Medication adherence in Elderly during COVID-19 pandemic: what role can the emergency department play?
| Autor: | Wided Bahria, Maamoun Ben Cheikh, Dhekra El Hamdi, Nourelhouda Nouira, Wiem Demni, Amira Lahouegue |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Tunisia Coronavirus disease 2019 (COVID-19) 030231 tropical medicine Medication Adherence 03 medical and health sciences 0302 clinical medicine Elderly Pandemic medicine Global health Humans 030212 general & internal medicine Prospective Studies adherence Prospective cohort study Aged Polypharmacy Aged 80 and over business.industry emergency Public health Research COVID-19 General Medicine Emergency department humanities medication Hospitalization Emergency medicine Observational study Female business Emergency Service Hospital |
| Zdroj: | Pan African Medical Journal; Vol. 38 No. 1 (2021) The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| Popis: | Introduction:elderly frequently present a poly-pathology recurring polypharmacy. Therefore, strict medication adherence is essential to avoid poor health outcomes especially during health crises like the current COVID-19 pandemic. The aims of our study were to identify the predictors of medication non-adherence in elderly and to expose the role of the emergency department (ED) to improve the therapeutic adherence during COVID-19 pandemic. Methods:it was a two steps study. Primary, an observational, prospective survey over one month, including 100 elderly patients consulting to the emergency department. Medication adherence was assessed by Morisky's 4-questions scale; predictors of non-adherence have been identified. Secondary, a report of elderly medication management by the emergency physicians during the COVID-19 pandemic confinement. Results:first step: 100 patients, mean age of 73±8 years. The average number of drugs was 4±2. Medication non-adherence was reported in 39%, predictors of therapeutic non-adherence were: polypharmacy (OR=2.41; CI95% [1.60;3.61]), rural origin (OR=6.72; CI95% [1.47;30.63]) and metabolic diseases history (OR=5.24; CI95% [1.48;18.53]). In the second step, 816 elder lies were enrolled, mean age: 73±7 years. The therapeutic attitude in the emergency department was to prescribe the same treatment (60%) to adjust the doses of the drugs prescribed (14%) to stop one or more drugs (13%) or to indicate new treatments (13%). Thirty-five percent of patients were admitted for short-term hospitalization. Conclusion:medication non-adherence is common in elderly, due to several factors. During the COVID-19 pandemic, the emergency services in Tunisia played an important role in the follow-up and therapeutic continuity of these elderly patients. |
| Databáze: | OpenAIRE |
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