Sociodemographic profile and health condition of elderly patients attended at a community primary health center

Silva, Fernanda Borges Carlucio da; Filipini, Rosangela; Guarnieri, Ana Paula; Vieira, Nathalia Grangeiro; Bonvini, Andrea; Alves, Beatriz da Costa Aguiar; Azzalis, Ligia Ajaime; Junqueira, Virgínia; Fonseca, Fernando Luiz Affonso

doi:10.1016/j.jcgg.2016.03.003

Cited by 3 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Considering each SEP indicator, limited evidence exists for nonelective hospitalizations; our study adds to this body of evidence by examining and comparing patterns for both elective and nonelective hospitalizations. Similar to the previously published studies on any hospitalizations, we found a significant association between having a low educational level and higher risk of nonelective hospitalization. To date, there is no study examining the association between occupational position and nonelective hospitalization among older adults.…”

Section: Discussionsupporting

confidence: 92%

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

et al. 2022

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 92%

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

et al. 2022

View full text Add to dashboard Cite

show abstract

Prescription Adherence to Ags Beers Criteria and Medication Adherence in Geriatric Patients

AHMED

MAHESH

DHAKNE

et al. 2022

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: The objective of the present study was to determine the prescription pattern and adherence to Beers Criteria 2019 and also evaluate the reasons for non-adherence and ways to promote adherence among geriatric patients. Methods: Retrospective as well as prospective data were collected using a predesigned form. A total of 268 patients aged 60 years and above were involved in the study. The prescriptions were analyzed for appropriateness using AGS Beers Criteria 2019 and the 8-Item Morisky Medication Adherence Scale was used for the assessment of medication adherence. Results: The majority of the patients were in the age group of 65–69 years with a mean age of 73.6 ± 5.05 years with a male preponderance (67%). Out of 268 sample sizes observed, the maximum number of prescriptions had at least one potential inappropriate medication (PIM) – during admission (40.67%) and discharge (48.50%). The most common PIMs observed were PPIs and insulin sliding scale. The use of NSAIDs (aspirin) in heart and renal failure patients was the generally recognized drug-disease and drug-drug interactions. This study confirms the presence of moderate adherence to the prescription among geriatric patients. Conclusion: Even though Beers Criteria have been commonly used as a reference in many studies, it has not made its way into conventional clinical practice. The prescribers need to make themselves aware of the Beers Criteria and it should be followed for the geriatric population. Hence, this study will help physicians to deliver quality care to elderly patients.

show abstract

Influence of Education Level of Older Patients on Polypharmacy, Potentially Inappropriate Medications Listed in Beer’s Criteria, and Unplanned Hospitalization: A Cross-Sectional Study in Lahore, Pakistan

2018

View full text Add to dashboard Cite

Objective: To evaluate influence of education level of older patients on polypharmacy, potentially inappropriate medications (PIMs) listed in Beer’s Criteria, and unplanned hospitalization. Methods: A cross-sectional study was conducted among older people aged ≥65 years between 1 December 2017 and 28 February 2018. For data analysis, descriptive statistics and logistic regression analysis were employed. Results: Among 385 older patients, 88.8% were prescribed PIMs and 56.4% underwent PIMs associated unplanned hospitalization. Older people were less exposed to polypharmacy or excessive polypharmacy as their education levels increased (no formal education vs. primary vs. secondary vs. tertiary, 74% vs. 69.8% vs. 60.5% vs. 58.1%). Patients having higher education were also accompanied by significantly lower prescription of PIMs (no formal education vs. primary vs. secondary vs. tertiary, 96% vs. 87.3% vs. 84.5% vs. 79.1%) as well as unplanned hospitalization (no formal education vs. primary vs. secondary vs. tertiary, 64.7% vs. 76.2% vs. 40.3% vs. 46.5%). Results of regression analysis revealed that no formal education (OR = 1.202, 95% CI = 1.032–2.146, p-value = 0.003) and primary education level (OR = 1.175, 95% CI = 1.014–1.538, p-value = 0.039) were significantly associated with the use of polypharmacy among older people. On the other hand, no formal education was significantly associated with the prescription of PIMs (OR = 1.898, 95% CI = 1.151–2.786, p-value = 0.007). Furthermore, older people with no formal education (OR = 1.402, 95% CI = 1.123–1.994, p-value = 0.010) and primary education level (OR = 1.775, 95% CI = 1.281–3.018, p-value = <0.001) were significantly more likely to undergo unplanned hospitalization. Conclusions: Patients having low literacy level are more likely to receive PIMs, polypharmacy, and undergo unplanned hospitalization in comparison to highly educated patients. Hence, promotion of health literacy for patients is crucial to overcome these problems.

show abstract

Sociodemographic profile and health condition of elderly patients attended at a community primary health center

Cited by 3 publications

References 16 publications

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

Prescription Adherence to Ags Beers Criteria and Medication Adherence in Geriatric Patients

Influence of Education Level of Older Patients on Polypharmacy, Potentially Inappropriate Medications Listed in Beer’s Criteria, and Unplanned Hospitalization: A Cross-Sectional Study in Lahore, Pakistan

Contact Info

Product

Resources

About