Identification of Potentially Inappropriate Cardiovascular Prescriptions in the Elderly Using Beers Criteria in Colombia

Machado‐Duque, Manuel Enrique; Castro-Rodríguez, Alejandro; Medina-Morales, Diego Alejandro; Machado-Alba, J

doi:10.1016/j.jval.2018.04.646

Cited by 3 publications

(2 citation statements)

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“…Among these, 351 articles were excluded after title screening and the abstract of the 784 remaining papers was assessed. Finally, 461 publications were excluded following the eligibility criteria and thus, 323 articles that had interpretable data and fulfilled the eligibility criteria were used for data extraction…”

Section: Resultsmentioning

confidence: 99%

“…A pharmacy dispensing company (Audifarma SA) was identified in the SLR as the most commonly used database for RWE 34,42,61,63,72,73,94‐98,100‐109,111‐115,117,118,120,122‐131,134‐141,163,168,242,301,310 . It contains demographic data, diagnosis by ICD‐10, and drug dispensation records coded by the Anatomical Therapeutic Chemical (ATC) classification, which can be used to identify comorbidities, drug‐to‐drug interactions, medication errors, adverse events, and calculate adherence rates.…”

Section: Resultsmentioning

confidence: 99%

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Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Colombia: A systematic review

Franco¹,

Vizcaya²

2020

Pharmacology Res & Perspec

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Colombia: A systematic review

Franco¹,

Vizcaya²

2020

Pharmacology Res & Perspec

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Características sociodemográficas, clínicas y farmacológicas de adultos mayores con fracturas, en tres centros de referencia, Colombia

Valladales‐Restrepo

Duran-Lengua

Castro-Osorio

et al. 2020

CES Med

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Introducción: las caídas y fracturas óseas son causas importantes de morbilidad y mortalidad en ancianos. Su etiología es multicausal comprendiendo, entre otros, prescripciones inadecuadas y osteoporosis. El objetivo fue identificar las características clínicas y farmacológicas de un grupo de adultos mayores con fracturas. Materiales y métodos: estudio de corte transversal que analizó las prescripciones realizadas un mes antes de la fractura, durante la hospitalización y al egreso de 220 pacientes de 60 o más años atendidos en tres centros de referencia de Colombia. Se analizó la calidad de las prescripciones mediante los criterios STOPP. Resultados: la edad media fue de 75,3±10,3 años y 68,2 % eran mujeres. La fractura de cadera fue la más frecuente (37,7 %) y se presentó una mortalidad intrahospitalaria del 2,3 %. La prescripción de suplementos de calcio/vitamina D y terapia antiabsortiva al egreso fue de 23,7 % y 12,1 %, respectivamente. Las prescripciones potencialmente inapropiadas al egreso se identificaron en 11,6 % de pacientes y tener cinco o más comorbilidades se asoció con mayor probabilidad de tenerlas (OR:9,44, IC95 %: 2,16-41,20). Conclusiones: generalmente, el personal médico no formula medicamentos antiosteporóticos como prevención secundaria, ni mejoran la calidad de las prescripciones de los pacientes con fracturas una vez que son dados de alta, por lo que se hace necesario el desarrollo de estrategias farmacológicas para ayudar a prevenir nuevos episodios de caídas y fracturas.

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Potentially inappropriate medication use in older adults: prevalence and physician knowledge

Isidoro

Pinto

Melo

et al. 2021

Geriatr Gerontol Aging

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OBJECTIVE: To analyze the frequency, profile, and additional variables associated with the prescription of potentially inappropriate medications (PIM) to older adults in primary care, and evaluate physicians’ knowledge about these medications. METHODS: A cross-sectional study was conducted based on data from patient records for the period of January 2014 to December 2017 in a city located in the state of Minas Gerais. The frequency of PIM use was evaluated based on the 2019 Beers-Fick criteria. Physician knowledge was evaluated using a validated questionnaire as a primary data source. RESULTS: In a sample of 423 older adults, 75.89% (n = 321) used at least one PIM, the most common of which were medications used to treat central nervous system disorders (48.00%; n = 203). Most participants were female (62.41%; n = 264) and 70 years or older (69.50%; n = 294). When presented with clinical cases illustrating common situations in the management of older patients, 53.33% of physicians (n = 8) answered four or five questions correctly out of a possible seven; 13.33% (n = 2) answered six questions correctly; and 33.33% (n = 5) obtained three correct answers or fewer. CONCLUSIONS: These findings showed a high frequency of PIM use among older adults treated in Primary Health Care settings, with medications used in the treatment of central nervous system disorders. Our results highlight the importance of continuing education for health professionals and improved assessments of the medication available in the Unified Health System (Sistema Único de Saúde; SUS) for use in older adults, especially those taking multiple medications

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Identification of Potentially Inappropriate Cardiovascular Prescriptions in the Elderly Using Beers Criteria in Colombia

Abstract: the guidelines according to results of pharmacovigilance and investigations of active pharmaceutical substances available in Colombia.

Cited by 3 publications

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Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Colombia: A systematic review

Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Colombia: A systematic review

Características sociodemográficas, clínicas y farmacológicas de adultos mayores con fracturas, en tres centros de referencia, Colombia

Potentially inappropriate medication use in older adults: prevalence and physician knowledge

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