Evaluation of prescription pattern of analgesic use among ambulatory elderly in South-Western Nigeria
Ann. afr. med
; 19(2): 131-136, 2020. tab
Artigo
em Inglês
| AIM (África)
| ID: biblio-1258921
Biblioteca responsável:
CG1.1
ABSTRACT
Inappropriate prescribing of analgesics has a global impact on the health of elderly patients and the society. Empirical evidence on the prescription of analgesics among elderly Nigerians is scarce. Objectives:
The objective of the study was to evaluate the prescription pattern of analgesics and describe the co-prescribing of gastroprotective agents with non-steroidal anti-inflammatory drugs (NSAIDs) among elderly patients at the geriatric center, University College Hospital, Ibadan.Methods:
A retrospective cross-sectional, hospital-based study was carried out among elderly patients (â¥60 years) who were prescribed analgesics. Using a data extraction sheet, information on demographic characteristics, drug utilization pattern, and morbidities was obtained from patients' case files via electronic health records.Results:
A total of 337 patients case files were reviewed, the mean age was 72 ± 8.8 years, and 210 (62.3%) were females. There were a total of 2074 medications prescribed, with 733 (35.3%) being analgesics. Majority of the elderly patients (259, 76.9%) were on nonopioids, with 252 (74.8%) on NSAIDs. Paracetamol was the most commonly prescribed analgesics (181, 24.6%), followed by diclofenac/misoprostol (177, 24.1%), opioid analgesic prescribed was 88 (12.0%), with paracetamol/codeine 58 (65.9%), and tramadol 16 (18.2%) being the most prescribed opioid. A significant proportion of the hypertensive elderly patients (160, 78.8%; P < 0.036) were on NSAIDs. The oral route of administration (302, 89.6%) was the most common route of administration. Majority (310, 92%) of elderly patients taking NSAIDs had a co-prescription for gastroprotective agents.Conclusions:
Majority of hypertensive patients were on NSAIDs. This calls for prompt awareness of rational analgesic use among the elderly to improve management and their survival
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 6: Sistemas de informação em saúde
Base de dados:
AIM (África)
Assunto principal:
Prescrições de Medicamentos
/
Idoso
/
Anti-Inflamatórios não Esteroides
/
Inibidores da Bomba de Prótons
/
Analgésicos
/
Nigéria
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Ann. afr. med
Ano de publicação:
2020
Tipo de documento:
Artigo