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2013, Number 2

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Rev Med Inst Mex Seguro Soc 2013; 51 (2)

Clinical practice guideline. Drug prescription in elderly

Peralta-Pedrero ML, Valdivia-Ibarra FJ, Hernández-Manzano M, Medina-Beltrán GR, Cordero-Guillén MÁ, Baca-Zúńiga J, Cruz-Avelar A, Aguilar-Salas I, Ávalos-Mejíai AM

Language: Spanish
References: 66
Page: 228-239
PDF size: 132.70 Kb.


ABSTRACT

The process of prescribing a medication is complex and includes: decide whether it is indicated, choose the best option, determine the dose and appropriate management scheme to the physiological condition of the patient, and the monitoring of the effectiveness and toxicity. We have to inform patients about the expected side effects and indications to request the consultation. Specifi c clinical questions were designed based on the acronym PICOST. The search was made in the specifi c websites of clinical practice guidelines, was limited to the population of older adults, in English or Spanish. We used 10 clinical practice guidelines related, eight systematic reviews and fi ve meta-analyzes. Finally, it was made a search about original articles or clinic reviews for specifi c topics. The development and validation of clinical practice guidelines for “drug prescriptions reasoned out in the elderly” intends to promote an improvement in the quality of the prescription through the prevention and detection of inappropriate prescribing in the elderly and as a result of this decrease the adverse events by drugs, deterioration of health of patients and expenditure of resources.


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