Prevalencia y Factores Asociados a la Prescripción Inapropiada de Omeprazol en Adultos Mayores, Referidos de la Consulta Externa al Módulo de Geriatría: Estudio Transversal

Objective: To determine the prevalence of inappropriate prescription of omeprazole in older adults, referred from the outpatient clinic to the Geriatrics module of a second level Hospital. Methods: cross-sectional, analytical, retrospective study, during October 2021 to October 2022. It included 172...

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Autores principales: Bravo Mendoza, Karen Estefanía, Salas Espíritu, Lenin Adolfo, Lagarza Moreno, Alfredo Josimar, Sosa Martínez, María de Jesús, Palacios Lorenzo, Evelia
Formato: Artículo
Lenguaje:español
Publicado: 2024
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Acceso en línea:https://dialnet.unirioja.es/servlet/oaiart?codigo=9430139
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Sumario:Objective: To determine the prevalence of inappropriate prescription of omeprazole in older adults, referred from the outpatient clinic to the Geriatrics module of a second level Hospital. Methods: cross-sectional, analytical, retrospective study, during October 2021 to October 2022. It included 172 patients ≥65 years old, obtained through non-probabilistic convenience sampling. The source of information was the electronic clinical record, from which the sociodemographic and clinical variables were obtained. The PPI of omeprazole was determined using the STOPP-START criteria. Descriptive statistics, bivariate analysis and logistic regression were performed with the data obtained. Results: 97.9% presented a PPI of omeprazole, 86.6% of older adults had at least one geriatric syndrome, polypharmacy was the most frequent with 72.1%. An association was detected with polypharmacy (OR=3.46, 95% CI 1.74-6.90) and dementia (OR=0.45, 95% CI 0.24-6.84). Conclusion: nine out of ten older adults received a PPI of omeprazole, while more than half of the study sample presented polypharmacy. Medical personnel must ensure safe, evidence-based prescription to prevent possible side effects.