2011, Number 2
<< Back Next >>
Arch Med Urg Mex 2011; 3 (2)
Frequency and factors associated with the use of polypharmacy in patients hospitalized at emergency services
Velázquez PMGL, Gómez GR
Language: Spanish
References: 21
Page: 49-54
PDF size: 64.83 Kb.
ABSTRACT
Polypharmacy is defined as the use of multiple pharmacological preparations prescribed by a doctor or not, has been, along with delirium, dementia, falls, immobility and incontinence, one of the great challenges of geriatrics.
Objective: To determine the prevalence and factors associated with the use of polypharmacy in patients over 65 admitted to the Emergency Room of HGR 25.
Methods: A prospective cross-sectional observational, descriptive, analytical, a survey was conducted during the month of October 2010 to identify the frequency and factors related to polypharmacy in patients admitted to Emergency Department.
Results: 150 patients. Met criteria for polypharmacy 100 patients (66.7%), 82.7% were hypertensive, 50.7% were diabetic. Polypathies had 36%, 28.7% self-medication being given medication more guards on the gastric mucosa, most commonly used NSAIDs and the cardiovascular effect.
Conclusions: The elderly population is most susceptible to polypharmacy. The most common medications are NSAIDs self-medicate. It will be necessary to establish adequate preventive measures to limit the development of polypharmacy and medication.
REFERENCES
Gómez JF. Aspectos demográficos del envejecimiento. Fundamentos de medicina. Geriatría. Medellín: Corporación para investigaciones Biológicas 2006: 3-8.
Santana VO, Bembibre Taboada R, García Núñez R et al. Efectos sobre la salud del anciano en cuanto a alteraciones en la medicación. Rev Cubana Med Gen Integr 1998; 14 (4): 316-9.
Bates DW, Boyle DL, Vander Vliet MB, Schneider J, Leape L. Relationship between medication errors and adverse drug events. J Gen Intern Med 1995; 10: 199-205.
Regueira NJ, Conde MM, De Barrio TI, Cervera EL. Polifarmacia en la tercera edad. Rev Cubana Med Gen Integr 2000; 16 (4): 346-9.
Arriagada RL, Jiron AM, Ruiz A. Uso de medicamentos en el adulto mayor. Rev Hosp Clin Univ Chile 2008; 19: 309-17.
Urbina TJR, Flores MMJ, García SMP, Rodríguez EE, Torres BL, Torrubias FRM. El anciano de riesgo en la Provincia de Guadalajara. Aten Primaria 2004; 34 (6): 293-299.
Hallberg IR, Kristensson J. Preventive home care or frail older people: A review of recent case management studies. International. Journal of Older People Nursing in association with Journal of Clinical Nursing 13, 6b, 112-120.
Arbas E, Garzón R, Suárez A, Buelga C, Pozo M, Comas A y cols. Consumo de medicamentos en mayores de 65 años: problemas potenciales y factores asociados. Aten Primaria 1998; 22(3): 165-170.
Baena DJM, Martínez AMA, Tomás PJ. Selección de medicamentos en el anciano. Características diferenciales y criterios genéricos de selección. Formación Médica Continuada 2003; 10 (7): 501-507.
Halling A, Fridh G, Ovhed I. Validating the Johns Hopkins ACG case-mix system of the elderly in Swedish primary health care. MBC Public Health, 2006; 6: 171. Available from: http://www.biomedcentral.com/l471-2458/6/l7l.
Flaherty JH, Perry HM3rd, Lynchard GS, Morley JE. Polypharmacy and hospitalization among older home care patients. Gerontology 2000; 55 (10): M554-M559.
Jyrkkaj, Vartiainen L, Harttikainen S, Sulkava R, Enlund H. Increasing use of medicines in enderly persons: a five-year follow-up of the Kuopio 75 + Study. European. Journal of Clinical Pharmacology 2006; 62 (2): 151-158.
Kaufman DW, Kelly JP, Rosenberg L et al. Recent patterns of medication use in the ambulatory adult population of the United States. JAMA 2002; 287: 337-44.
Bryan DH, Pharm D, Klein SK et al. Polypharmacy and geriatric Patient. Clin Geriatr Med 2007; 23: 371-390.
Haddad MF, Takamiya AS, da Silva EMM. Farmacología en la tercera edad: Medicamentos de uso continuo y peligroso de la interacción medicamentosa. Gerokomos 2009; 20 (1): 22-27.
Medeiros-Souza P et al. Polypharmacy in the elderly. Rev Saúde Pública 2007; 41 (6): 1049-53.
Fernández GN, Díaz AD, Pérez HB y cols. Polifarmacia en el anciano. Acta Médica 2002: 10 (1-2).
Márquez AJ. Polifarmacoterapia en un grupo de pacientes mayores de 65 años en Manizales. MEDOMAI 1996; 1(1): 4-5.
Santiago TM, Rodríguez CM et al. Valoración geriátrica en un Servicio General de Urgencias Hospitalarias. Rev Mult Gerontol 2005; 15 (1): 40-49.
Arango LVE. Polifarmacia en el anciano/en línea//22marzo2005; URL disponible en: http://med.javeria-na.edu.co/publi/universitas/serial.
Castelo DR, Cano GP, Pérez CS, Prevalencia de polifarmacia en mayores de 80 años. Farmacia de Atención Primaria 2006; 4 (3): 69-73.