scholarly journals Aplicação dos Critérios de Beers de 2015 Operacionalizados para Portugal em Pessoas Idosas Institucionalizadas: Um Estudo Transversal

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Sofia Peixoto ◽  
Armando Almeida ◽  
Ana Caramelo ◽  
Lígia Mendes
Keyword(s):  
Adverse Drug Events ◽  
Cost Savings ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Beers Criteria ◽  
Cross Sectional ◽  
Health Records ◽  
Institutionalized Elderly ◽  
Potentially Inappropriate Medicines ◽  
De Beers

Introduction: The consumption of potentially inappropriate medicines is high among institutionalized elderly, predisposing to potential drug interactions, adverse drug events, risk of iatrogenic cascade, increased morbidity and mortality and health costs. Medication review is a promising strategy for therapeutic optimization, although scarcely documented in Portugal. The aim of this study was to characterize, using explicit criteria, the existence of potentially inappropriate medicines, among institutionalized elderly, and to calculate the eventual cost savings, with their discontinuation.Material and Methods: Descriptive and cross-sectional study conducted in three residential homes for the elderly, from different geographic regions, based on a random sample of 33 health records. In order to characterize the existence of potentially inappropriate medicines, we used the 2015 Beers criteria, revised by the American Geriatrics Society and in the Portuguese version.Results: On average, 11 drugs are prescribed to elderly residents of three residential structures for the elderly. All health records contain potentially inappropriate medicines (mean 4.8 ± 2.0 per resident), with anxiolytics (17.7%), antidepressants (17.7%) and antipsychotics (15.8%) being the most prevalent. Its reduction would result in an average monthly savings of €9.6 per resident.Discussion: The consumption of potentially inappropriate medicines is higher than the literature describes, and the cost of medicines is high. The involvement of nurses in the process of drug management and reconciliation, in coordination with the physician, could be an effective strategy. This is the first study using the latest Portuguese version of the Beers criteria, which makes the comparability of the results difficult.Conclusion: The consumption of potentially inappropriate medicines is high, which suggest the need for adoption of improvement measures.

scholarly journals Potentially inappropriate medications use and its associated factors among geriatric patients: a cross-sectional study based on 2019 Beers Criteria

Pharmacia ◽  
2021 ◽  
Vol 68 (4) ◽  
pp. 789-795
Author(s):  
Heba Khader ◽  
Luai Z. Hasoun ◽  
Ahmad Alsayed ◽  
Mahmoud Abu-Samak
Keyword(s):  
Geriatric Patients ◽  
Adverse Drug Events ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sample Population ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Sectional Study ◽  
Cross Sectional ◽  
Inappropriate Medications

The aims of this study were to estimate the prevalence of potentially inappropriate medications (PIMs) in a community-dwelling Jordanian population of geriatrics according to the 2019 American Geriatrics Society Beers Criteria, to identify the most used PIMs and factors independently associated with PIMs use. This was an observational, descriptive, cross-sectional study. The sample population included 386 participants. Data were collected by face-to-face interviews. A total of 2894 medications were evaluated. The prevalence of patients using at least one PIM was 49.2%. The most used PIMs were proton pump inhibitors (24.6%) and long-acting sulfonylurea (20.5%). Participants who had diabetes mellitus, peptic ulcer, or irritable bowel syndrome had significantly higher numbers of PIMs. The use of PIMs was high in Jordanian geriatric patients. The results of this study might help healthcare providers to detect high-risk patients and reconsider the necessity of using PIMs to decrease the risk of adverse drug events.

scholarly journals Perfil sociodemográfico e de saúde de idosos institucionalizados

2019 ◽  
Vol 13 (3) ◽  
pp. 674
Author(s):  
Renata Kelly Lopes de Alcântara ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Bruna Karen Cavalcante Fernandes ◽  
Valderina Moura Lopes ◽  
Saul Filipe Pedrosa Leite ◽  
...  
Keyword(s):  
Elderly People ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Profile ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Institutionalized Elderly ◽  
Individualized Care ◽  
Quantitative Descriptive

RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado a partir da avaliação de 219 prontuários de idosos, mediante a aplicação de um instrumento semiestruturado. Analisaram-se os dados com o auxílio do SPSS, versão 20.0, e os apresentaram em tabelas. Resultados: obteve-se predomínio de idosos do sexo feminino, média de idade de 77 anos, escolaridade de 4 a 15 anos de estudo, solteiros, católicos, provenientes de domicílio próprio com tempo de institucionalização menor que 5 anos, aposentados e que recebiam visitas. Viu-se acerca das características clínicas que 44,7% tinham de 3 a 4 comorbidades e 49,3% faziam uso de 0 a 4 medicações. Observou-se sobre o grau de dependência que 35,6% dos idosos apresentavam grau III. Conclusão: ressalta-se que os dados descritos estimulam a reflexão sobre questões que influenciam diretamente o processo de adaptação do idoso à institucionalização, bem como a necessidade de a equipe multiprofissional prestar uma assistência individualizada a partir do conhecimento do perfil dos idosos institucionalizados. Descritores: Idoso; Instituição de Longa Permanência para Idosos; Institucionalização; Saúde do Idoso Institucionalizado; Perfil de Saúde; Envelhecimento.ABSTRACT Objective: to describe the sociodemographic and health profile of institutionalized elderly people. Method: This is a quantitative, descriptive, cross-sectional study based on the evaluation of 219 medical records of the elderly, using a semi-structured instrument. Data were analyzed with the help of the SPSS, version 20.0, and presented in tables. Results: there was a predominance of elderly women, mean age of 77 years, schooling from 4 to 15 years, single marital status, Catholics, coming from their own domicile, with institutionalization time of less than 5 years, retired, and elderly people who received visits. Regarding clinical characteristics, 44.7% had 3 to 4 comorbidities and 49.3% used 0 to 4 medicines. As for the degree of dependence, it was observed that 35.6% of the elderly presented grade III. Conclusion: it is noteworthy that the data described stimulate a reflection on issues that directly influence the process of adaptation of the elderly to institutionalization, as well as the need for the multiprofessional team to provide individualized care based on knowledge of the profile of the institutionalized elderly. Keywords: Elderly; Long Stay Institutions for the Elderly; Institutionalization; Health of Institutionalized Elderly; Health Profile; Aging.RESUMOObjetivo: se buscó describir el perfil sociodemográfico y de salud de adultos mayores institucionalizados. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado a partir de la evaluación de 219 prontuarios de adultos mayores, mediante la aplicación de un instrumento semi-estructurado. Se analizaron los datos con el auxilio del SPSS, versión 20.0, y los presentaron en tablas. Resultados: se obtuvo un predominio de adultos mayores del sexo femenino, media de edad de 77 años, escolaridad de 4 a 15 años de estudio, solteros, católicos, provenientes de domicilio propio con tiempo de institucionalización menor que 5 años, jubilados y que recibían visitas. Se observó en las características clínicas que 44,7% tenían de 3 a 4 comorbilidades y 49,3% usaban de 0 a 4 medicamentos. Se observó el grado de dependencia en que 35,6% de los adultos mayores presentaban grado III. Conclusión: se resalta que los datos descriptos estimulan la reflexión sobre cuestiones que influyen directamente el proceso de adaptación del adulto mayor a la institucionalización, así como la necesidad del equipo multi-profesional prestar una asistencia individualizada a partir del conocimiento del perfil de los adultos mayores institucionalizados. Descriptores: Adulto mayor; Institución de Larga Permanencia para Adultos Mayores; Institucionalización; Salud del Adulto Mayor Institucionalizado; Perfil de Salud; Envejecimiento.

scholarly journals Prevalence of falls and evaluation of mobility among institutionalized elderly persons

2016 ◽  
Vol 19 (6) ◽  
pp. 995-1003 ◽  
Author(s):  
Lidiane Maria de Brito Macedo Ferreira ◽  
◽  
Javier Jerez-Roig ◽  
Fabienne Louise Juvêncio Paes de Andrade ◽  
Nayara Priscila Dantas de Oliveira ◽  
...  
Keyword(s):  
The Elderly ◽  
Berg Balance Scale ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Significance Level ◽  
Chi Squared ◽  
Low Prevalence

Abstract Objective: The present study aimed to estimate the prevalence of falls among institutionalized elderly persons and identify associated factors. Method: A cross-sectional study of elderly residents of Care Facilities For the Elderly in Natal, Rio Grande do Norte, was carried out. The elderly persons could walk independently and did not have severe cognitive impairment. Data was obtained about the institution and socio-demographic and health information was collected. A physical examination was performed to evaluate frailty, mobility and balance (Timed up and go, Berg Balance Scale, Gait speed and Sitting-rising Test - SRT). Statistical analysis was performed using the Chi-squared Test for a 5% significance level. Results: Sixty-three elderly persons were within the search criteria. Of these 22.2% had fallen in the past year. Only the SRT was associated with these falls. Conclusion: It was concluded that the studied population has a low prevalence of falls, and the ability to perform less than 5 repetitions in the SRT was associated with episodes of falling.

scholarly journals NECESSIDADE DE REABILITAÇÃO ORAL E ACESSO AOS SERVIÇOS ODONTOLÓGICOS DE IDOSOS INSTITUCIONALIZADOS NO MUNICÍPIO DE FEIRA DE SANTANA-BA

2016 ◽  
Vol 7 (4) ◽  
Author(s):  
Nelia Medeiros Sampaio ◽  
Mario Cezar Oliveira ◽  
Adriana Lira Ortega ◽  
Murilo Sampaio
Keyword(s):  
Public Health Problem ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Oral Rehabilitation ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Access To Dental Care ◽  
Rehabilitation Needs ◽  
The City

Describe the sociodemographic conditions, needs for oral rehabilitation and access to dental care of institutionalized elderly in the city of Feira de Santana, Bahia. A cross-sectional study of 307 elderly people, 80 residents in long-stay institutions for the elderly (LSI) and 227 non-institutionalized. For the oral rehabilitation needs, the institutionalized had higher frequencies of individuals who did not use dental prothesis (68.35%), when used 52.0% of them were considered inadequade. Edentulism was noticed up as a public health problem of the elderly and the group formed by institutionalized elderly population showed higher oral rehabilitation needs, as well as less access to dental services when compared with the group not institutionalized in Feira de Santana-Ba.

scholarly journals Uso de medicamentos e suas potenciais interações com alimentos em idosos institucionalizados

2016 ◽  
Vol 26 (4) ◽  
pp. 23780
Author(s):  
Michele Sandri ◽  
Daiana Meggiolaro Gewehr ◽  
Adriane Huth ◽  
Angélica Cristiane Moreira
Keyword(s):  
Nervous System ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Institutionalized Elderly ◽  
Elderly Individuals ◽  
Qualitative And Quantitative ◽  
Collection Period ◽  
Potential Interactions

Aims: To verify the use of medicines identifying their potential interactions with food/nutrients in institutionalized elderly individuals.Methods: A qualitative and quantitative cross-sectional study was conducted. The data were collected through the analysis of medical charts and prescriptions of elderly individuals from a long-stay institution in Ijuí, Rio Grande do Sul State, Brazil. The convenience sample included all the elderly individuals institutionalized during the data collection period (September 2015).Results: Of the 30 institutionalized elderly individuals, 29 were using continuous medication with a mean of 8.72±2.56 medicines per individual, totaling 91 different drugs. Twenty-eight (93.3%) individuals used five or more medicines, which indicates polypharmacy among most of the elderly residents. The most commonly used medicines were for the nervous system (35.07%), digestive system and metabolism (31.52%), and cardiovascular system (20.1%). Forty-one (45.05%) drugs could potentially interact with foods, totaling 142 interactions. Potential interactions were verified in all elderly individuals, ranging from two to eight, averaging 4.89±2.00 interactions per elderly. Caffeine was involved in most interactions, potentially interacting with nine (21.95%) different medications, five (12.19%) of which acted on the nervous system.Conclusions: There was a high frequency of polypharmacy among the institutionalized elderly and medicines to treat nervous system conditions were the most common ones. Several potential interactions between drugs and some types of foods/nutrients were verified.

scholarly journals The relationship between nutrient intake, dental status and family cohesion among older Brazilians

2011 ◽  
Vol 27 (1) ◽  
pp. 113-122 ◽  
Author(s):  
Fabiola Bof de Andrade ◽  
Arnaldo de França Caldas Junior ◽  
Pedro Makumbundu Kitoko ◽  
Eliana Zandonade
Keyword(s):  
Oral Health ◽  
Elderly People ◽  
Nutrient Intake ◽  
Family Cohesion ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Dental Status ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
The Relationship

The aim of this study was to investigate the relationship between inadequate nutrient intake, oral health and family cohesion. This was a cross-sectional study with a sample of 887 non-institutionalized elderly people from Vitória, Espírito Santo State, Brazil. Oral examination was performed by trained and calibrated examiners and three measurements were considered: number of posterior occluding pairs of natural teeth (POP), number of teeth and overall dental status. Nutrient intake was assessed by a 24-hour diet recall interview. The elderly person's perception of family cohesion was assessed using the family adaptability and cohesion scale. People with no POP were more likely than those with 5 or more POP to have inadequate intake of vitamin C (OR = 2.79; 95%CI: 1.16-6.71), calcium (OR = 3.74; 95%CI: 1.69-8.25), riboflavin (OR = 2.49; 95%CI: 1.10-5.64) and zinc (OR = 3.43; 95%CI: 1.07-10.94). There was no association between elderly people's perceptions of family cohesion and inadequate intakes. It was concluded that oral health is related to inadequate intake of important nutrients among non-institutionalized elderly people.

scholarly journals Dental Prosthetic Status and Prosthetic Need of the Institutionalized Elderly Living in Geriatric Homes in Mangalore: A Pilot Study

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Rekha P. Shenoy ◽  
Vijaya Hegde
Keyword(s):  
Unmet Need ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Prosthetic Status ◽  
And Gender ◽  
Prosthetic Need ◽  
Elderly Living

Introduction. To promote oral health among the elderly, we need to know their prosthetic status and prosthetic need. Hence, a survey of prosthetic status and need of elderly inmates of old age homes in Mangalore was done. Materials and Methods. A cross-sectional study was undertaken, and 133 subjects aged 60 years and above were examined (54.9% males and 45.1% females). Results. Eighty-eight percent of those examined were fully edentulous, and only 12% had complete dentures; none of the study subjects had partial dentures. Prosthetic status was significantly associated with gender (P=.024), while prosthetic need and gender were not significantly associated (P=.395). Conclusions. A high unmet need for prosthetic care existed among the institutionalized elderly surveyed.

scholarly journals The Prevalence of Potentially Inappropriate Prescribing in Geriatric Patients with Psychiatric Disorders in Iraq

2020 ◽  
Vol 29 (1) ◽  
pp. 166-173
Author(s):  
Mustafa K. Mahmood ◽  
Zinah M. Anwer
Keyword(s):  
Geriatric Patients ◽  
Assessment Tool ◽  
Psychiatric Patients ◽  
Inappropriate Medication ◽  
Inappropriate Prescribing ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Beers Criteria ◽  
Potentially Inappropriate Prescribing ◽  
Cross Sectional

Potentially inappropriate prescribing is the prescribing of a medication that may cause more harm than benefit, the elderly population aged 65 years or older is more prone to potentially inappropriate prescribing because of alterations in their physiology, pharmacokinetics, and pharmacodynamics as well as polypharmacy and comorbidities, Beers list is a screening tool that help doctors to detect potentially inappropriate prescribing in geriatric patients and is designed to solve this problem, the aim of this study is to measure the prevalence of potentially inappropriate prescribing among psychiatric patients using the Beers criteria as an assessment tool and find the relationship between duration of hospitalization, comorbidities and polypharmacy with potentially inappropriate prescribing in elderly. This cross-sectional study was carried out using electronic medical records in Ibn Rushud psychiatry and addiction hospital in Baghdad and 369 patients were included. The mean age of the patients was (68.59 ± 3.75 years) and 177 (48%) of them had comorbidities, 100 (27.1%) of them had polypharmacy and 17 (4.6%) stayed in the hospital for more than 3 weeks, the most used drug classes were antipsychotics in (39.9%) of patients and benzodiazepines in (17.6%) of patients. The prevalence of potentially inappropriate prescribing according to Beers criteria was found to be 74.3% among study patients, the most prevalent inappropriately used drug class was benzodiazepines, and there was a significant association between the prescribing of a potentially inappropriate medication with gender (p=0.018), with comorbidities (p=0.022), and a very significant association with polypharmacy (p<0.001)

scholarly journals Restless legs syndrome in institutionalized elderly

2008 ◽  
Vol 66 (2b) ◽  
pp. 328-330 ◽  
Author(s):  
Fábio Galvão Dantas ◽  
Jovany Luis Alves Medeiros ◽  
Kelly Soares Farias ◽  
Clarissa Dantas Ribeiro
Keyword(s):  
Restless Legs Syndrome ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Sleep Complaints ◽  
Face To Face ◽  
Restless Legs ◽  
Excessive Daytime Somnolence ◽  
Geriatric Service

Restless legs syndrome (RLS) is characterized by disturbing leg sensations associated to sleep complaints and excessive daytime somnolence. In the elderly, it affects 10 to 35%. Our objective was to determine the prevalence of RLS in institutionalized elderly, analyzing its relationship with clinical, laboratorial and neurophysiological features. We conducted a cross-sectional study of all the subjects under treatment on a chronic-care geriatric service by using face-to-face interviews, which include sleep complaints, the Epworth Sleepiness Scale and standardized questions addressing the four minimal criteria for RLS. The patients with RLS diagnosis received neurological examination, laboratorial tests and three of them, neurophysiological evaluation. The prevalence of RLS was 15.6%. Women were more affected and sleep complaints were frequent. There was no significance on other clinical, laboratorial or neurophysiological findings. We conclude that RLS is a prevalent condition in elderly, may lead to sleep complaints and is often underdiagnosed.

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