Polypharmacy in the elderly

Golchin, Negar; Frank, Scott; Vince, April; Isham, Lisa; Meropol, Sharon B.

doi:10.4103/2279-042x.155755

Cited by 66 publications

(51 citation statements)

References 10 publications

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“…It can increase the risk of drugs interaction, low adherence to medication, and adverse drug reactions. 7,8 Indonesian regulation obligates the prescription of generic drugs to ensure accessibility of medication to all population. In this study, the majority of prescribed drugs were generic drugs.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of Prescription Pattern for Internal Medicines Outpatients using World Health Organization Indicators

Dinge¹,

Abdulah²,

Sumiwi³

2017

PCPR

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Section: Resultsmentioning

confidence: 99%

Evaluation of Prescription Pattern for Internal Medicines Outpatients using World Health Organization Indicators

Dinge¹,

Abdulah²,

Sumiwi³

2017

PCPR

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“…Bei ihnen bestehen mit höherer Wahrscheinlichkeit mehrere Begleiterkrankungen und eine erhebliche Polypharmazie [11]; daher ist es wahrscheinlich, dass eine Modifikation ihres häuslichen Medikationsschemas erforderlich ist, wenn sie wegen einer Hüftfraktur stationär aufgenommen werden. …”

Section: Der äLtere Frakturpatientunclassified

Geriatrische Frakturzentren

Kates

2015

Unfallchirurg

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The world's population is aging resulting in changes in the way we manage geriatric care. Furthermore, this population has a considerable risk of fragility fractures, most notably hip fractures. Hip fractures are associated with significant morbidity and mortality and have large economic consequences. It is due to these factors that the concept of an elderly trauma center was developed. These trauma centers utilize the expertise in orthopedic and geriatric disciplines to provide coordinated care to the elderly hip fracture patient. As a result, studies have demonstrated improvements in clinical outcomes within the hospital stay, a reduction in iatrogenic complications, and improvements in 1-year mortality rates compared to the usual care given at a similar facility. Furthermore, economic models have demonstrated that there is a role for regionalized hip fracture centers that can be both profitable and provide more efficient care to these patients.

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“…Hence, Golchin et al conducted a study on 59 patients aged 65+ and proved polypharmacy with 35.6% of the examinees. 11 Opposite to our opinion, results of a UK study that covered 1,900 patients aged 65+ indicated that the number of polypharmacy patients grew as the time passed. Thus, 15.1% of patients used 5 to 9 drugs in 2003, and the figures rose up to 25.2% in 2011.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of polypharmacy in elderly: A cross section study from Bosnia and Herzegovina

Stanetić¹,

Savic²,

Stanetić³

et al. 2017

Opsta med

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Introduction: We define polypharmacy as a simultaneous usage of five or more drugs, an over usage of medically indicated drugs, or a therapy regime in which at least one type of drug is unnecessary. Since the elderly often suffer from multiple chronic diseases, they generally use multiple drugs.Objective: The aim was to estimate the prevalence of elderly (>65) patients who continuously used five or more drugs, to single out the most frequently used drugs in reference with sex and age, and to identify potentially inadequate drugs.Method: The research was actually a cross section study covering 432 consecutive patients older than 65, who were registered with two family clinic teams at the Banja Luka Health Centre. We examined all electronic medical charts of our target patients and entered data on their age, sex, chronic diagnoses, and continuous therapies into questionnaires designed for the purpose of our study for October-December 2015 period.Results: There were 170 (39.35%) male and 262 (60.65%) female patients. The average age was 73.88 ± 6.5. Furthermore, 189 (43.75%) patients used five or more drugs as follows: 61 (14.1%) patients with five drugs, 44 (10.2%) with six drugs, 49 (11.3%) with seven drugs, 17 (3.9%) with eight drugs, 11 (2.5%) with nine drugs, and 7 (1.6%) patients with ten drugs. We found no statistically relevant difference for patients with polypharmacy between the number of drugs in reference with either sex (p=0.119) or age (p=0.555). Mostly used potentially inadequate drugs were nonsteroidal anti-inflammatory drugs and benzodiazepines.Conclusion: Polypharmacy was detected with almost half the target patients. A clinical assessment of a family doctor along with an individual treatment plan based upon medical, functional, and social conditions should be the foundation of the rational drug prescription at family clinic departments.

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Polypharmacy in the elderly

Cited by 66 publications

References 10 publications

Evaluation of Prescription Pattern for Internal Medicines Outpatients using World Health Organization Indicators

Evaluation of Prescription Pattern for Internal Medicines Outpatients using World Health Organization Indicators

Geriatrische Frakturzentren

The prevalence of polypharmacy in elderly: A cross section study from Bosnia and Herzegovina

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