Potentially inappropriate medication in elderly patients in Santiago de Cuba

Context: Several studies have reported the high use of inappropriate medication in the elderly, as well as the associated risks; for this reason, it has become a major health problem. Aim: To characterize the use of potentially inappropriate medication in the elderly based on the reality observed...

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Main Authors: Irma L. Ortega López, Ivette Reyes Hernández, Niurka M. Dupotey Varela, Danneris Lores Delgado, Yoenia Veranes Vera, Lilisbeth Pupo Benítez, Erenis Guerra Prado
Format: Article
Language:English
Published: GarVal Editorial Ltda. 2019-07-01
Series:Journal of Pharmacy & Pharmacognosy Research
Subjects:
Online Access:http://jppres.com/jppres/pdf/vol7/jppres19.559_7.4.288.pdf
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author Irma L. Ortega López
Ivette Reyes Hernández
Niurka M. Dupotey Varela
Danneris Lores Delgado
Yoenia Veranes Vera
Lilisbeth Pupo Benítez
Erenis Guerra Prado
author_facet Irma L. Ortega López
Ivette Reyes Hernández
Niurka M. Dupotey Varela
Danneris Lores Delgado
Yoenia Veranes Vera
Lilisbeth Pupo Benítez
Erenis Guerra Prado
author_sort Irma L. Ortega López
collection DOAJ
description Context: Several studies have reported the high use of inappropriate medication in the elderly, as well as the associated risks; for this reason, it has become a major health problem. Aim: To characterize the use of potentially inappropriate medication in the elderly based on the reality observed in Santiago de Cuba. Methods: A descriptive cross-sectional study was carried out, with a random selection that included elderly patients from the community and institutional care in Santiago de Cuba. The data were obtained by reviewing medical records and interviews with patients/caregivers. The potentially inappropriate medication was identified through the Beer’s Criteria and the Screening Tool of Older Person’s Prescriptions/ Screening Tool to Alert doctors to Right; i.e., appropriate indicated treatment. Results: There were detected 895 potentially inappropriate medications in 632 patients, which affected 81.01% of them, for an average of 1.41 problems per patient. The predominantly inappropriate medication was independent of the diagnosis, which represented 61.7% of the total detected. The most commonly used drugs or groups of drugs were oral hypoglycemic agents, β-blockers, platelet antiaggregants, psychotropic drugs, inhibitors of angiotensin converting enzyme, nifedipine, digoxin, and non-steroidal anti-inflammatory. Conclusions: There is a high use of potentially inappropriate medication in the elderly, in the health context of Santiago de Cuba, which may be an expression of the limited attention to health needs related to the use of medications in these patients.
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spelling doaj.art-376d52c6057b4f23adb459a9d4dcc7b52022-12-22T02:41:05ZengGarVal Editorial Ltda.Journal of Pharmacy & Pharmacognosy Research0719-42502019-07-0174288296Potentially inappropriate medication in elderly patients in Santiago de CubaIrma L. Ortega López0Ivette Reyes Hernández1Niurka M. Dupotey Varela2Danneris Lores Delgado3Yoenia Veranes Vera4Lilisbeth Pupo Benítez5Erenis Guerra Prado6Departamento de Farmacia Universidad de Oriente. Santiago de Cuba, Cuba.Área Académica de Farmacia. Universidad Autónoma del Estado de Hidalgo. México.Departamento de Farmacia Universidad de Oriente. Santiago de Cuba, Cuba.Farmacia Principal Municipal. Santiago de Cuba, Cuba.Hogar de Ancianos “América Labadi Arce”. Santiago de Cuba, Cuba.Departamento de Farmacia. Dirección Provincial de Salud. Holguín. Cuba.Farmacia Principal Municipal. Colombia. Las Tunas. Cuba.Context: Several studies have reported the high use of inappropriate medication in the elderly, as well as the associated risks; for this reason, it has become a major health problem. Aim: To characterize the use of potentially inappropriate medication in the elderly based on the reality observed in Santiago de Cuba. Methods: A descriptive cross-sectional study was carried out, with a random selection that included elderly patients from the community and institutional care in Santiago de Cuba. The data were obtained by reviewing medical records and interviews with patients/caregivers. The potentially inappropriate medication was identified through the Beer’s Criteria and the Screening Tool of Older Person’s Prescriptions/ Screening Tool to Alert doctors to Right; i.e., appropriate indicated treatment. Results: There were detected 895 potentially inappropriate medications in 632 patients, which affected 81.01% of them, for an average of 1.41 problems per patient. The predominantly inappropriate medication was independent of the diagnosis, which represented 61.7% of the total detected. The most commonly used drugs or groups of drugs were oral hypoglycemic agents, β-blockers, platelet antiaggregants, psychotropic drugs, inhibitors of angiotensin converting enzyme, nifedipine, digoxin, and non-steroidal anti-inflammatory. Conclusions: There is a high use of potentially inappropriate medication in the elderly, in the health context of Santiago de Cuba, which may be an expression of the limited attention to health needs related to the use of medications in these patients.http://jppres.com/jppres/pdf/vol7/jppres19.559_7.4.288.pdfdrug-related problemselderlyinadequate prescriptionpotentially inappropriate medications
spellingShingle Irma L. Ortega López
Ivette Reyes Hernández
Niurka M. Dupotey Varela
Danneris Lores Delgado
Yoenia Veranes Vera
Lilisbeth Pupo Benítez
Erenis Guerra Prado
Potentially inappropriate medication in elderly patients in Santiago de Cuba
Journal of Pharmacy & Pharmacognosy Research
drug-related problems
elderly
inadequate prescription
potentially inappropriate medications
title Potentially inappropriate medication in elderly patients in Santiago de Cuba
title_full Potentially inappropriate medication in elderly patients in Santiago de Cuba
title_fullStr Potentially inappropriate medication in elderly patients in Santiago de Cuba
title_full_unstemmed Potentially inappropriate medication in elderly patients in Santiago de Cuba
title_short Potentially inappropriate medication in elderly patients in Santiago de Cuba
title_sort potentially inappropriate medication in elderly patients in santiago de cuba
topic drug-related problems
elderly
inadequate prescription
potentially inappropriate medications
url http://jppres.com/jppres/pdf/vol7/jppres19.559_7.4.288.pdf
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