Análisis de la prescripción de medicamentos en una comunidad geriátrica Argentina

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dc.citation.titleRevista Médica de Chile
dc.citation.volume141
dc.creatorMarzi, Marta Mónica
dc.creatorDiruscio, Valeriana Alejandra
dc.creatorNúñez, Mariano H.
dc.creatorPires, Miryam Susana
dc.creatorQuaglia, Nora Beatríz
dc.date.accessioned2024-05-21T21:44:01Z
dc.date.available2024-05-21T21:44:01Z
dc.date.issued2013-02
dc.description.abstractBackground: Although polypharmacy may bejustified in elderly patients with multiple diseases, it may be dangerous, especially when it includes potentially inappropriate medications (PIM). Aim: To identify inappropriate medication and factors associated with the most relevant prescriptions among older people. Material and Methods: Cross-sectional observational analysis of drugs prescribed during the first trimester of 2010 to 179 older adults aged 77 ± 8 years (98 women), living in a geriatric reference hospital in Argentina. The use of potentially inappropriate medications (PIM) in elderly patients was analyzed using Beers Criteria updated to 2012. Results: The mean number of drugs prescribed per individual was 6.1 ± 2.7. The most commonly used drugs were anti-ulcer agents (58.1%), agents acting on the renin-angiotensin system (54.2%), antithrombotic medications (50.8%) and benzodiazepines (50.8 %). The use of antacids and anti-ulcer agents, psychotropic drugs and PIM was significantly higher among patients using six or more drugs daily, compared to the less medicated group (odds ratio (OR) = 6.8, 95% confidence intervals (CI) 3.5-13.2; OR=15.0, 95%CI 5.9-38.4; OR=5.0; 95%IC 2.6-9.8, respectively). Thirty one percent of participants using non-steroidal anti-inflammatory drugs, were not receiving medications for gastric protection. One to four drugs included in the Beers list were prescribed to 66% of participants. Conclusions: Despite the high prevalence of use of antacids and anti-ulcer agents, these drugs were not prescribed to a significant proportion of patients using non-steroidal anti-inflammatory drugs. Strategies to optimize pharmacotherapy in the elderly population are urgently required.
dc.description.filFil: Marzi, Marta Mónica. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Departamento de Matemática y Estadística; Argentina.
dc.description.filFil: Diruscio, Valeriana Alejandra. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Área Farmacología; Argentina.
dc.description.filFil: Quaglia, Nora Beatríz. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Área Farmacología; Argentina.
dc.description.filFil: Pires, Miryam Susana. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Área Tecnología en Salud Pública; Argentina.
dc.description.filFil: Núñez, Mariano H. Universidad de Buenos Aires. Facultad de Medicina. Cátedra de Farmacología; Argentina.
dc.description.sponsorshipGobierno de la Provincia de Santa Fe: “Programa de fortalecimiento de las capacidades del sistema de investigación y desarrollo en la provincia de Santa Fe”
dc.description.sponsorshipSecretaría de Extensión de la Universidad Nacional de Rosario: 3ª Convocatoria “La Universidad y su compromiso con la Sociedad”
dc.description.versionpeerreviewed
dc.format.extent1-8
dc.identifier.e-issn0717-6163
dc.identifier.issn0034-9887
dc.identifier.urihttps://hdl.handle.net/2133/27081
dc.language.isoes
dc.publisherSociedad Médica de Santiago
dc.relation.publisherversionhttps://doi.org/10.4067/s0034-98872013000200008
dc.relation.publisherversionhttps://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200008&lng=en&nrm=iso&tlng=en
dc.rightsopenAccess
dc.rights.holderMarzi, Marta Mónica
dc.rights.holderDiruscio, Valeriana Alejandra
dc.rights.holderNúñez, Mariano H.
dc.rights.holderPires, Miryam Susana
dc.rights.holderQuaglia, Nora Beatríz
dc.rights.holderUniversidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas
dc.rights.textAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAged
dc.subjectErrors
dc.subjectInappropriate prescribing
dc.subjectPolypharmacy
dc.subjectPrescripción inadecuada
dc.subjectPolifarmacia
dc.subjectAdulto mayor
dc.subjectArgentina
dc.titleAnálisis de la prescripción de medicamentos en una comunidad geriátrica Argentina
dc.titleAnalysis of medication prescription in an Argentinian geriatric hospital
dc.typearticulo
dc.type.collectionarticulo
dc.type.versionpublishedVersion

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