Prevalencia de polimedicación y riesgo vascular en la población mayor de 65 años / Prevalence of multiple medication and cardiovascular risk in patients over 65 years
Aten. prim. (Barc., Ed. impr.)
; 44(4): 216-222, abr. 2012.
Article
in Spanish
| IBECS
| ID: ibc-97966
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Objetivo:
Estudiar la prevalencia de polimedicación en mayores de 65 años.Diseño:
Estudio descriptivo transversal. Emplazamiento Distritos sanitarios de atención primaria Sevilla y Jerez-Costa Noroeste. Participantes Población mayor de 65 años, seleccionada por un procedimiento aleatorio estratificando por centros. Se excluyeron pacientes institucionalizados, con trastornos de salud mental mayores y enfermedad terminal. Mediciones principales Se definió polimedicación como el consumo de 5 o más fármacos de forma continuada durante los últimos 6 meses, basado en el registro en historia clínica. Se exploraron otras características de los pacientes mediante entrevista a una submuestra seleccionada aleatoriamente.Resultados:
Se evaluaron las historias clínicas de 2.919 pacientes procedentes de 14 centros de salud. La prevalencia encontrada fue de 49,6% (IC 95% 47,7-51,4), con un rango entre centros de un 33% (IC 95% 26,8-39,3) a un 82% (IC 95% 74,3-89,7). El 90,2% (IC 95% 88,7-91,8) tenía criterios de entrada al Proceso Asistencial Integrado Riesgo Vascular. La entrevista confirmó un consumo promedio de 8,7 medicamentos (IC 95% 8,4-9,0). Un 83,2% (IC 95% 78,9-87,4) eran pacientes en riesgo vascular alto.Conclusiones:
La prevalencia de polimedicación en mayores de 65 años es cercana al 50%, con amplia variabilidad entre centros. El consumo promedio de medicamentos por paciente es de 8 y la gran mayoría son pacientes en riesgo vascular alto(AU)ABSTRACT
Objetive To describe the prevalence of multiple medication in patients over 65 years. Design:
Cross-sectional study.Setting:
Sevilla and Jerez-Costa North-West Primary Health Care Districts.Participants:
Patients older than 65 years randomly chosen from district databases. Patients in nursing homes, with major mental disease, or end-of- life situations were excluded. Main measurements Multiple medication was defined as a prescription of five or more drugs during the last six months. We assessed the medication used by clinical health records audit. Other characteristics were studied by interviewing a subsample of patients.Results:
A total of 2,919 clinical health records from 14 centres were reviewed. The prevalence of multiple medication was 49.6% (95% CI 47.7-51.4) with a range from 33% (95% CI 26.8-39.3) to 82% (95% CI 74,3-89,7) between centres. The large majority of patients (90.2% [95% CI 88.7-91.8]) of patients showed criteria to be included in Cardiovascular Risk Health Care Process. Interviewed patients confirmed taking an average of 8.7 drugs (95% CI 8.4-9.0). Among them, 83.2% (95% CI 78.9-87.4) were high cardiovascular risk patients.Conclusions:
Prevalence of multiple medication in patients over 65 years is about 50% with wide variations between centres. The number of drugs per patient ratio was close to eight. A large majority of them were high risk cardiovascular patients(AU)
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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.8 Achieve universal access to health
Health problem:
Delivery Arrangements
Database:
IBECS
Main subject:
Palliative Care
/
Primary Health Care
/
Chronic Disease
/
Delivery of Health Care
/
Drug Combinations
/
Drug Utilization
/
Medication Therapy Management
/
Medication Systems
Type of study:
Controlled clinical trial
/
Etiology study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Aspects:
Social determinants of health
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Aten. prim. (Barc., Ed. impr.)
Year:
2012
Document type:
Article
Institution/Affiliation country:
Servicio Andaluz de Salud/España