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Rev. Soc. Bras. Clín. Méd ; 17(4): 180-182, dez 2019.
Article in Portuguese | LILACS | ID: biblio-1284242

ABSTRACT

Objetivo: Avaliar a prevalência da polifarmácia e da prescrição de medicações inapropriadas, bem como suas associações com a capacidade cognitiva e funcional do idoso. Métodos: Estudo observacional transversal, no qual foram analisadas as medicações prescritas em 141 prontuários para pacientes acima de 50 anos, em associação com testes que quantificaram a capacidade funcional e cognitiva deles. Resultados: Observou-se média de 4,41 medicamentos por paciente, sendo que 0,41 deles foram considerados inapropriado, segundo o critério de Beers. Verificou-se também relação estatisticamente significativa quanto ao número de medicações e testes que mediam a capacidade funcional e cognitiva dos idosos. Conclusão: O aumento da polifarmácia e da prescrição de medicações potencialmente inadequadas acarretou significativa piora da capacidade cognitiva e funcional do idoso


Objective: To evaluate the prevalence of polypharmacy and of the prescription of inappropriate medications, as well as their associations with the cognitive and functional capacity of the elderly. Methods: Cross-sectional observational study which analyzed the drugs prescribed in 141 medical records for patients over 50 years of age, associated with tests that quantified their functional and cognitive capacity. Results: An average of 4.41 medications per patient was observed, and 0.41 were considered inappropriate according to the Beers criteria. There was also a statistically significant relation regarding the number of medications and tests that measure the functional and cognitive capacity of the elderly. Conclusion: The increase in polypharmacy and in the prescription of potentially inappropriate medications led to a significant impairment of the cognitive and functional capacity of the elderly


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Health Profile , Aged , Cognition/drug effects , Polypharmacy , Middle Aged , Omeprazole/therapeutic use , Brazil/epidemiology , Enalapril/therapeutic use , Comorbidity , Aspirin/therapeutic use , Medical Records/statistics & numerical data , Prevalence , Cross-Sectional Studies , Clonazepam/adverse effects , Age Distribution , Losartan/therapeutic use , Simvastatin/therapeutic use , Diabetes Mellitus/epidemiology , Diazepam/adverse effects , Dyslipidemias/epidemiology , Thiazides/therapeutic use , Inappropriate Prescribing/statistics & numerical data , Zolpidem/adverse effects , Amitriptyline/adverse effects , Hypertension/epidemiology , Hypoglycemic Agents/therapeutic use
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