A influência da utilização de medicamentos no risco de quedas em idosos de instituições de longa permanência do distrito federal / The influence of drug use on the risk of falls in elderly in long stay institutions of the Federal District

Silva, Tiffany Pavelkonski Da; Venancio, Júlia Barros; Oliveira, Maria de Jesus; Lima, Amanda Costa; Santos, Bruna Maria Pereira; Ferreira, Bianca Machado; Siqueira, Sabrina da Costa Fernanda; Pegoraro, Vanessa Alvarenga

doi:10.34117/bjdv8n3-182

Cited by 3 publications

(2 citation statements)

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“…As modificações fisiológicas durante o processo de envelhecimento contribuem com o desenvolvimento de atrofia muscular, fraqueza e distúrbios de marcha. Além disso, há ainda alterações ósseas relacionadas ao envelhecimento, onde os ossos, já mais fracos, buscam suporte em músculos também fracos, o que contribui com as recorrentes quedas comumente registradas na população idosa (SILVA et al, 2022).…”

Section: Introductionunclassified

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Risk of falling associated with the use of medicines in the elderly of the community

Bochnie,

Polisel,

Perdomo

et al. 2024

OLEL

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Falls are multifactor events, where drug use is an important modifiable risk factor. The risk of falling increases with the aging process and is related to a number of consequences such as reduced functionality, injuries, fractures, hospital admissions, morbidity and mortality. The objective of this study was to evaluate the risk of falling associated with the use of medication in the elderly of the community in Campo Grande, Mato Grosso do Sul, Brazil. This was an observational study, of a transversal character, carried out by means of individual interviews. The variables evaluated were: participant profile and social, clinical and drug histories. In addition, the Medication Fall Risk Score scale was applied. The study was approved by the Ethics Committee in Research with Human Beings of the Federal University of Mato Grosso do Sul, through the opinion n° 5.839.799. The study included 50 elderly individuals with an average age of 66 years (±5.41), most of them female (n=36; 72.0%), with a full tertiary education (n=15; 30.0%), physical exercise (n=39; 78.0%), without any physical limitations (n=34; 68.0%), and without caregiver (n=47; 94.0%). In total, 29 drugs (22.3%) associated with the risk of falling were identified in the prescriptions. The most prescribed were losartan potassium (n=x; 23.5%), anlodipine besylate (n=x; 9.8%), valsartan (7.8%), metoprolol succinate (7.8%), and hydrochlorothiazide (7.8%). Considering the total number of prescription-related medicines identified as falling risk, 12 (36.4%), 5 (15.2%) and 15 (48.5%) were high, intermediate and low risk of falling, respectively. Ten elderly people (20.0%) were classified as high risk of falling associated with the use of medicines. The results showed that the use of drugs associated with the risk of falling was common among the elderly participants in this study, since most were in use of at least one drug associated with the risk of falling. The importance of the work of the pharmacist from community pharmacies and Primary Health Care in the evaluation and management, by means of health education, of the risk of falling associated with the use of medicines in the elderly population is suggested.

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Section: Introductionunclassified

“…Além dos fatores intrínsecos supracitados, as quedas podem também ter como causas fatores extrínsecos e, portanto, evitáveis, dentre os quais ressalta-se o uso de determinados medicamentos (SILVA et al, 2022;SILVA, MATOS e ESTEVES, 2017).…”

Section: Introductionunclassified

Risk of falling associated with the use of medicines in the elderly of the community

Bochnie,

Polisel,

Perdomo

et al. 2024

OLEL

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Use of potentially inappropriate medications by older adults in Primary Health Care: cross-sectional study

Coelho

Silva

Pereira

et al. 2023

Rev. bras. geriatr. gerontol.

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Objective To verify the prevalence of potentially inappropriate medications (PIM) in use and possible associated factors in older adults and the agreement between two assessment tool in Primary Health Care (PHC) contex Methods Cross-sectional study. The prevalence of older adults in use of PIM and associated factors were estimated. First of all was calculated the frequency of drugs, among those used, considered PIM. Classification as PIM was based on the 2019 Beers Criteria and the 2016 Brazilian Consensus on Potentially Inappropriate Medications 2016 (BCPIM) for the older adults. The agreement between the two classifications was also evaluated. Multivariate logistic regression models were estimated. Association was evaluated by Odds Ratio (OR). Kappa was calculated for agreement between both classifications. Results The prevalence of older adults using MPI was 32.9%, according to Beers Criteria and 27.6% according to the BCPIM. The reports of diabetes (OR=1.96), depression (OR=2.25) and polypharmacy (OR=4.11) were associated (p<0.001) with the use of inappropriate medication, according to the Beers Criteria. Older adults who were very satisfied with their own health were less likely to use inappropriate medication both according to the Beers Criteria (OR=0.02) and the BCPIM (OR=0.09). Agreement between classifications was considered good (k=0.75, p<0.001). Conclusion Reports of diabetes and depression, polypharmacy and negative self-rated health and satisfaction were associated with PIM’s use. The associations were similar between the two classifications, indicating that both are relevant in identifying PIM use in older adults in the context of PHC.

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Uso de medicamentos potencialmente inapropriados em pessoas idosas na Atenção Primária à Saúde: estudo transversal

Coelho

Silva

Pereira

et al. 2023

Rev. bras. geriatr. gerontol.

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Resumo Objetivo Verificar a prevalência e fatores associados ao uso de medicamentos potencialmente inapropriados (MPI) pela população idosa e a concordância entre duas metodologias de avaliação no contexto da Atenção Primária à Saúde (APS). Método Estudo observacional transversal. Foi estimada a prevalência de pessoas idosas que utilizam MPI e fatores associados. Inicialmente foi calculada a frequência de medicamentos, entre os utilizados, considerados MPI. A classificação como MPI foi pelos Critérios de Beers 2019 e Consenso Brasileiro de Medicamentos Potencialmente Inapropriados para idosos (CBMPI) 2016. Também avaliou-se a concordância entre as duas classificações. Foram construídos modelos de regressão logística multivariada para avaliação da associação pelo Odds Ratio (OR), e calculado Kappa para concordância entre os dois critérios de classificações. Resultados A prevalência de pessoas idosas que usavam MPI foi 32,9% pelos Critérios de Beers e 27,6% pelo CBMPI. Associações estatisticamente significativas (p<0,001) ao uso de medicamentos inapropriados, pelos Critérios de Beers foram: relato de diabetes (OR=1,96), depressão (OR=2,25) e polifarmácia (OR=4,11). Pessoas idosas satisfeitas com a própria saúde tiveram menor chance de usarem MP, em ambas classificações, Critérios Beers (OR=0,02) e CBMPI (OR=0,09). A concordância entre as classificações foi muito boa (k=0,75, p<0,001). Conclusão Foram associados ao uso de MPI relato de diabetes e depressão, polifarmácia e satisfação negativa com a saúde. As associações foram semelhantes entre as duas classificações, indicando que ambas são pertinentes na identificação do uso de MPI em pessoas idosas usuárias da APS.

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A influência da utilização de medicamentos no risco de quedas em idosos de instituições de longa permanência do distrito federal / The influence of drug use on the risk of falls in elderly in long stay institutions of the Federal District

Cited by 3 publications

References 0 publications

Risk of falling associated with the use of medicines in the elderly of the community

Risk of falling associated with the use of medicines in the elderly of the community

Use of potentially inappropriate medications by older adults in Primary Health Care: cross-sectional study

Uso de medicamentos potencialmente inapropriados em pessoas idosas na Atenção Primária à Saúde: estudo transversal

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