The iatrogenic triad in a group of elderly women contracted to a health plan
Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to a health plan. Method: A cross-sectional and descriptive epidemiological study was carried out by analyzing 3,501 medical prescriptions of 7...
Saved in:
Published in | Revista brasileira de geriatria e gerontologia Vol. 22; no. 1 |
---|---|
Main Authors | , |
Format | Journal Article |
Language | English Portuguese |
Published |
Universidade do Estado do Rio Janeiro
2019
Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to a health plan. Method: A cross-sectional and descriptive epidemiological study was carried out by analyzing 3,501 medical prescriptions of 725 elderly women aged ≥65 years. The medications were determined to be Potentially Inappropriate Medications (PIM) based on four instruments (AGS Beers 2015, PRISCUS List, EU(7)-PIM, Brazilian Consensus of PIM - CBPIM). In addition, the most prescribed drugs were assessed for possible Drug Interactions (DI) and classified according to degree of severity. Results: the present study revealed that 89.3% of the studied group used at least one element of the iatrogenic triad, and 44.9% of the sample were associated with the use of polypharmacy and PIM. A total of 48.0% were taking at least five continuous use medications. The main DI were omeprazole, simvastatin and levothyroxine, all of which are of significant severity and have potential drug-food interactions. A total of 35.1% of PIM were identified through the four criteria used, 26.6% were identified by the CBPIM, 25.8% by the EU(7)-PIM, and 24.6% and 6.6% by AGS Beers and PRISCUS, respectively. Conclusion: a high index of continuous use medications, PIM and potential DI were identified, mainly enzymatic inhibitors in a group of elderly women at risk due to their clinical characteristics. Old age was associated with the presence of all the elements of the iatrogenic triad. It was also noted that there were no significant differences between the criteria applied, except for the PRISCUS list.
Resumo Objetivo: Investigar os principais elementos da Tríade Iatrogênica em um grupo de mulheres idosas, com doenças crônicas não transmissíveis (DCNT) e vinculadas a um plano de saúde. Método: Estudo epidemiológico, transversal e descritivo, realizado mediante a análise de 3.501 prescrições médicas realizadas à 725 mulheres idosas com ≥65 anos. As medicações foram determinadas como medicamentos potencialmente inapropriados (MPI) segundo quatro instrumentos (AGS Beers 2015; lista PRISCUS; EU(7)-PIM; Consenso Brasileiro de MPI - CBMPI). Além disso, os medicamentos mais prescritos foram estudados segundo as possíveis interações medicamentosas (IM) e classificados quanto ao grau de severidade. Resultados: Este estudo revelou que 89,3% do grupo estudado faziam uso de, pelo menos, um elemento da Tríade Iatrogênica, sendo que 44,9% estavam associados ao uso de polifarmácia e MPI. Um total de 48,0% estavam em uso contínuo de pelo menos cinco medicamentos. As principais IM foram entre omeprazol, sinvastatina e levotiroxina, todos de gravidade significativa e com potencial de interação medicamento-alimento. Encontrou-se 35,1% de MPI através dos quatro critérios utilizados, sendo identificado 26,6% pelo CBMPI, 25,8% através do EU(7)-PIM, 24,6% e 6,6% pelo AGS Beers e o PRISCUS, respectivamente. Conclusão: Evidenciou-se um alto índice de medicamentos em uso contínuo, MPI e interações medicamentosas potenciais, principalmente de inibidores enzimáticos em um grupo de idosas de risco, devido às suas particularidades clínicas. A idade avançada esteve associada à presença de todos os elementos da tríade iatrogênica. Notou-se ainda que todos os critérios aplicados não apresentaram diferenças significativas, com exceção da lista PRISCUS. |
---|---|
AbstractList | Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to a health plan. Method: A cross-sectional and descriptive epidemiological study was carried out by analyzing 3,501 medical prescriptions of 725 elderly women aged ≥65 years. The medications were determined to be Potentially Inappropriate Medications (PIM) based on four instruments (AGS Beers 2015, PRISCUS List, EU(7)-PIM, Brazilian Consensus of PIM - CBPIM). In addition, the most prescribed drugs were assessed for possible Drug Interactions (DI) and classified according to degree of severity. Results: the present study revealed that 89.3% of the studied group used at least one element of the iatrogenic triad, and 44.9% of the sample were associated with the use of polypharmacy and PIM. A total of 48.0% were taking at least five continuous use medications. The main DI were omeprazole, simvastatin and levothyroxine, all of which are of significant severity and have potential drug-food interactions. A total of 35.1% of PIM were identified through the four criteria used, 26.6% were identified by the CBPIM, 25.8% by the EU(7)-PIM, and 24.6% and 6.6% by AGS Beers and PRISCUS, respectively. Conclusion: a high index of continuous use medications, PIM and potential DI were identified, mainly enzymatic inhibitors in a group of elderly women at risk due to their clinical characteristics. Old age was associated with the presence of all the elements of the iatrogenic triad. It was also noted that there were no significant differences between the criteria applied, except for the PRISCUS list. Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to a health plan. Method: A cross-sectional and descriptive epidemiological study was carried out by analyzing 3,501 medical prescriptions of 725 elderly women aged ≥65 years. The medications were determined to be Potentially Inappropriate Medications (PIM) based on four instruments (AGS Beers 2015, PRISCUS List, EU(7)-PIM, Brazilian Consensus of PIM - CBPIM). In addition, the most prescribed drugs were assessed for possible Drug Interactions (DI) and classified according to degree of severity. Results: the present study revealed that 89.3% of the studied group used at least one element of the iatrogenic triad, and 44.9% of the sample were associated with the use of polypharmacy and PIM. A total of 48.0% were taking at least five continuous use medications. The main DI were omeprazole, simvastatin and levothyroxine, all of which are of significant severity and have potential drug-food interactions. A total of 35.1% of PIM were identified through the four criteria used, 26.6% were identified by the CBPIM, 25.8% by the EU(7)-PIM, and 24.6% and 6.6% by AGS Beers and PRISCUS, respectively. Conclusion: a high index of continuous use medications, PIM and potential DI were identified, mainly enzymatic inhibitors in a group of elderly women at risk due to their clinical characteristics. Old age was associated with the presence of all the elements of the iatrogenic triad. It was also noted that there were no significant differences between the criteria applied, except for the PRISCUS list. Resumo Objetivo: Investigar os principais elementos da Tríade Iatrogênica em um grupo de mulheres idosas, com doenças crônicas não transmissíveis (DCNT) e vinculadas a um plano de saúde. Método: Estudo epidemiológico, transversal e descritivo, realizado mediante a análise de 3.501 prescrições médicas realizadas à 725 mulheres idosas com ≥65 anos. As medicações foram determinadas como medicamentos potencialmente inapropriados (MPI) segundo quatro instrumentos (AGS Beers 2015; lista PRISCUS; EU(7)-PIM; Consenso Brasileiro de MPI - CBMPI). Além disso, os medicamentos mais prescritos foram estudados segundo as possíveis interações medicamentosas (IM) e classificados quanto ao grau de severidade. Resultados: Este estudo revelou que 89,3% do grupo estudado faziam uso de, pelo menos, um elemento da Tríade Iatrogênica, sendo que 44,9% estavam associados ao uso de polifarmácia e MPI. Um total de 48,0% estavam em uso contínuo de pelo menos cinco medicamentos. As principais IM foram entre omeprazol, sinvastatina e levotiroxina, todos de gravidade significativa e com potencial de interação medicamento-alimento. Encontrou-se 35,1% de MPI através dos quatro critérios utilizados, sendo identificado 26,6% pelo CBMPI, 25,8% através do EU(7)-PIM, 24,6% e 6,6% pelo AGS Beers e o PRISCUS, respectivamente. Conclusão: Evidenciou-se um alto índice de medicamentos em uso contínuo, MPI e interações medicamentosas potenciais, principalmente de inibidores enzimáticos em um grupo de idosas de risco, devido às suas particularidades clínicas. A idade avançada esteve associada à presença de todos os elementos da tríade iatrogênica. Notou-se ainda que todos os critérios aplicados não apresentaram diferenças significativas, com exceção da lista PRISCUS. |
Author | Oliveira, Henrique Souza Barros de Manso, Maria Elisa Gonzalez |
AuthorAffiliation | Pontifícia Universidade Católica de São Paulo Centro Universitário São Camilo |
AuthorAffiliation_xml | – name: Centro Universitário São Camilo – name: Pontifícia Universidade Católica de São Paulo |
Author_xml | – sequence: 1 givenname: Henrique Souza Barros de orcidid: 0000-0002-9067-8581 surname: Oliveira fullname: Oliveira, Henrique Souza Barros de organization: Centro Universitário São Camilo, Brazil – sequence: 2 givenname: Maria Elisa Gonzalez orcidid: 0000-0001-5446-233X surname: Manso fullname: Manso, Maria Elisa Gonzalez organization: Centro Universitário São Camilo, Brazil; Pontifícia Universidade Católica de São Paulo, Brazil |
BookMark | eNpNUctqwzAQFKWFpmm-ofoBp3rYsnQsoY9AoIemZ7FeyYmDYwXZoeTvKycldC-z7GMYZh7IbRc6T8gTZ3NeGPbMjeaZEIUSjBsmxJxrxrW-IZPr5jb1mpnMaCHvyazvdyyVNMIUekJW662nDQwxbHzXIB1iA442HQW6ieF4oKGmvnU-tif6E_a-oxi6IQIO3tEhpLOth3bY0kML3SO5q6Ht_ewPp-T77XW9-MhWn-_Lxcsqw6RHZ5xJwXOJuVdOAioAVSWo0EtZKywRRQ1SuMIo4aSqylopXqCvZOGY0SCnZHnhdQF29hCbPcSTDdDY8yDEjYU4NNh6a0BB6ctSOQa5kQqEEQIN5iXWThcscc0vXD02vg12F46xS-Lt1-iaHV07e8sYZ0xwnh7KywPG0PfR11cBnNkxFDtab_-FYi-hyF9JQX21 |
CitedBy_id | crossref_primary_10_15448_2357_9641_2024_1_45343 crossref_primary_10_4274_tjps_galenos_2023_89457 |
Cites_doi | 10.1111/jgs.13702 10.1007/s40266-013-0146-0 10.4025/cienccuidsaude.v15i2.28683 10.1007/s00228-015-1860-9 10.1590/S0004-27302011000700001 10.1590/0102-311X00128214 10.1590/1809-9823.2015.14056 10.11606/issn.1679-9836.v97i2p165-176 10.1093/ageing/afu145 10.15343/0104-7809.20174101107115 10.5327/Z2447-211520161600054 10.1007/s11096-017-0470-2 10.1590/S1983-14472012000300021 10.1111/ggi.12944 10.1590/1413-81232014191.2124 |
ContentType | Journal Article |
Copyright | This work is licensed under a Creative Commons Attribution 4.0 International License. |
Copyright_xml | – notice: This work is licensed under a Creative Commons Attribution 4.0 International License. |
DBID | AAYXX CITATION GPN DOA |
DOI | 10.1590/1981-22562019022.180188 |
DatabaseName | CrossRef SciELO Open Access: DOAJ - Directory of Open Access Journals |
DatabaseTitle | CrossRef |
DatabaseTitleList | CrossRef |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine Public Health |
DocumentTitleAlternate | Tríade iatrogênica em um grupo de mulheres idosas vinculadas a um plano de saúde |
EISSN | 1981-2256 |
ExternalDocumentID | oai_doaj_org_article_9a6a7e776d0a4936a2922c9c47cfd850 S1809_98232019000100211 10_1590_1981_22562019022_180188 |
GroupedDBID | 5VS AAYXX ABXHO ADBBV ALMA_UNASSIGNED_HOLDINGS APOWU AZFZN BAWUL BCNDV CITATION DIK GROUPED_DOAJ KQ8 M~E RNS RSC SCD GPN |
ID | FETCH-LOGICAL-c2568-1032143c4e6d3ac6aa6bac6bce33f6c7cc2fa32d5962d36b7f6615ceb35d098a3 |
IEDL.DBID | DOA |
ISSN | 1809-9823 1981-2256 |
IngestDate | Thu Jul 04 21:10:33 EDT 2024 Fri Oct 18 20:36:43 EDT 2024 Wed Jul 24 12:29:30 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Keywords | Potentially Inappropriate Medication List Planos de Pré-pagamento em Saúde Public Health Saúde Coletiva Old Age Assistance Drug Interactions Prescription Drug Overuse Prepaid Health Plans Lista de Medicamentos Potencialmente Inapropriados Assistência a Idosos Uso Excessivo de Medicamentos Prescritos Interações Medicamentosas |
Language | English Portuguese |
License | This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0 |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c2568-1032143c4e6d3ac6aa6bac6bce33f6c7cc2fa32d5962d36b7f6615ceb35d098a3 |
ORCID | 0000-0002-9067-8581 0000-0001-5446-233X |
OpenAccessLink | https://doaj.org/article/9a6a7e776d0a4936a2922c9c47cfd850 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_9a6a7e776d0a4936a2922c9c47cfd850 scielo_journals_S1809_98232019000100211 crossref_primary_10_1590_1981_22562019022_180188 |
PublicationCentury | 2000 |
PublicationDate | 2019-00-00 20190001 |
PublicationDateYYYYMMDD | 2019-01-01 |
PublicationDate_xml | – year: 2019 text: 2019-00-00 |
PublicationDecade | 2010 |
PublicationTitle | Revista brasileira de geriatria e gerontologia |
PublicationTitleAlternate | Rev. bras. geriatr. gerontol |
PublicationYear | 2019 |
Publisher | Universidade do Estado do Rio Janeiro Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) |
Publisher_xml | – name: Universidade do Estado do Rio Janeiro – name: Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) |
References | Vera ECBA (ref4) 2017 Manso MEG (ref19) 2018; 21 Manso MEG (ref20) 2016 Iamaguchi FM (ref24) 2017; 29 Novaes PH (ref2) 2017; 39 Nam YS (ref7) 2016; 16 (ref8) 2015; 63 Kuhn-Thiel AM (ref10) 2014; 31 (ref18) 2018 Cedraz KN (ref15) 2014; 12 Alvim MM (ref26) 2015; 27 Leão DFL (ref14) 2014; 19 Ward LS (ref27) 2011; 55 Peixoto JS (ref28) 2012; 33 Novaes PH (ref30) 2017; 17 Santos AHDP (ref31) 2017; 8 Martins GA (ref21) 2015; 31 O'Mahony D (ref9) 2015; 44 Holt S (ref11) 2010; 107 Lutz BH (ref6) 2015 Manso MEG (ref16) 2016; 15 Ribeiro Neto LM (ref25) 2017; 41 Oliveira HSB (ref5) 2018; 97 Scrignoli CP (ref3) 2016; 7 Oliveira MG (ref13) 2017; 10 Oliveira HSB (ref29) 2017; 14 Manso MEG (ref23) 2015; 18 Gorzoni ML (ref1) 2017; 50 Guiteras AR (ref12) 2015; 71 Muniz ECA (ref22) 2017; 20 (ref17) 2010 Leão, DFL; Moura, CS; Medeiros, DS 2014; 19 Santos, AHDP; Cusinato, CT; Guahyba, RS 2017; 8 Manso, MEG; Osti, AV; Borrozino, NF; Maresti, LTP 2018; 21 Martins, GA; Acurcio, FA; Franceschini, SCC; Priore, SE; Ribeiro, AQ 2015; 31 Vera, ECBA 2017 Ward, LS 2011; 55 2010 Lutz, BH 2015 Muniz, ECA; Goulart, FC; Lazarini, CA; Marin, MJS 2017; 20 Scrignoli, CP; Teixeira, VCMC; Leal, DCP 2016; 7 Ribeiro Neto, LM; Costa Junior, VL; Crozara, MA 2017; 41 Guiteras, AR; Meyer, G; Thurmann, PA 2015; 71 Oliveira, HSB; Corradi, MLG 2018; 97 Cedraz, KN; Santos Junior, MC 2014; 12 Manso, MEG; Oliveira, HSB; Biffi, ECA 2016 O'Mahony, D; O'Sullivan, D; Byrne, S; O'Connor, MN; Ryan, C; Gallagher, P 2015; 44 Novaes, PH; Cruz, DT; Lucchetti, ALG; Leite, ICG; Lucchetti, G 2017; 39 Novaes, PH; Cruz, DT; Lucchetti, ALG; Leite, ICG; Lucchetti, G 2017; 17 Oliveira, HSB; Sousa, JRP; Donis, ACG; Manso, MEG 2017; 14 Gorzoni, ML 2017; 50 Holt, S; Schmiedl, S; Thurmann, PA 2010; 107 Oliveira, MG; Amorim, WW; Oliveira, CRB; Coqueiro, HL; Gusmão, LC; Passos, LC 2017; 10 Manso, MEG; Câmara, R; Souza, AS; Maciel, TD; Farina, DBL 2016; 15 Manso, MEG; Biffi, ECA; Gerardi, TJ 2015; 18 2015; 63 2018 Iamaguchi, FM; Crozatti, MTL; Bertolini, DA; Demarchi, IG; Okawa, RTP; Teixeira, JJV 2017; 29 Alvim, MM; Silva, LA; Leite, ICG; Silvério, MS 2015; 27 Peixoto, JS; Salci, MA; Radovanovic, CAT; Salci, TP; Torres, MM; Carreira, L 2012; 33 Kuhn-Thiel, AM; Weib, C; Wehling, M 2014; 31 Nam, YS; Han, JS; Kim, JY; Bae, WK; Lee, K 2016; 16 |
References_xml | – volume: 63 start-page: 2227 issue: 11 year: 2015 ident: ref8 article-title: American Geriatrics Society 2015 Beers Criteria for potentially inappropriate medication use in older adults publication-title: J Am Geriatr Soc doi: 10.1111/jgs.13702 – volume: 31 start-page: 131 issue: 2 year: 2014 ident: ref10 article-title: Consensus validation of the FORTA (Fit fOR The Aged) List a clinical tool for increasing the appropriateness of pharmacotherapy in the elderly publication-title: Drugs Aging doi: 10.1007/s40266-013-0146-0 contributor: fullname: Kuhn-Thiel AM – volume: 7 start-page: 26 issue: 2 year: 2016 ident: ref3 article-title: Interações medicamentosas entre fármacos mais prescritos em unidade de terapia intensiva adulta publication-title: Rev Bras Farm Hosp Serv Saúde contributor: fullname: Scrignoli CP – volume: 15 start-page: 321 issue: 2 year: 2016 ident: ref16 article-title: Programa de gerenciamento de doenças crônicas em um plano de saúde, São Paulo, Brasil publication-title: Ciênc Cuid Saúde doi: 10.4025/cienccuidsaude.v15i2.28683 contributor: fullname: Manso MEG – year: 2018 ident: ref18 – volume: 71 start-page: 861 issue: 7 year: 2015 ident: ref12 article-title: The EU(7)-PIM list a list of potentially inappropriate medications for older peolpe consented by experts from seven European countries publication-title: Eur J Clin Pharmacol doi: 10.1007/s00228-015-1860-9 contributor: fullname: Guiteras AR – volume: 29 start-page: 54 issue: 1 year: 2017 ident: ref24 article-title: Frequência de interações potenciais medicamento-medicamento em prescrições médicas na atenção primária em saúde publication-title: Rev UNINGÁ contributor: fullname: Iamaguchi FM – year: 2017 ident: ref4 contributor: fullname: Vera ECBA – volume: 16 start-page: 1 year: 2016 ident: ref7 article-title: Prescription of potentially inappropriate medication in Korean older adults based on 2012 Beers Criteria a cross-sectional population based study publication-title: BMC Geriatrics contributor: fullname: Nam YS – volume: 12 start-page: 1 issue: 2 year: 2014 ident: ref15 article-title: Identificação e caracterização de interações medicamentosas em prescrições médicas da unidade de terapia intensiva de um hospital público da cidade de Feira de Santana, BA publication-title: Rev Soc Bras Clin Med contributor: fullname: Cedraz KN – year: 2015 ident: ref6 contributor: fullname: Lutz BH – volume: 55 start-page: 429 issue: 7 year: 2011 ident: ref27 article-title: Levotiroxina e o problema da permutabilidade de drogas de estreito intervalo terapêutico publication-title: Arq Bras Endocrinol Metab doi: 10.1590/S0004-27302011000700001 contributor: fullname: Ward LS – volume: 31 start-page: 2401 issue: 11 year: 2015 ident: ref21 article-title: Medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil um inquérito de base populacional publication-title: Cad Saúde Pública doi: 10.1590/0102-311X00128214 contributor: fullname: Martins GA – volume: 18 start-page: 151 issue: 1 year: 2015 ident: ref23 article-title: Prescrição inadequada de medicamentos a idosos portadores de doenças crônicas em um plano de saúde no município de São Paulo, Brasil publication-title: Rev Bras Geriatr Gerontol doi: 10.1590/1809-9823.2015.14056 contributor: fullname: Manso MEG – volume: 27 start-page: 353 issue: 4 year: 2015 ident: ref26 article-title: Eventos adversos por interações medicamentosas potenciais em unidade de terapia intensiva de um hospital de ensino publication-title: Rev Bras Ter Intensiva contributor: fullname: Alvim MM – start-page: rovados volume-title: Gênero e polifarmácia: Impacto em um grupo de idosos vinculados a um plano de saúde year: 2016 ident: ref20 contributor: fullname: Manso MEG – volume: 50 start-page: 144 issue: 3 year: 2017 ident: ref1 article-title: Geriatria medicina do século XXI?. Medicina (Ribeirão publication-title: Preto) contributor: fullname: Gorzoni ML – volume: 107 start-page: 543 issue: 31-32 year: 2010 ident: ref11 article-title: Potentially inappropriate medications in the elderly The PRISCUS list publication-title: Dtsch Arztebl Int contributor: fullname: Holt S – volume: 21 start-page: 191 issue: 1 year: 2018 ident: ref19 article-title: Avaliação multidimensional do idoso resultados em um grupo de indivíduos vinculados a uma operadora de planos de saúde publication-title: Rev Kairós contributor: fullname: Manso MEG – volume: 14 start-page: 242 issue: 3 year: 2017 ident: ref29 article-title: Utilização dos critérios de Beers para avaliação das prescrições em idosos portadores de doenças crônicas vinculadas a um plano de saúde publication-title: Rev Bras Ciênc Envelhec Hum contributor: fullname: Oliveira HSB – volume: 97 start-page: 165 issue: 2 year: 2018 ident: ref5 article-title: Aspectos farmacológicos do idoso uma revisão integrativa de literatura publication-title: Rev Med (São Paulo) doi: 10.11606/issn.1679-9836.v97i2p165-176 contributor: fullname: Oliveira HSB – volume: 44 start-page: 213 issue: 2 year: 2015 ident: ref9 article-title: STOPP/START criteria for potentially inappropriate prescribing in older people Version 2 publication-title: Age Ageing doi: 10.1093/ageing/afu145 contributor: fullname: O'Mahony D – volume: 20 start-page: 357 issue: 3 year: 2017 ident: ref22 article-title: Analise do uso de medicamentos por idosos usuários de plano de saúde suplementar publication-title: Rev Bras Geriatr Gerontol contributor: fullname: Muniz ECA – volume: 41 start-page: 107 issue: 1 year: 2017 ident: ref25 article-title: Interações medicamentosas potenciais em pacientes ambulatoriais publication-title: Mundo Saúde doi: 10.15343/0104-7809.20174101107115 contributor: fullname: Ribeiro Neto LM – volume: 10 start-page: 168 issue: 4 year: 2017 ident: ref13 article-title: Consenso brasileiro de medicamentos potencialmente inapropriados para idosos publication-title: Geriatr Gerontol Aging doi: 10.5327/Z2447-211520161600054 contributor: fullname: Oliveira MG – volume: 8 start-page: 14 issue: 3 year: 2017 ident: ref31 article-title: Medicamentos potencialmente inapropriados (MPIS) para idosos prevalência em um hospital terciário do Brasil publication-title: Rev Bras Farm Hosp Serv Saúde contributor: fullname: Santos AHDP – volume: 39 start-page: 818 issue: 4 year: 2017 ident: ref2 article-title: The "iatrogenic triad" polypharmacy, drug-drug interactions, and potentially inappropriate medications in older adults publication-title: Int J Clin Pharm doi: 10.1007/s11096-017-0470-2 contributor: fullname: Novaes PH – volume: 33 start-page: 156 issue: 3 year: 2012 ident: ref28 article-title: Riscos de interação droga-nutriente em idosos de instituição de longa permanência publication-title: Rev Gaúcha de Enferm doi: 10.1590/S1983-14472012000300021 contributor: fullname: Peixoto JS – year: 2010 ident: ref17 – volume: 17 start-page: 1628 issue: 10 year: 2017 ident: ref30 article-title: Comparison of four criteria for potentially inappropriate medications in Brasilian community-dwelling older adults publication-title: Geriatr Gerontol Int doi: 10.1111/ggi.12944 contributor: fullname: Novaes PH – volume: 19 start-page: 311 issue: 1 year: 2014 ident: ref14 article-title: Avaliação de interações medicamentosas potenciais em prescrições da atenção primária de Vitória da Conquista (BA), Brasil publication-title: Ciênc Saúde Colet doi: 10.1590/1413-81232014191.2124 contributor: fullname: Leão DFL – year: 2015 publication-title: Inadequação do uso de medicamentos entre idosos na cidade de Pelotas, RS contributor: fullname: Lutz, BH – volume: 8 start-page: 14 issue: 3 year: 2017 end-page: 18 article-title: Medicamentos potencialmente inapropriados (MPIS) para idosos prevalência em um hospital terciário do Brasil publication-title: Rev Bras Farm Hosp Serv Saúde contributor: fullname: Santos, AHDP; Cusinato, CT; Guahyba, RS – volume: 63 start-page: 2227 issue: 11 year: 2015 end-page: 2246 article-title: American Geriatrics Society 2015 Beers Criteria for potentially inappropriate medication use in older adults publication-title: J Am Geriatr Soc – volume: 12 start-page: 1 issue: 2 year: 2014 end-page: 7 article-title: Identificação e caracterização de interações medicamentosas em prescrições médicas da unidade de terapia intensiva de um hospital público da cidade de Feira de Santana, BA publication-title: Rev Soc Bras Clin Med contributor: fullname: Cedraz, KN; Santos Junior, MC – volume: 17 start-page: 1628 issue: 10 year: 2017 end-page: 1635 article-title: Comparison of four criteria for potentially inappropriate medications in Brasilian community-dwelling older adults publication-title: Geriatr Gerontol Int contributor: fullname: Novaes, PH; Cruz, DT; Lucchetti, ALG; Leite, ICG; Lucchetti, G – volume: 19 start-page: 311 issue: 1 year: 2014 end-page: 318 article-title: Avaliação de interações medicamentosas potenciais em prescrições da atenção primária de Vitória da Conquista (BA), Brasil publication-title: Ciênc Saúde Colet contributor: fullname: Leão, DFL; Moura, CS; Medeiros, DS – year: 2017 publication-title: Terapia medicamentosa do idoso: fatores de influência contributor: fullname: Vera, ECBA – start-page: rovados year: 2016 end-page: rovados publication-title: 20º Congresso Brasileiro de Geriatria e Gerontologia; 8-11 de junho de 2016; Fortaleza- CE contributor: fullname: Manso, MEG; Oliveira, HSB; Biffi, ECA – volume: 7 start-page: 26 issue: 2 year: 2016 end-page: 30 article-title: Interações medicamentosas entre fármacos mais prescritos em unidade de terapia intensiva adulta publication-title: Rev Bras Farm Hosp Serv Saúde contributor: fullname: Scrignoli, CP; Teixeira, VCMC; Leal, DCP – volume: 50 start-page: 144 issue: 3 year: 2017 end-page: 149 article-title: Geriatria medicina do século XXI?. Medicina (Ribeirão publication-title: Preto) contributor: fullname: Gorzoni, ML – year: 2018 publication-title: Pesquisa Nacional por Amostra de Domicílios (PNAD) contínua: número de idosos cresce 18% em 5 anos e ultrapassa 30 milhões em 2017 – volume: 39 start-page: 818 issue: 4 year: 2017 end-page: 825 article-title: The "iatrogenic triad" polypharmacy, drug-drug interactions, and potentially inappropriate medications in older adults publication-title: Int J Clin Pharm contributor: fullname: Novaes, PH; Cruz, DT; Lucchetti, ALG; Leite, ICG; Lucchetti, G – volume: 15 start-page: 321 issue: 2 year: 2016 end-page: 327 article-title: Programa de gerenciamento de doenças crônicas em um plano de saúde, São Paulo, Brasil publication-title: Ciênc Cuid Saúde contributor: fullname: Manso, MEG; Câmara, R; Souza, AS; Maciel, TD; Farina, DBL – year: 2010 publication-title: Anatomical Therapeutic Chemical. Classification. Index with defined daily doses (DDDs) – volume: 29 start-page: 54 issue: 1 year: 2017 end-page: 60 article-title: Frequência de interações potenciais medicamento-medicamento em prescrições médicas na atenção primária em saúde publication-title: Rev UNINGÁ contributor: fullname: Iamaguchi, FM; Crozatti, MTL; Bertolini, DA; Demarchi, IG; Okawa, RTP; Teixeira, JJV – volume: 10 start-page: 168 issue: 4 year: 2017 end-page: 181 article-title: Consenso brasileiro de medicamentos potencialmente inapropriados para idosos publication-title: Geriatr Gerontol Aging contributor: fullname: Oliveira, MG; Amorim, WW; Oliveira, CRB; Coqueiro, HL; Gusmão, LC; Passos, LC – volume: 18 start-page: 151 issue: 1 year: 2015 end-page: 164 article-title: Prescrição inadequada de medicamentos a idosos portadores de doenças crônicas em um plano de saúde no município de São Paulo, Brasil publication-title: Rev Bras Geriatr Gerontol contributor: fullname: Manso, MEG; Biffi, ECA; Gerardi, TJ – volume: 31 start-page: 2401 issue: 11 year: 2015 end-page: 2412 article-title: Medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil um inquérito de base populacional publication-title: Cad Saúde Pública contributor: fullname: Martins, GA; Acurcio, FA; Franceschini, SCC; Priore, SE; Ribeiro, AQ – volume: 27 start-page: 353 issue: 4 year: 2015 end-page: 359 article-title: Eventos adversos por interações medicamentosas potenciais em unidade de terapia intensiva de um hospital de ensino publication-title: Rev Bras Ter Intensiva contributor: fullname: Alvim, MM; Silva, LA; Leite, ICG; Silvério, MS – volume: 71 start-page: 861 issue: 7 year: 2015 end-page: 875 article-title: The EU(7)-PIM list a list of potentially inappropriate medications for older peolpe consented by experts from seven European countries publication-title: Eur J Clin Pharmacol contributor: fullname: Guiteras, AR; Meyer, G; Thurmann, PA – volume: 107 start-page: 543 issue: 31-32 year: 2010 end-page: 551 article-title: Potentially inappropriate medications in the elderly The PRISCUS list publication-title: Dtsch Arztebl Int contributor: fullname: Holt, S; Schmiedl, S; Thurmann, PA – volume: 31 start-page: 131 issue: 2 year: 2014 end-page: 140 article-title: Consensus validation of the FORTA (Fit fOR The Aged) List a clinical tool for increasing the appropriateness of pharmacotherapy in the elderly publication-title: Drugs Aging contributor: fullname: Kuhn-Thiel, AM; Weib, C; Wehling, M – volume: 20 start-page: 357 issue: 3 year: 2017 end-page: 387 article-title: Analise do uso de medicamentos por idosos usuários de plano de saúde suplementar publication-title: Rev Bras Geriatr Gerontol contributor: fullname: Muniz, ECA; Goulart, FC; Lazarini, CA; Marin, MJS – volume: 97 start-page: 165 issue: 2 year: 2018 end-page: 176 article-title: Aspectos farmacológicos do idoso uma revisão integrativa de literatura publication-title: Rev Med (São Paulo) contributor: fullname: Oliveira, HSB; Corradi, MLG – volume: 44 start-page: 213 issue: 2 year: 2015 end-page: 218 article-title: STOPP/START criteria for potentially inappropriate prescribing in older people Version 2 publication-title: Age Ageing contributor: fullname: O'Mahony, D; O'Sullivan, D; Byrne, S; O'Connor, MN; Ryan, C; Gallagher, P – volume: 14 start-page: 242 issue: 3 year: 2017 end-page: 251 article-title: Utilização dos critérios de Beers para avaliação das prescrições em idosos portadores de doenças crônicas vinculadas a um plano de saúde publication-title: Rev Bras Ciênc Envelhec Hum contributor: fullname: Oliveira, HSB; Sousa, JRP; Donis, ACG; Manso, MEG – volume: 41 start-page: 107 issue: 1 year: 2017 end-page: 115 article-title: Interações medicamentosas potenciais em pacientes ambulatoriais publication-title: Mundo Saúde contributor: fullname: Ribeiro Neto, LM; Costa Junior, VL; Crozara, MA – volume: 55 start-page: 429 issue: 7 year: 2011 end-page: 434 article-title: Levotiroxina e o problema da permutabilidade de drogas de estreito intervalo terapêutico publication-title: Arq Bras Endocrinol Metab contributor: fullname: Ward, LS – volume: 16 start-page: 1 year: 2016 end-page: 9 article-title: Prescription of potentially inappropriate medication in Korean older adults based on 2012 Beers Criteria a cross-sectional population based study publication-title: BMC Geriatrics contributor: fullname: Nam, YS; Han, JS; Kim, JY; Bae, WK; Lee, K – volume: 21 start-page: 191 issue: 1 year: 2018 end-page: 211 article-title: Avaliação multidimensional do idoso resultados em um grupo de indivíduos vinculados a uma operadora de planos de saúde publication-title: Rev Kairós contributor: fullname: Manso, MEG; Osti, AV; Borrozino, NF; Maresti, LTP – volume: 33 start-page: 156 issue: 3 year: 2012 end-page: 164 article-title: Riscos de interação droga-nutriente em idosos de instituição de longa permanência publication-title: Rev Gaúcha de Enferm contributor: fullname: Peixoto, JS; Salci, MA; Radovanovic, CAT; Salci, TP; Torres, MM; Carreira, L |
SSID | ssj0000392958 |
Score | 2.1082149 |
Snippet | Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to... |
SourceID | doaj scielo crossref |
SourceType | Open Website Open Access Repository Aggregation Database |
SubjectTerms | Drug Interactions GERIATRICS & GERONTOLOGY Old Age Assistance Potentially Inappropriate Medication List Prepaid Health Plans Prescription Drug Overuse Public Health |
Title | The iatrogenic triad in a group of elderly women contracted to a health plan |
URI | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232019000100211&lng=en&tlng=en https://doaj.org/article/9a6a7e776d0a4936a2922c9c47cfd850 |
Volume | 22 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1NS8QwEA2yBy8iuiquqOQgeKrbpk3aHlVcFlEvurC3MM0HCEu76Hrw3zuTVO3Ni6dCKKR9k2TmtTNvGLuQHi3tRZVY79OkkC5LoML9CMqbrPQkYBSyLZ7UfFHcL-Vy0OqLcsKiPHAEblqDgtKVpbIpFHWuQNRCmNoUpfG26tl6JgdkKpzB5PZl1Sd0yTqdIrnOEly8SlD1tBBXGZ7Nod_KrzsKqv2kGYrbajX0M7M9ttsHiPw6Ptg-23LtmG0_9r_Ax2wnfmjjsX7ogD2goTmlK3e4FHCc2nBY_tpy4KFig3eeO2rFvfrkQW6Bh-x0Emm2fNPhbbEUkq9X0B6yxezu5Xae9C0SEoOvQsKs1GgoN4VTNgejAFSDl8a4PPfKlMYID7mw1GPH5qopPfpjaZBBS5vWFeRHbNR2rTtm3IIsmswpVYAvoLHgPJI1qCgTpfHGTFj6jZReRyUMTQwCwdUErh6AqyO4E3ZDiP7cTlLWYQANrHsD678MPGGX0R66313v-plEx3RdYTRI8xGvxVAlO_mP6U7ZaPP24c4w1Ng052FVfQEgEc0G |
link.rule.ids | 230,315,786,790,870,891,2115,4043,27954,27955,27956 |
linkProvider | Directory of Open Access Journals |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+iatrogenic+triad+in+a+group+of+elderly+women+contracted+to+a+health+plan&rft.jtitle=Revista+brasileira+de+geriatria+e+gerontologia&rft.au=Oliveira%2C+Henrique+Souza+Barros+de&rft.au=Manso%2C+Maria+Elisa+Gonzalez&rft.date=2019&rft.issn=1809-9823&rft.eissn=1981-2256&rft.volume=22&rft.issue=1&rft_id=info:doi/10.1590%2F1981-22562019022.180188&rft.externalDBID=n%2Fa&rft.externalDocID=10_1590_1981_22562019022_180188 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1809-9823&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1809-9823&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1809-9823&client=summon |