Medicamentos prescritos aos idosos em uma capital do Sul do Brasil e a Relação Municipal de Medicamentos

Aziz, Marina; Calvo, Maria Cristina Marino; d’Orsi, Eleonora

doi:10.1590/s0102-311x2012000100006

Cited by 11 publications

(12 citation statements)

References 9 publications

(10 reference statements)

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“…A similar result was found in the municipality of Florianopolis (Santa Catarina) 27 . This result is also in line with the WHO reference value, which considers access to medicines above 80% desirable 28 .…”

Section: Discussionsupporting

confidence: 88%

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Stefano

Conterno

Filho

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To describe the prescribing, dispensing, use, adhesion, and storage of medicines to and by the elderly. Method: A descriptive cross-sectional study was performed in Estratégia Saúde da Família (Family Health Strategy) health centers (ESF), in Marília in the state of São Paulo, Brazil, based on the records of and interviews with 114 individuals seven to ten days after a medical consultation. A descriptive analysis was carried out. Results: The mean number of prescribed drugs was 4.98 per elderly patient. Of the total number of prescribed drugs, 81.5% were supplied by public services, with the nutrient (50%); antilipemic (62.1%); analgesic (30.7%); dermo-protector (66.6%); herbal (40%) and parasite and antifungal (37.5%) classes dispensed the least. A total of 83.8% of the prescribed drugs were used, while the drugs dispensed at the lowest rates were not used by the elderly, except for analgesics. A total of 40.3% of the respondents exhibited low adherence. Most stored their medicines in a suitable place. Conclusion: The prescribing, dispensing, use and storage of medications to and by the elderly can be considered effective, but adherence remains low, requiring new strategies and interventions.

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Section: Discussionsupporting

confidence: 88%

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Stefano

Conterno

Filho

et al. 2017

Rev. bras. geriatr. gerontol.

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“…Even though the exposure to polypharmacy is not a synonym of inadequate use, the lucrative character of these private services, the ideological approach and the interaction of doctors with the pharmaceutical industry can explain the quality and quantity of inadequate medications consumed by elderly individuals, as well as the health care model, which has been its main form of intervention 13,27 . The most used groups of medication in polypharmacy 7,14,15,17 reflect the high prevalence of cardiovascular diseases and diabetes in the elderly population, as well as cases of insomnia, anxiety and states of confusion 21 , confirming the results in this study, in which groups of medication affecting the cardiovascular system, digestive tract and metabolism, as well as the nervous system, were also the most used ones by this population. Nonetheless, it is important that public policies providing medication be aware of the peculiarities that involve the aging organism, so that this group's access to medication could be safe and efficient, considering that the medications that work on the nervous system are the ones that cause the most adverse effects.…”

Section: Discussionsupporting

confidence: 86%

“…Interviewees were asked to present to the interviewer all of the package inserts, packages, blister packs or prescriptions of the medication used in the last 30 days, and their commercial names and dosages were recorded. When the material did not exist, the information provided by the interviewee was recorded 21 . Polypharmacy -considered to be the "concomitant use of five or more medications" 6-9,16-18,22,23 -consumed within the 30 days prior to the interview was considered a dependent variable.…”

mentioning

confidence: 99%

Polifarmácia em idosos: um estudo de base populacional

Pereira

Peres

Iop

et al. 2017

Rev. bras. epidemiol.

121

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ABSTRACT:Objective: To investigate polypharmacy among the elderly living in the urban area of Florianopolis, in the state of Santa Catarina, Brazil, estimating the prevalence and associated factors. Methods: This is a crosssectional population-based study with a sample of 1,705 individuals aged 60 years old or older, between 2009 and 2010. The dependent variable was polypharmacy (defined as "use of five or more medications"). The following exploratory variables were utilized: sociodemographic data, use of health services and self-rated health status. Prevalence ratios (PR) were estimated by multivariate analysis using the Poisson regression. Results: The mean for the medications used by the elderly population was 3.8 (ranging from 0 to 28). The prevalence of polypharmacy was 32%, with 95% confidence interval (95% CI) 29.8 -34.3. The characteristics presenting a positive association with polypharmacy were: female gender (PR = 1.27; 95%CI 1.03 -1.57), increasing age (PR = 1.38; 95% CI 1.08 -1.77), negative self-rated health status (PR = 1.99; 95% CI 1.59 -2.48) and medical appointments in the 3 months prior to the interview (PR = 1.89; 95% CI 1.53 -2.32). The groups of medication most utilized by the elderly individuals in polypharmacy were those indicated for the cardiovascular system, digestive tract and metabolism, as well as the nervous system. Conclusion: The pattern of medication use among this elderly population is within the national average. The prevalence of polypharmacy and the characteristics associated with it were similar to those found in other regions of Brazil.

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“…(yes; no); hospitalization in the previous 6 months (yes; no); and use of polypharmacy 28 (yes; no), obtained from packages and/or physician's prescriptions for medicines, recorded by the brand name and later classified according to the Anatomical Therapeutic Chemical Code (ATC) 29 , defined as concurrent use of four or more medicines.…”

Section: Independent Variablesmentioning

confidence: 99%

Autopercepção positiva de saúde em idosos: estudo populacional no Sul do Brasil

et al. 2015

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Medicamentos prescritos aos idosos em uma capital do Sul do Brasil e a Relação Municipal de Medicamentos

Abstract: The aim of this study was to describe the medicines prescribed to elderly residents of Florianópolis, Santa Catarina State, Brazil,

Cited by 11 publications

References 9 publications

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Polifarmácia em idosos: um estudo de base populacional

Autopercepção positiva de saúde em idosos: estudo populacional no Sul do Brasil

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