Medication taking in a national sample of dependent older people
| Autor: | William Murray Thomson, Barry Gribben, Moira Smith, Ngaire Kerse, Catherine Anna Ferguson, Kathryn Peri |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Drug
Orofacial pain medicine.medical_specialty Antiulcer drug media_common.quotation_subject Sample (material) Analgesic Pharmaceutical Science Pain Pharmacy 03 medical and health sciences 0302 clinical medicine 030502 gerontology Internal medicine medicine Humans 030212 general & internal medicine media_common Aged Polypharmacy Aged 80 and over Aspirin Analgesics business.industry Cross-Sectional Studies medicine.symptom 0305 other medical science Older people business medicine.drug New Zealand |
| Zdroj: | Research in socialadministrative pharmacy : RSAP. 16(3) |
| ISSN: | 1934-8150 |
| Popis: | Background Polypharmacy is associated with inappropriate medication use, and subsequently increasing older persons’ risk of drug-related harm and health-related costs to individuals and society. Objective To examine and describe, using a national sample of patient-level medication data, the prevalence of older people's polypharmacy and medication use across dependency levels. To examine oral and general pain prevalence and associated analgesic usage. Methods Medication data from the 2012 New Zealand Older People's Oral Health Survey, a nationally-representative, cross-sectional study of dependent older people's oral health, were analysed descriptively, comparing classes and sub-classes of drugs and nutrient supplements taken across four categories of dependency: very low (own homes receiving in-home support), low, high and psychogeriatric (all receiving aged residential care). Self-reported current general pain and frequency of orofacial pain data were cross-tabulated by sub-classes of analgesics taken. Results All participants were taking at least one medication overall, 53.2% (95% CI: 50.4, 56.0) took between five and nine (polypharmacy), and 13.9% (95% CI: 17.4, 22.5) took 10 or more (hyperpolypharmacy). Antihypertensives, analgesics, antiulcer drugs, aspirin, laxatives, statins and antidepressants were the most common drug classes taken, the proportions differing between psychogeriatric level care and all other dependency groups. Overall, simple analgesics were taken (34.5%; 95%CI: 30.8, 38.4) more commonly than other analgesics; the use of nonsteroidal anti-inflammatory drugs was low (3.6%; 95% CI: 2.7, 4.7). Of those reporting experiencing extreme general bodily pain, 63.3% (95% CI: 56.6, 69.4) took an analgesic, more than those experiencing mouth pain occasionally or often. Fat-soluble vitamins were the most common vitamin supplement taken (32.0%; 95%CI: 27.0, 37.4). Conclusions Polypharmacy and hyperpolypharmacy are common among older people, regardless of dependency level, and pain may be undertreated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect