Drug utilization and polypharmacy among the elderly: a survey in Rio de Janeiro City, Brazil.
Objectives. To describe drug utilization by Brazilian retirees with an emphasis on inappropriate use. Methods. Cross-sectional study with a simple random sample of 800 retirees of the Brazilian Institute of Social Security, 60 years of age and older, residing in Rio de Janeiro City, through face-to-...
| Publicado en: | Pan American Journal of Public Health / Revista Panamericana de Salud Pública Vol. 27; no. 2; pp. 34 - 44 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Pan American Health Organization
Feb2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=51642535&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 51642535 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 I3S jtl: Pan American Journal of Public Health / Revista Panamericana de Salud Pública issn: 10204989 maglogo: N pubinfo: dt: Feb2010 vid: 27 iid: 2 pid: 13497 pub: Pan American Health Organization artinfo: ui: 51642535 ppf: 34 ppct: 10 formats: fmt: @attributes: type: P size: 95KB tig: atl: Drug utilization and polypharmacy among the elderly: a survey in Rio de Janeiro City, Brazil. aug: au: Rozenfeld, Suely Fonseca, Maria J. M. Acurcio, Francisco A. affil: National School of Public Health/Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil School of Pharmacy/Minas Gerais Federal University, Belo Horizonte, MG, Brazil su: Drug utilization Polypharmacy Medical care for older people Retirees Social surveys Health Rio de Janeiro (Brazil) Brazil sug: subj: Rio de Janeiro (Brazil) Brazil Drug utilization Polypharmacy Medical care for older people Retirees Social surveys Health keyword: Aging cross-sectional studies drug utilization health polypharmacy Brasil estudios transversales polifarmacia Salud del anciano utilización de medicamentos ab: Objectives. To describe drug utilization by Brazilian retirees with an emphasis on inappropriate use. Methods. Cross-sectional study with a simple random sample of 800 retirees of the Brazilian Institute of Social Security, 60 years of age and older, residing in Rio de Janeiro City, through face-to-face interviews. Results. Medication use in the 15 days before the study was reported by 85% of the sample, with a mean of 3.7 products per person (standard deviation = 2.9). About half the sample used one to four medications and a third used five or more. The highest number of drugs used per patient was 24. More women than men used multiple medications. There is a tendency toward positive association (P < 0.001) between drug use and variables relating to disease and health care. This trend continues in the analysis by gender. Men who reported five or more diseases were five times more likely to use multiple drugs than men with up to two (zero, one, or two) diseases (prevalence ratio 5.21, 95% confidence interval = 2.48-10.90). Women who reported five or more diseases were nearly four times more likely to use multiple drugs than women with up to two diseases (prevalence ratio 3.67, 95% confidence interval = 2.24-6.02). Of the active substances used by the sample, 10% were considered inappropriate. Conclusions. To improve drug therapy for the elderly, health practitioners can take measures to reduce unwarranted use of medication and to optimize the benefits from important drugs. Further studies should be conducted to adjust lists of medications inappropriate for the elderly to the situation in developing countries. Objetivos. Describir el uso de medicamentos en los jubilados brasileños, con énfasis en su uso inapropiado. Métodos. Estudio transversal mediante entrevistas presenciales a una muestra simple aleatoria de 800 jubilados del Instituto Brasileño de Seguridad Social, de 60 años de edad o más, que residen en la ciudad de Rio de Janeiro. Resultados. Del total de encuestados, 85% informó el uso de medicamentos en los 15 días previos al estudio, con una media de 3,7 productos por persona (desviación estándar = 2,9). Aproximadamente la mitad de los encuestados utilizaron de uno a cuatro medicamentos y una tercera parte empleó cinco o más. El mayor número de medicamentos usado por un paciente fue de 24. Más mujeres que hombres emplearon múltiples medicamentos. Se observó una tendencia hacia una asociación positiva (P < 0,001) entre el consumo de medicamentos y las variables relacionadas con las enfermedades y la atención sanitaria. Esta tendencia se mantuvo al hacer el análisis según el sexo. Los hombres que informaron padecer cinco enfermedades o más tuvieron cinco veces más probabilidad de usar múltiples medicamentos que los hombres con dos enfermedades o menos (razón de prevalencia [RP] = 5,21; intervalo de confianza de 95% [IC95%]: 2,48 a 10,90). Las mujeres que informaron cinco enfermedades o más tuvieron casi cuatro veces más probabilidad de emplear varios medicamentos que las mujeres que padecían dos enfermedades o menos (RP = 3,67; IC95%: 2,24 a 6,02). Se consideró que 10% de las substancias activas empleadas por los encuestados eran inapropiadas. Conclusiones. Para mejorar el tratamiento de los adultos mayores con medicamentos, los médicos pueden tomar medidas tendentes a reducir el uso injustificado de medicamentos y optimizar los beneficios de los medicamentos de interés. Se deben realizar estudios para ajustar las listas de medicamentos inapropiados para los adultos mayores a las condiciones de los países en desarrollo. pubtype: Periodical doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Pan American Journal of Public Health / Revista Panamericana de Salud Pública holder: Pan American Health Organization dt: @attributes: year: 2010 holdings: @attributes: islocal: N |
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