Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study

Introduction: The consumption of potentially inappropriate medicines is high among institutionalized elderly, predisposing to potential drug interactions, adverse drug events, risk of iatrogenic cascade, increased morbidity and mortality and health costs. Medication review is a promising strategy fo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sofia Peixoto, Armando Almeida, Ana Caramelo, Lígia Mendes
Formato:	article
Lenguaje:	EN PT
Publicado:	Ordem dos Médicos 2021
Materias:	idoso institucionalização lista de prescrições potencialmente inapropriadas portugal prescrição inapropriada Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0acd3e4724df42eea4a60953823c820c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0acd3e4724df42eea4a60953823c820c
record_format	dspace
spelling	oai:doaj.org-article:0acd3e4724df42eea4a60953823c820c2021-12-01T21:03:58ZApplication of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study0870-399X1646-075810.20344/amp.13030https://doaj.org/article/0acd3e4724df42eea4a60953823c820c2021-11-01T00:00:00Zhttps://actamedicaportuguesa.com/revista/index.php/amp/article/view/13030https://doaj.org/toc/0870-399Xhttps://doaj.org/toc/1646-0758Introduction: The consumption of potentially inappropriate medicines is high among institutionalized elderly, predisposing to potential drug interactions, adverse drug events, risk of iatrogenic cascade, increased morbidity and mortality and health costs. Medication review is a promising strategy for therapeutic optimization, although scarcely documented in Portugal. The aim of this study was to characterize, using explicit criteria, the existence of potentially inappropriate medicines, among institutionalized elderly, and to calculate the eventual cost savings, with their discontinuation. Material and Methods: Descriptive and cross-sectional study conducted in three residential homes for the elderly, from different geographic regions, based on a random sample of 33 health records. In order to characterize the existence of potentially inappropriate medicines, we used the 2015 Beers criteria, revised by the American Geriatrics Society and in the Portuguese version. Results: On average, 11 drugs are prescribed to elderly residents of three residential structures for the elderly. All health records contain potentially inappropriate medicines (mean 4.8 ± 2.0 per resident), with anxiolytics (17.7%), antidepressants (17.7%) and antipsychotics (15.8%) being the most prevalent. Its reduction would result in an average monthly savings of €9.6 per resident. Discussion: The consumption of potentially inappropriate medicines is higher than the literature describes, and the cost of medicines is high. The involvement of nurses in the process of drug management and reconciliation, in coordination with the physician, could be an effective strategy. This is the first study using the latest Portuguese version of the Beers criteria, which makes the comparability of the results difficult. Conclusion: The consumption of potentially inappropriate medicines is high, which suggest the need for adoption of improvement measures.Sofia PeixotoArmando AlmeidaAna CarameloLígia MendesOrdem dos Médicosarticleidosoinstitucionalizaçãolista de prescrições potencialmente inapropriadasportugalprescrição inapropriadaMedicineRMedicine (General)R5-920ENPTActa Médica Portuguesa, Vol 34, Iss 11, Pp 741-748 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	idoso institucionalização lista de prescrições potencialmente inapropriadas portugal prescrição inapropriada Medicine R Medicine (General) R5-920
spellingShingle	idoso institucionalização lista de prescrições potencialmente inapropriadas portugal prescrição inapropriada Medicine R Medicine (General) R5-920 Sofia Peixoto Armando Almeida Ana Caramelo Lígia Mendes Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study
description	Introduction: The consumption of potentially inappropriate medicines is high among institutionalized elderly, predisposing to potential drug interactions, adverse drug events, risk of iatrogenic cascade, increased morbidity and mortality and health costs. Medication review is a promising strategy for therapeutic optimization, although scarcely documented in Portugal. The aim of this study was to characterize, using explicit criteria, the existence of potentially inappropriate medicines, among institutionalized elderly, and to calculate the eventual cost savings, with their discontinuation. Material and Methods: Descriptive and cross-sectional study conducted in three residential homes for the elderly, from different geographic regions, based on a random sample of 33 health records. In order to characterize the existence of potentially inappropriate medicines, we used the 2015 Beers criteria, revised by the American Geriatrics Society and in the Portuguese version. Results: On average, 11 drugs are prescribed to elderly residents of three residential structures for the elderly. All health records contain potentially inappropriate medicines (mean 4.8 ± 2.0 per resident), with anxiolytics (17.7%), antidepressants (17.7%) and antipsychotics (15.8%) being the most prevalent. Its reduction would result in an average monthly savings of €9.6 per resident. Discussion: The consumption of potentially inappropriate medicines is higher than the literature describes, and the cost of medicines is high. The involvement of nurses in the process of drug management and reconciliation, in coordination with the physician, could be an effective strategy. This is the first study using the latest Portuguese version of the Beers criteria, which makes the comparability of the results difficult. Conclusion: The consumption of potentially inappropriate medicines is high, which suggest the need for adoption of improvement measures.
format	article
author	Sofia Peixoto Armando Almeida Ana Caramelo Lígia Mendes
author_facet	Sofia Peixoto Armando Almeida Ana Caramelo Lígia Mendes
author_sort	Sofia Peixoto
title	Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study
title_short	Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study
title_full	Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study
title_fullStr	Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study
title_full_unstemmed	Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study
title_sort	application of the 2015 beers criteria operationalized for portugal in institutionalized elderly: a cross-sectional study
publisher	Ordem dos Médicos
publishDate	2021
url	https://doaj.org/article/0acd3e4724df42eea4a60953823c820c
work_keys_str_mv	AT sofiapeixoto applicationofthe2015beerscriteriaoperationalizedforportugalininstitutionalizedelderlyacrosssectionalstudy AT armandoalmeida applicationofthe2015beerscriteriaoperationalizedforportugalininstitutionalizedelderlyacrosssectionalstudy AT anacaramelo applicationofthe2015beerscriteriaoperationalizedforportugalininstitutionalizedelderlyacrosssectionalstudy AT ligiamendes applicationofthe2015beerscriteriaoperationalizedforportugalininstitutionalizedelderlyacrosssectionalstudy
_version_	1718404555115331584

Application of the 2015 Beers Criteria Operationalized for Portugal in Institutionalized Elderly: A Cross-Sectional Study

Ejemplares similares