Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription
Objective: Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate presc...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2010-06-01
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| Series: | Einstein (São Paulo) |
| Subjects: | |
| Online Access: | http://apps.einstein.br/revista/arquivos/PDF/1473-Einstein_v8n2_p175-9.pdf |
| _version_ | 1811298726560399360 |
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| author | José Marcelo Farfel Tarso Augusto Duenhas Accorsi Marcelo Franken Sueli Pinto Doudement Mariane Moran Mauro Iervolino Antônio Silva Bastos Neto |
| author_facet | José Marcelo Farfel Tarso Augusto Duenhas Accorsi Marcelo Franken Sueli Pinto Doudement Mariane Moran Mauro Iervolino Antônio Silva Bastos Neto |
| author_sort | José Marcelo Farfel |
| collection | DOAJ |
| description | Objective: Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein. Methods: Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using updated 2003 Beers criteria. Results: Over a period of 6 months, 214 individuals were included in the study, being 53.7% male. The mean age was 70.8 years (60-107). A total of 48 registries of inappropriate prescription were recorded in 42 patients (19.6% of sample). An emergency visit related to adverse drug event was verified in 27 individuals (12.5% of the sample). From these patients, 34.5% were admitted to the emergency department because of an adverse event caused by an inappropriate medication. Conclusion: Inappropriate prescription is frequent among elderly patients admitted to emergency department. A surveillance system and a program to educate physicians on the most recent criteria of appropriate prescription may help reducing emergency visits and adverse drug events in the elderly population. |
| first_indexed | 2024-04-13T06:23:30Z |
| format | Article |
| id | doaj.art-475c8edec6284f79b92f73ad55d4d299 |
| institution | Directory Open Access Journal |
| issn | 1679-4508 |
| language | English |
| last_indexed | 2024-04-13T06:23:30Z |
| publishDate | 2010-06-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-475c8edec6284f79b92f73ad55d4d2992022-12-22T02:58:31ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082010-06-0182175179Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescriptionJosé Marcelo FarfelTarso Augusto Duenhas AccorsiMarcelo FrankenSueli Pinto DoudementMariane MoranMauro IervolinoAntônio Silva Bastos NetoObjective: Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein. Methods: Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using updated 2003 Beers criteria. Results: Over a period of 6 months, 214 individuals were included in the study, being 53.7% male. The mean age was 70.8 years (60-107). A total of 48 registries of inappropriate prescription were recorded in 42 patients (19.6% of sample). An emergency visit related to adverse drug event was verified in 27 individuals (12.5% of the sample). From these patients, 34.5% were admitted to the emergency department because of an adverse event caused by an inappropriate medication. Conclusion: Inappropriate prescription is frequent among elderly patients admitted to emergency department. A surveillance system and a program to educate physicians on the most recent criteria of appropriate prescription may help reducing emergency visits and adverse drug events in the elderly population.http://apps.einstein.br/revista/arquivos/PDF/1473-Einstein_v8n2_p175-9.pdfPharmaceutical preparations/adverse effectsPharmaceutical preparations/administration & dosageDrug prescriptionsEmergency servicehospitalAged |
| spellingShingle | José Marcelo Farfel Tarso Augusto Duenhas Accorsi Marcelo Franken Sueli Pinto Doudement Mariane Moran Mauro Iervolino Antônio Silva Bastos Neto Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription Einstein (São Paulo) Pharmaceutical preparations/adverse effects Pharmaceutical preparations/administration & dosage Drug prescriptions Emergency service hospital Aged |
| title | Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
| title_full | Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
| title_fullStr | Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
| title_full_unstemmed | Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
| title_short | Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription |
| title_sort | adverse drug events leading to emergency department visits in elderly the role of inappropriate prescription |
| topic | Pharmaceutical preparations/adverse effects Pharmaceutical preparations/administration & dosage Drug prescriptions Emergency service hospital Aged |
| url | http://apps.einstein.br/revista/arquivos/PDF/1473-Einstein_v8n2_p175-9.pdf |
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