Assuntos
Sistema de Condução Cardíaco/fisiopatologia , Pancreatite/fisiopatologia , Doença Aguda , Adulto , Diabetes Mellitus Tipo 1/complicações , Ecocardiografia , Eletrocardiografia , Feminino , Humanos , Hipertrigliceridemia/complicações , Hipertrigliceridemia/terapia , Pancreatite/etiologia , Pancreatite/terapia , PlasmafereseAssuntos
Anticoagulantes/uso terapêutico , Eletrocardiografia , Isquemia Miocárdica/diagnóstico por imagem , Artéria Pulmonar/diagnóstico por imagem , Embolia Pulmonar/diagnóstico por imagem , Disfunção Ventricular Direita/diagnóstico por imagem , Doença Aguda , Adulto , Serviço Hospitalar de Emergência , Humanos , Masculino , Isquemia Miocárdica/tratamento farmacológico , Valor Preditivo dos Testes , Artéria Pulmonar/fisiopatologia , Embolia Pulmonar/complicações , Embolia Pulmonar/fisiopatologia , Sensibilidade e Especificidade , Resultado do Tratamento , Disfunção Ventricular Direita/tratamento farmacológicoRESUMO
Objective: To determine the prescribing patterns of family medicine residents for patients aged more than 60 years with 2 or more chronic diseases and seen at least twice in a 12 month timeframe. Methods: This is a descriptive analysis which was based on chart reviews. The setting was the University of Illinois-Rockford Family Practice Residency. Patients aged 60 years with 2 or more chronic diseases who were seen at least twice by second and third year residents. Results: Findings from this chart review include: 28.8% of the prescribed medications were not effective for the documented condition, 26.3% of the prescribed doses were incorrect, and 44.5% of the drugs prescribed were not the least expensive alternative. Discussion: This preliminary study suggests a need for a focused intervention with family medicine residents regarding inappropriate polypharmacy issues with older patients (AU)
Objetivo: Determinar los modelos de prescripción de los médicos de familia para pacientes de más de 60 años con 2 o más enfermedades crónicas y vistos al menos 2 veces en los últimos 12 meses. Métodos: Análisis descriptivo basado en revisión del os historiales. El emplazamiento fue la Residencia de Medicina de Familia de Rockford del a Universidad de Illinois. Los pacientes de más de 60 años con 2 o más enfermedades crónicas que fueron vistos al menos dos veces por los residentes de segundo y tercer año. Resultados: Los hallazgos de los historiales incluyen: 28,8% de medicamentos que no eran efectivos para la condición documentada, 26,3% de dosis prescritas eran incorrectas, y 44,5% de los medicamentos prescritos no eran más baratos que sus alternativas. Discusión: Este estudio preeliminar sugiere que es necesaria una intervención sobre los residentes de medicina de familia sobre los problemas de polimedicación inapropiada en ancianos (AU)
Assuntos
Humanos , Masculino , Feminino , Idoso , Polimedicação , Uso de Medicamentos/tendências , Prescrições de Medicamentos , Atenção Primária à Saúde/tendências , Sistemas de Notificação de Reações Adversas a Medicamentos/organização & administração , Interações Medicamentosas , Idoso/estatística & dados numéricos , Erros de Medicação/estatística & dados numéricosRESUMO
OBJECTIVE: To determine the prescribing patterns of family medicine residents for patients aged more than 60 years with 2 or more chronic diseases and seen at least twice in a 12 month timeframe. METHODS: This is a descriptive analysis which was based on chart reviews. The setting was the University of Illinois-Rockford Family Practice Residency. Patients aged 60 years with 2 or more chronic diseases who were seen at least twice by second and third year residents. RESULTS: FINDINGS FROM THIS CHART REVIEW INCLUDE: 28.8% of the prescribed medications were not effective for the documented condition, 26.3% of the prescribed doses were incorrect, and 44.5% of the drugs prescribed were not the least expensive alternative. DISCUSSION: This preliminary study suggests a need for a focused intervention with family medicine residents regarding inappropriate polypharmacy issues with older patients.
