Lecture notes in computer science, Journal Year: 2023, Volume and Issue: unknown, P. 366 - 374
Published: Jan. 1, 2023
Language: Английский
Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 12
Published: March 3, 2025
Objective To examine the prevalence of potentially inappropriate medications (PIMs) prescribed among older patients diagnosed with psychiatric diseases and to identify associated factors. Methods This cross-sectional study was conducted who visited outpatient clinics in Saudi Arabia between June 1st, 2019, May 31st, 2023. PIMs use estimated using updated 2019 American Geriatric Society (AGS) Beers criteria. Data were analyzed chi-square or Fisher's exact test for categorical variables t -test continuous compare without PIMs. In addition, Pearson correlation performed total number prescriptions Multivariable logistic regression analysis used explore Statistical significance set at p < 0.05. Results Our included 306 diseases, 156 (50.98%) group 150 (49.02%) non-PIMs group. There a considerable positive ( r = 0.76; 0.0001). The adjusted revealed significantly higher risk individuals comorbid neurological compared those [adjusted odds ratio (AOR) 2.48, 95% CI [1.15–5.32]]. contrast, not greater hypertension {AOR 1.67, [(0.79–3.54)]}, diabetes mellitus 1.25, [(0.66–2.34)]}, pulmonary disease 2.34, [(0.69–7.96)]}. Conclusion highlighted elevated adults setting, particularly diseases. Therefore, clinical pharmacists may play crucial role improving outcomes illnesses. Finally, future studies should additional strategies reduce this population.
Language: Английский
Citations
0
Middle East Current Psychiatry, Journal Year: 2024, Volume and Issue: 31(1)
Published: April 29, 2024
Abstract Background Potentially inappropriate medications (PIMs) are defined as drugs whose adverse effects outweigh the benefits or when more efficacious alternatives present. This study aims to assess overall prevalence of PIMs according Beers 2019 and 2023 among older adult patients with serious mental illnesses (such schizophrenia), factors associated while examining difference between two versions. Method cross-sectional included chronic aged 65 years above, hospitalized at Psychiatric Hospital Cross (Lebanon), taking least one medication daily. Sociodemographic characteristics, medications, clinical information were obtained from patients’ medical records. SPSS version 26 was used for data analysis. Descriptive statistics describe independent variables, bivariate analysis associations PIM use different factors. A two-tailed p value < 0.05 considered statistically significant. Results Ninety-seven a mean age 71.21 (± 4.63) years. 52.6% female. 44.3% on polypharmacy (5–9 medications). 97.9% had both versions majority being anticholinergics (84.5%). Polypharmacy significantly correlated use. stay length presence comorbid neurological disorders negatively Conclusion extremely prevalent psychiatric patients. Raising awareness physicians criteria making them mandatory could help diminish this vulnerable population.
Language: Английский
Citations
2
Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(13), P. 4195 - 4195
Published: June 21, 2023
Background: Elderly with mental health conditions usually use multiple medications, which predisposes them to inappropriate of is defined as medications that should be avoided due their risk; this outweighs benefit given safer alternatives are available. This study aimed examine potentially medication among older patients anxiety disorder. Methods: used a cross-sectional retrospective design using twelve months data extracted from the Electronic Health Record (EHR) database for adults diagnosed disorder and treated in ambulatory care setting. Potentially (PIMs) was evaluated 2019 Beers criteria. Descriptive statistics were describe sample. Pearson’s chi-square tests (for categorical variables) t-tests continuous utilized measure differences independent variables between without PIMs. Binary logistic regression associations PIMs identify potential factors Analyses performed Statistical Analysis Software version 9.4 (SAS® 9.4). Results: The sample includes 371 (age ≥ 65 years) disorder; average age (72.1 ± 5.8) years. highly prevalent (66.6%). About 35.6% one PIM, 22.6% two PIMs, 8.4% three most frequently prescribed NSAIDs gastrointestinal agents. adjusted analysis found less likely men than women. In addition, more women diabetes, cancer, polypharmacy. Conclusions: Future studies on strategies interventions rationing necessary high prevalence polypharmacy within population.
Language: Английский
Citations
3
Archives of Gerontology and Geriatrics, Journal Year: 2024, Volume and Issue: 129, P. 105693 - 105693
Published: Nov. 13, 2024
Language: Английский
Citations
0
Revista Multidisciplinar do Nordeste Mineiro, Journal Year: 2024, Volume and Issue: 12(4), P. 1 - 15
Published: Dec. 13, 2024
Introdução: O envelhecimento populacional tem avançado em todo o mundo. A assistência saúde mental da pessoa idosa abrange a atuação de uma equipe multiprofissional, na qual farmacêutico deve estar presente para acompanhar e orientar paciente sobre uso medicamentos. Objetivo: analisar do nos serviços à idosa. Método: revisão integrativa literatura, com buscas realizadas bases eletrônicas dados livre acesso internet. Foram selecionados somente os estudos publicados entre 2019 2024, português ou inglês, disponíveis gratuitamente internet possuindo pelo menos um dos descritores no título resumo. excluídos textos incompletos trabalhos conclusão curso. As pesquisas foram utilizando seguintes descritores: farmacêutico; idoso; mental. Resultados discussão: análise incluiu 11 que atenderam aos critérios elegibilidade, demonstrando população portadora transtornos mentais está exposta riscos relacionados medicamentos possui participação fundamental farmacoterapia, educação ao idoso, realização intervenções essenciais prática clínica. capacitação pode contribuir melhor qualidade tratamento idosos. Conclusão: desempenha papel grande importância integrando multidisciplinar contribuindo por meio intervenções, correções identificação efeitos adversos potenciais interações medicamentosas, além promover ações educativas envolvendo pacientes, cuidadores profissionais prescritores, buscando construção práticas mais seguras racionais.
Citations
0
Lecture notes in computer science, Journal Year: 2023, Volume and Issue: unknown, P. 366 - 374
Published: Jan. 1, 2023
Language: Английский
Citations
0