Características del uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada

Resumen Objetivo Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método Estudio multicéntrico, observacional y prospectivo. Se reclutaron 672 pacientes mayores de 75 años hospitalizados en Medicina Interna entre abril de 2011 y marzo de 2012. Se utilizaron...

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Published inGaceta sanitaria Vol. 31; no. 4; pp. 327 - 331
Main Authors Rivas-Cobas, Paula Carlota, Ramírez-Duque, Nieves, Gómez Hernández, Mercedes, García, Juana, Agustí, Antonia, Vidal, Xavier, Formiga, Francesc, López-Soto, Alfonso, Torres, Olga H, San-José, Antonio
Format Journal Article
LanguageSpanish
Published Elsevier España, S.L.U 01.07.2017
Elsevier
Ediciones Doyma, S.L
Subjects
Adecuación
Adequacy
Administració de medicaments
Administration of drugs
Demography
Drug prescribing
Edad avanzada
Elderly
Health Care Sciences & Services
Health Policy & Services
Inappropriate prescription
Infectious Diseases
Internal Medicine
Multimorbidity
Multimorbilidad
Older people
Persones grans
Pluripatología
Polifarmacia
Polypathology
Polypharmacy
Potentially inappropriate prescribing
Prescripció de medicaments
Prescripción inapropiada
Psychology
Public, Environmental & Occupational Health
Sociology
Uso inadecuado de medicamentos
Adecuación
Potentially inappropriate prescribing
Polifarmacia
Inappropriate prescription
Prescripción inapropiada
Multimorbidity
Polypharmacy
Multimorbilidad
Polypathology
Adequacy
Uso inadecuado de medicamentos
Edad avanzada
Elderly
Pluripatología
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Abstract Resumen Objetivo Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método Estudio multicéntrico, observacional y prospectivo. Se reclutaron 672 pacientes mayores de 75 años hospitalizados en Medicina Interna entre abril de 2011 y marzo de 2012. Se utilizaron los criterios Beers, STOPP-START y ACOVE para detectar el uso inadecuado de medicamentos, y los resultados se compararon entre pacientes pluripatológicos y no pluripatológicos. Resultados De 672 pacientes incluidos, 419 (62%) eran pluripatológicos y el 89,3% de ellos presentaban un uso inadecuado de medicamentos, frente al 79,4% de los no pluripatológicos (p <0,01). El 40,3% de los pacientes pluripatológicos cumplía criterios de Beers, el 62,8% criterios STOPP, el 62,3% criterios START y el 65,6% criterios ACOVE. El uso inadecuado de medicamentos fue mayor en los pacientes pluripatológicos con independencia de la herramienta utilizada. Conclusiones La alta prevalencia de uso inadecuado de medicamentos en pacientes pluripatológicos hace necesario desarrollar estrategias para mejorar la adecuación farmacológica.
AbstractList Resumen Objetivo Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método Estudio multicéntrico, observacional y prospectivo. Se reclutaron 672 pacientes mayores de 75 años hospitalizados en Medicina Interna entre abril de 2011 y marzo de 2012. Se utilizaron los criterios Beers, STOPP-START y ACOVE para detectar el uso inadecuado de medicamentos, y los resultados se compararon entre pacientes pluripatológicos y no pluripatológicos. Resultados De 672 pacientes incluidos, 419 (62%) eran pluripatológicos y el 89,3% de ellos presentaban un uso inadecuado de medicamentos, frente al 79,4% de los no pluripatológicos (p <0,01). El 40,3% de los pacientes pluripatológicos cumplía criterios de Beers, el 62,8% criterios STOPP, el 62,3% criterios START y el 65,6% criterios ACOVE. El uso inadecuado de medicamentos fue mayor en los pacientes pluripatológicos con independencia de la herramienta utilizada. Conclusiones La alta prevalencia de uso inadecuado de medicamentos en pacientes pluripatológicos hace necesario desarrollar estrategias para mejorar la adecuación farmacológica.
Objetivo: Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método: Estudio multicéntrico, observacional y prospectivo. Se reclutaron 672 pacientes mayores de 75 años hospitalizados en Medicina Interna entre abril de 2011 y marzo de 2012. Se utilizaron los criterios Beers, STOPP-START y ACOVE para detectar el uso inadecuado de medicamentos, y los resultados se compararon entre pacientes pluripatológicos y no pluripatológicos. Resultados: De 672 pacientes incluidos, 419 (62%) eran pluripatológicos y el 89,3% de ellos presentaban un uso inadecuado de medicamentos, frente al 79,4% de los no pluripatológicos (p <0,01). El 40,3% de los pacientes pluripatológicos cumplía criterios de Beers, el 62,8% criterios STOPP, el 62,3% criterios START y el 65,6% criterios ACOVE. El uso inadecuado de medicamentos fue mayor en los pacientes pluripatológicos con independencia de la herramienta utilizada. Conclusiones: La alta prevalencia de uso inadecuado de medicamentos en pacientes pluripatológicos hace necesario desarrollar estrategias para mejorar la adecuación farmacológica.
Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Estudio multicéntrico, observacional y prospectivo. Se reclutaron 672 pacientes mayores de 75 años hospitalizados en Medicina Interna entre abril de 2011 y marzo de 2012. Se utilizaron los criterios Beers, STOPP-START y ACOVE para detectar el uso inadecuado de medicamentos, y los resultados se compararon entre pacientes pluripatológicos y no pluripatológicos. De 672 pacientes incluidos, 419 (62%) eran pluripatológicos y el 89,3% de ellos presentaban un uso inadecuado de medicamentos, frente al 79,4% de los no pluripatológicos (p <0,01). El 40,3% de los pacientes pluripatológicos cumplía criterios de Beers, el 62,8% criterios STOPP, el 62,3% criterios START y el 65,6% criterios ACOVE. El uso inadecuado de medicamentos fue mayor en los pacientes pluripatológicos con independencia de la herramienta utilizada. La alta prevalencia de uso inadecuado de medicamentos en pacientes pluripatológicos hace necesario desarrollar estrategias para mejorar la adecuación farmacológica. To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP). Multicentre observational, prospective study of 672 patients aged 75 years and older hospitalised in Internal Medicine between April 2011 and March 2012. The Beers, STOPP-START and ACOVE criteria were used to detect potentially inappropriate prescribing and the results of PP and non-PP patients were compared. Of the 672 patients included, 419 (62%) were polypathological, of which 89.3% met PIP criteria versus 79.4% of non-polypathological patients (p <0.01). 40.3% of polypathological patients met at least one Beers criteria, 62.8% at least one STOPP criteria, 62.3% at least one START criteria and 65.6% at least one ACOVE criteria. The rate of potentially inappropriate prescribing was higher in polypathological patients regardless of the tool used. Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed.
Author Torres, Olga H
San-José, Antonio
López-Soto, Alfonso
Formiga, Francesc
Agustí, Antonia
Vidal, Xavier
Gómez Hernández, Mercedes
Rivas-Cobas, Paula Carlota
Ramírez-Duque, Nieves
García, Juana
AuthorAffiliation Hospitales Universitarios Virgen del Rocío
Universitat Autónoma de Barcelona
Hospital Clínic de Barcelona
Hospital Universitari de Bellvitge
Hospital San Juan de Dios del Aljarafe
Hospital General Juan Ramón Jiménez
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ContentType Journal Article
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2016 SESPAS
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Issue 4
Keywords Adecuación
Potentially inappropriate prescribing
Polifarmacia
Inappropriate prescription
Prescripción inapropiada
Multimorbidity
Polypharmacy
Multimorbilidad
Polypathology
Adequacy
Uso inadecuado de medicamentos
Edad avanzada
Elderly
Pluripatología
Language Spanish
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Snippet Resumen Objetivo Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método Estudio multicéntrico, observacional y...
Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Estudio multicéntrico, observacional y prospectivo. Se reclutaron...
Objetivo: Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método: Estudio multicéntrico, observacional y...
Resumen Objetivo: Analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada. Método: Estudio multicéntrico, observacional y...
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SubjectTerms Adecuación
Adequacy
Administració de medicaments
Administration of drugs
Demography
Drug prescribing
Edad avanzada
Elderly
Health Care Sciences & Services
Health Policy & Services
Inappropriate prescription
Infectious Diseases
Internal Medicine
Multimorbidity
Multimorbilidad
Older people
Persones grans
Pluripatología
Polifarmacia
Polypathology
Polypharmacy
Potentially inappropriate prescribing
Prescripció de medicaments
Prescripción inapropiada
Psychology
Public, Environmental & Occupational Health
Sociology
Uso inadecuado de medicamentos
Title Características del uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0213911116301352
https://dx.doi.org/10.1016/j.gaceta.2016.06.013
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