Please use this identifier to cite or link to this item: https://hdl.handle.net/10316/107202
Title: Prevalence Of Potentially Inappropriate Medication In The Older Adult Population Within Primary Care In Portugal: A Nationwide Cross-Sectional Study
Authors: Simões, Pedro Augusto
Santiago, Luiz Miguel 
Mauricio, Katia 
Simões, José Augusto 
Keywords: potentially inappropriate medication; aged; polypharmacy; multimorbidity
Issue Date: 2019
Publisher: Dove Medical Press
metadata.degois.publication.title: Patient Preference and Adherence
metadata.degois.publication.volume: 13
Abstract: Background: In potentially inappropriate medications harm potentially outweighs benefits. Even appropriately prescribed medications may become inappropriate. They can lead to a high risk of adverse drug reactions, morbidity and mortality. The aim of this study was to determine the prevalence of potentially inappropriate medication in the older adult population attending primary care in Portugal and to identify associated sociodemographic and clinical factors. Methods: We conducted a cross-sectional, analytical study in primary care centres from the five Portuguese healthcare administrative regions and the two autonomous regions. We used a random sample of 757 older patients provided by the information department of the ministry of health (SPMS) and family doctors from the autonomous regions. Data collection occurred March 2018 and we studied sociodemographic characteristics, clinical profile and medication. We used 2015 Beers Criteria to assess potentially inappropriate medications. Logistic regression analyses were performed to determine associations between potentially inappropriate medications’ prescriptions and other variables. Results: Potentially inappropriate medication was present in 68.6% and 46.1% of the sample had two or more. The likelihood of having potentially inappropriate medication increased significantly with being female (OR=1.56 [1.05 to 2.31]), number of chronic health problems (OR=1.06 [1.01 to 1.13]), number of pharmacological subclasses (OR=1.40 [1.30 to 1.51]) and number of prescribers (OR=1.34 [1.09 to 1.65]). Proton-pump inhibitors, nonsteroidal anti-inflammatory drugs and benzodiazepines were the most commonly found ones. Conclusion: Potentially inappropriate medication in older adults was found to be a common occurrence in Portugal. It is important that doctors are aware of this problem, namely in the primary care setting due to the longitudinal care.
URI: https://hdl.handle.net/10316/107202
ISSN: 1177-889X
DOI: 10.2147/PPA.S219346
Rights: openAccess
Appears in Collections:I&D CEISUC - Artigos em Revistas Internacionais
FMUC Medicina - Artigos em Revistas Internacionais

Show full item record

SCOPUSTM   
Citations

38
checked on Oct 14, 2024

WEB OF SCIENCETM
Citations

39
checked on Nov 2, 2024

Page view(s)

97
checked on Oct 29, 2024

Download(s)

52
checked on Oct 29, 2024

Google ScholarTM

Check

Altmetric

Altmetric


This item is licensed under a Creative Commons License Creative Commons