Prescrição de medicamentos potencialmente inapropriados em pacientes idosos hospitalizado: uma revisão integrativa
Population aging is a worldwide phenomenon, accompanied by an increase in the prevalence of non-communicable chronic diseases and higher medication consumption. Consequently, elderly individuals face a greater risk of receiving potentially inappropriate medications (PIMs) and experiencing adverse dr...
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| Autores principales: | , , |
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| Formato: | Artículo |
| Lenguaje: | portugués |
| Publicado: |
2024
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| Materias: | |
| Acceso en línea: | https://dialnet.unirioja.es/servlet/oaiart?codigo=10265543 |
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| Sumario: | Population aging is a worldwide phenomenon, accompanied by an increase in the prevalence of non-communicable chronic diseases and higher medication consumption. Consequently, elderly individuals face a greater risk of receiving potentially inappropriate medications (PIMs) and experiencing adverse drug reactions, especially in the hospital setting. In light of this, the present study aimed to conduct a literature review on the prevalence of PIM prescriptions in hospitalized elderly patients. This is an integrative review, with a search for articles conducted in five relevant electronic databases in the international and national scientific fields, using controlled descriptors in English, Portuguese, and Spanish. The review sample consisted of 17 articles published between 2008 and 2022. In the descriptive synthesis, it was observed that the majority of eligible research wasconducted in Brazil (29%) and adopted a cross-sectional design, with a level of evidence VI (88%). The most frequently used version of the Beers criteria for identifying PIMs was the 2019 version (41%). The mean relative frequency of PIM prescriptions perpatient was 58.54%. The main PIMs prescribed were diazepam and other benzodiazepines. In conclusion, a high prevalence of PIM prescriptions for elderly individuals during hospital admission was identified, serving as a warning for healthcare professionalsregarding the need to improve the appropriateness of geriatric pharmacotherapy according to explicit and validated criteria. |
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