyze the clinical significance. It is a retrospective cross-sectional study, part of a drug utilization study conducted in a public hospital. Medications inappropriate for the elderly were classified using the three groups of explicit criteria included in Beers List 2012. There were included 190 older people and the prevalence for inappropriate drugs use was 44.2%. The most frequent therapeutic classes of inappropriate medication used were NSAIDs, cardiovascular, benzodiazepines and antidepressants. Positives associations between use of inappropriate drugs and polypharmacy, polipatologia and hypertension were identified. In RENAME 2013 were identified 35 (34.3%) inappropriate drugs. The study showed a high prevalence of inappropriate medication use for elderly by community-dwelling older people. The clinical consequences of using inappropriate medication are important to public health because of the risk of adverse events and negatively affect the elderly functionality. In elderly care is important to develop actions to promove the rational use of medicines.
Palavras-chave (keywords):
Beers criteria
Pharmacoepidemiology
Aged
Drug Utilization
Lopes, Lazara Montezano, Reis, A.M.M, Costa, Soraya Coelho, de Figueredo, Tácita Pires. Utilização de medicamentos potencialmente inapropriados por idosos em domicílio. Cien Saude Colet [periódico na internet] (2015/nov). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/utilizacao-de-medicamentos-potencialmente-inapropriados-por-idosos-em-domicilio/15368?id=15368