Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
| Autor: | Carine Teles Sangaleti, Maicon Henrique Lentsck, Dannyele Cristina da Silva, Andrielli Machado, Maria Regiane Trincaus, Maria Cristina Umpierrez Vieira, Bruno Bordin Pelazza, Fernanda Marciano Consolim Colombo |
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| Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Revista Brasileira de Enfermagem, Vol 76, Iss suppl 2 (2023) |
| Druh dokumentu: | article |
| ISSN: | 1984-0446 0034-7167 |
| DOI: | 10.1590/0034-7167-2022-0785 |
| Popis: | ABSTRACT Objective: to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care. Methods: a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression. Results: polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications. Conclusions: polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable. |
| Databáze: | Directory of Open Access Journals |
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