Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital

Objective: To evaluate the factors associated with the prescription of potentially inappropriate medications for the older adult (PIM) in a public hospital. Methods: A prospective cross-sectional study was carried out, whose data were collected from the medical records of older adult patients, admi...

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Autores principales:	Priscilla M. SOUZA, Rafaela L. SANTOS, Monique G. CERQUEIRA, Gildomar L. VALASQUES-JUNIOR, Tuany S. SOUZA
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2021
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/24a5184eac2e477988177572c3c4b7d7
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spelling	oai:doaj.org-article:24a5184eac2e477988177572c3c4b7d72021-11-28T02:43:21ZAssociated factors with the prescription of potentially inappropriate medication for older adult in a public hospital10.30968/rbfhss.2021.122.05862179-59242316-7750https://doaj.org/article/24a5184eac2e477988177572c3c4b7d72021-04-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/586https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To evaluate the factors associated with the prescription of potentially inappropriate medications for the older adult (PIM) in a public hospital. Methods: A prospective cross-sectional study was carried out, whose data were collected from the medical records of older adult patients, admitted to the medical clinic of a public hospital, by a trained researcher, not a member of the staff. The collection took place between November 2018 and January 2019. The medical records of patients aged over 60 years, who were using at least one allopathic in-hospital medication, with a minimum of 48 hours of hospitalization, were included. Illegible prescriptions, or those containing only herbal medicines and / or vitamin supplements, were excluded. The PIMs were classified according to the Beers Criteria, 2019 update. Descriptive analysis of the data was performed using frequencies, means and standard deviation and bivariate analysis using the Chi-square and Fisher’s Exact tests, with a level of significance. p <0.05, using the software and SPSS® v.21.0. Results: 42 medical records of the older adult were analyzed, where a 100% prevalence of use of PIM and polypharmacy was identified. The number of PIMs per patient was significantly associated with females (p = 0.020), with a higher prevalence of older adult women who used between 1 and 4 PIMs (64.1%); diagnosis (p = 0.006), with a higher prevalence of older adult people with circulatory tract diseases (54.5% using 1-4 PIM), endocrine, nutritional and metabolic diseases (85.7% using 1-4 PIM) ) and diseases of the circulatory system (83.5% in use ≥5 PIM); polypharmacy (p = 0.002) with higher prevalence of older adult people who used ≥10 medications (52%, in use ≥ 5 PIM). The main therapeutic classes of PIM were of the alimentary tract and metabolism (46%) and nervous system (22%). Conclusion: It is concluded that the prescription of PIM was very high, where all the older adult in this study were exposed, being significantly associated with the female gender, polypharmacy, and diagnoses related to chronic comorbidities. It is necessary to raise the awareness of the team to adopt safer strategies and practices in the use of these drugs in order to minimize the exposure of the older adult to possible risks. Priscilla M. SOUZARafaela L. SANTOSMonique G. CERQUEIRAGildomar L. VALASQUES-JUNIORTuany S. SOUZASociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 12, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Priscilla M. SOUZA Rafaela L. SANTOS Monique G. CERQUEIRA Gildomar L. VALASQUES-JUNIOR Tuany S. SOUZA Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
description	Objective: To evaluate the factors associated with the prescription of potentially inappropriate medications for the older adult (PIM) in a public hospital. Methods: A prospective cross-sectional study was carried out, whose data were collected from the medical records of older adult patients, admitted to the medical clinic of a public hospital, by a trained researcher, not a member of the staff. The collection took place between November 2018 and January 2019. The medical records of patients aged over 60 years, who were using at least one allopathic in-hospital medication, with a minimum of 48 hours of hospitalization, were included. Illegible prescriptions, or those containing only herbal medicines and / or vitamin supplements, were excluded. The PIMs were classified according to the Beers Criteria, 2019 update. Descriptive analysis of the data was performed using frequencies, means and standard deviation and bivariate analysis using the Chi-square and Fisher’s Exact tests, with a level of significance. p <0.05, using the software and SPSS® v.21.0. Results: 42 medical records of the older adult were analyzed, where a 100% prevalence of use of PIM and polypharmacy was identified. The number of PIMs per patient was significantly associated with females (p = 0.020), with a higher prevalence of older adult women who used between 1 and 4 PIMs (64.1%); diagnosis (p = 0.006), with a higher prevalence of older adult people with circulatory tract diseases (54.5% using 1-4 PIM), endocrine, nutritional and metabolic diseases (85.7% using 1-4 PIM) ) and diseases of the circulatory system (83.5% in use ≥5 PIM); polypharmacy (p = 0.002) with higher prevalence of older adult people who used ≥10 medications (52%, in use ≥ 5 PIM). The main therapeutic classes of PIM were of the alimentary tract and metabolism (46%) and nervous system (22%). Conclusion: It is concluded that the prescription of PIM was very high, where all the older adult in this study were exposed, being significantly associated with the female gender, polypharmacy, and diagnoses related to chronic comorbidities. It is necessary to raise the awareness of the team to adopt safer strategies and practices in the use of these drugs in order to minimize the exposure of the older adult to possible risks.
format	article
author	Priscilla M. SOUZA Rafaela L. SANTOS Monique G. CERQUEIRA Gildomar L. VALASQUES-JUNIOR Tuany S. SOUZA
author_facet	Priscilla M. SOUZA Rafaela L. SANTOS Monique G. CERQUEIRA Gildomar L. VALASQUES-JUNIOR Tuany S. SOUZA
author_sort	Priscilla M. SOUZA
title	Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
title_short	Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
title_full	Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
title_fullStr	Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
title_full_unstemmed	Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
title_sort	associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2021
url	https://doaj.org/article/24a5184eac2e477988177572c3c4b7d7
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Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital

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