Análisis de la prescripción de medicamentos en una comunidad geriátrica Argentina
dc.citation.title | Revista Médica de Chile | |
dc.citation.volume | 141 | |
dc.creator | Marzi, Marta Mónica | |
dc.creator | Diruscio, Valeriana Alejandra | |
dc.creator | Núñez, Mariano H. | |
dc.creator | Pires, Miryam Susana | |
dc.creator | Quaglia, Nora Beatríz | |
dc.date.accessioned | 2024-05-21T21:44:01Z | |
dc.date.available | 2024-05-21T21:44:01Z | |
dc.date.issued | 2013-02 | |
dc.description.abstract | Background: 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.fil | Fil: Marzi, Marta Mónica. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Departamento de Matemática y Estadística; Argentina. | |
dc.description.fil | Fil: Diruscio, Valeriana Alejandra. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Área Farmacología; Argentina. | |
dc.description.fil | Fil: Quaglia, Nora Beatríz. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Área Farmacología; Argentina. | |
dc.description.fil | Fil: Pires, Miryam Susana. Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas. Área Tecnología en Salud Pública; Argentina. | |
dc.description.fil | Fil: Núñez, Mariano H. Universidad de Buenos Aires. Facultad de Medicina. Cátedra de Farmacología; Argentina. | |
dc.description.sponsorship | Gobierno 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.sponsorship | Secretaría de Extensión de la Universidad Nacional de Rosario: 3ª Convocatoria “La Universidad y su compromiso con la Sociedad” | |
dc.description.version | peerreviewed | |
dc.format.extent | 1-8 | |
dc.identifier.e-issn | 0717-6163 | |
dc.identifier.issn | 0034-9887 | |
dc.identifier.uri | https://hdl.handle.net/2133/27081 | |
dc.language.iso | es | |
dc.publisher | Sociedad Médica de Santiago | |
dc.relation.publisherversion | https://doi.org/10.4067/s0034-98872013000200008 | |
dc.relation.publisherversion | https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200008&lng=en&nrm=iso&tlng=en | |
dc.rights | openAccess | |
dc.rights.holder | Marzi, Marta Mónica | |
dc.rights.holder | Diruscio, Valeriana Alejandra | |
dc.rights.holder | Núñez, Mariano H. | |
dc.rights.holder | Pires, Miryam Susana | |
dc.rights.holder | Quaglia, Nora Beatríz | |
dc.rights.holder | Universidad Nacional de Rosario. Facultad de Ciencias Bioquímicas y Farmacéuticas | |
dc.rights.text | Attribution 4.0 International | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Aged | |
dc.subject | Errors | |
dc.subject | Inappropriate prescribing | |
dc.subject | Polypharmacy | |
dc.subject | Prescripción inadecuada | |
dc.subject | Polifarmacia | |
dc.subject | Adulto mayor | |
dc.subject | Argentina | |
dc.title | Análisis de la prescripción de medicamentos en una comunidad geriátrica Argentina | |
dc.title | Analysis of medication prescription in an Argentinian geriatric hospital | |
dc.type | articulo | |
dc.type.collection | articulo | |
dc.type.version | publishedVersion |