Inappropriate multiple medication and prescribing of drugs immobile elderly patients living in the community].

Enrique Gavilán Moral, María Teresa Morales Suárez-Varela, José Antonio Hoyos Esteban, Ana María Pérez Suanes

Unidad Docente de MFyC de Córdoba, Nodo COGRAMA RedIAPP, Córdoba, Spain. enrique.gavilan.moral@gmail.com

Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria 2006 Nov 30

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To ascertain and analyse the drug consumption of the immobile elderly, as well as the number of potentially inappropriate medications (PIM). Cross-sectional study. Fourteen rural primary care centres. Non-institutionalised immobile patients, older than 64 years were selected by systematic sampling. Review of patients' medicine cabinets and noting the daily doses and current number of drugs, as well as the origin of the prescription. Identification of PIM (Beers criteria). One-hundred forty-three homes visits were made. The mean age was 81.3+/-7.9 years, of whom 74.8% were women. The most common drugs were: analgesics (9.2%), antacids (7.1%), nitrites-calcium antagonists (6.5%), non-steroidal anti-inflammatories (5.0%), and angiotensin converting enzyme inhibitors (4.7%). The percentage of patients who took more than 4 drugs was 76.1%. A PIM was taken by 35% of the elderly. The most common were: long-acting tranquilisers (41.5%), hypnotics (13.8%), digoxin (13.8%), indomethacin (7.7%), and antispasmodics (6.1%). In the majority of cases, the prescribing of the PIM was made by the family doctor (77.7%). Women took significantly more inappropriate drugs than men (0.50+/-0.72 vs to 0.25+/-0.50; P=.001) and those on multiple medication more than those not on multiple medication (0.50+/-0.73 vs 0.31+/-0.52; P=.008). The prevalence of inappropriate therapy in the immobile elderly is high, therefore an effort must be made to reduce it. Procedures directed towards increasing the quality of prescribing could improve the state of health and quality of life of these patients.

Citation

Enrique Gavilán Moral, María Teresa Morales Suárez-Varela, José Antonio Hoyos Esteban, Ana María Pérez Suanes. Inappropriate multiple medication and prescribing of drugs immobile elderly patients living in the community]. Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria. 2006 Nov 30;38(9):476-80