Matches in SemOpenAlex for { <https://semopenalex.org/work/W2080359056> ?p ?o ?g. }
Showing items 1 to 84 of
84
with 100 items per page.
- W2080359056 endingPage "10" @default.
- W2080359056 startingPage "2" @default.
- W2080359056 abstract "La adecuación en la prescripción terapéutica es especialmente relevante en pacientes mayores. El objetivo de este trabajo es analizar la prescripción potencialmente inadecuada (PPI) en pacientes ancianos grandes polimedicados según criterios del Screening Tool of Older Person's Prescriptions (STOPP). Estudio descriptivo transversal realizado en el centro de salud Siero-Sariego (Asturias), en el que participaron todos los pacientes mayores de 64 años adscritos al centro, grandes polimedicados (consumo ≥10 fármacos durante 6 meses). Se revisaron los 65 criterios del Screening Tool of Older Person's Prescriptions en la historia clínica electrónica de atención primaria. Se recogieron variables sociodemográficas, fármacos prescritos y patologías crónicas. Se calculó el índice de Charlson. Se realizaron distribuciones de frecuencias de cada criterio y se exploraron causas relacionadas con la PPI a través de tablas de contingencia, correlación de Spearman y regresión lineal. Trescientos cuarenta y nueve grandes polimedicados (prevalencia: 6,4 [IC 95% : 5,76-7,08]), media: 79 años (DE : 3,7), 62,2% mujeres, 14% institucionalizados. Media de fármacos: 11,5 (DE : 1,7). Patologías más frecuentes: hipertensión arterial (64%), diabetes (46%) y patología osteoarticular (41%). El 72,9% de los polimedicados tenía al menos una PPI. Media: 1,32 (DE : 1,2). Criterios del Screening Tool of Older Person's Prescriptions más incumplidos: duplicidad terapéutica (25,2%), uso de benzodiacepinas de vida media larga (15,8%) y uso inadecuado de aspirina (10,9%). Se encontró asociación entre presentar alguna PPI y el número de fármacos dispensados (OR = 1,22 [IC 95% : 1,04-1,43]) y de forma inversa al índice de Charlson (OR = 0,76 [IC 95% : 0,65-0,89]). La PPI es frecuente en grandes polimedicados. Debe prestarse especial atención al uso de fármacos psicotropos, implicados en un volumen importante de PPI. Appropriate prescribing is especially relevant in elderly people. The objective of this study is to analyse the potentially inappropriate prescription (PIP) in heavily polymedicated elderly patients according to the criteria Screening Tool of Older Person's Prescriptions. A descriptive cross-sectional study was conducted in Primary Care on patients assigned to the Siero-Sariego (Asturias) Health Centre, who were over 64 years old and heavily polymedicated (consumption >10 drugs for six months). The 65 Screening Tool of Older Person's Prescriptions criteria were reviewed in the electronic Primary Care patient records, collecting sociodemographic variables, prescribed medications, and chronic diseases. Frequency distributions were made for each criterion, and causes related to PIP were explored using contingency tables, the Spearman correlation coefficient, and logistic regression. A total of 349 polymedicated elderly patients were analysed with a prevalence of 6.4 (95% CI : 5.76-7.08), a mean age of 79.2 years (SD : 3.7), 62.2% were female, 14% institutionalised, a Charlson index of 2.9. The mean of number of drugs was 11.5 (SD : 1.7), and the most frequent pathologies were high blood pressure (64%), diabetes (46%), and osteoarticular diseases (41%). There was at least one PIP in 72.9% of heavily polymedicated elderly patients [(Mean: 1.32 (SD : 1.2)]. The Screening Tool of Older Person's Prescriptions criteria least complied with were: therapeutic duplication (25.2%), use of long-acting benzodiazepines (15.8%), and inappropriate use of aspirin (10.9%). An association was found between having any inappropriate prescription and the number of medications prescribed (OR = 1.22 [95% CI : 1.04-1.43]) and inversely to the Charlson index (OR = 0.76 [95% CI : 0.65-0.89]). PIP is common in heavily polymedicated elderly patients. Special attention must be paid to the use of psychotropic drugs, which are implicated in a high volume of PIP." @default.
- W2080359056 created "2016-06-24" @default.
- W2080359056 creator A5015247585 @default.
- W2080359056 creator A5054752290 @default.
- W2080359056 creator A5065149139 @default.
- W2080359056 creator A5071575935 @default.
- W2080359056 creator A5088617739 @default.
- W2080359056 date "2016-01-01" @default.
- W2080359056 modified "2023-10-18" @default.
- W2080359056 title "Prescripción potencialmente inadecuada en pacientes mayores grandes polimedicados según criterios «STOPP»" @default.
- W2080359056 cites W134273269 @default.
- W2080359056 cites W1524993883 @default.
- W2080359056 cites W1964797068 @default.
- W2080359056 cites W1968393886 @default.
- W2080359056 cites W1980328334 @default.
- W2080359056 cites W2000445173 @default.
- W2080359056 cites W2014334715 @default.
- W2080359056 cites W2019289930 @default.
- W2080359056 cites W2024224701 @default.
- W2080359056 cites W2051538883 @default.
- W2080359056 cites W2055218553 @default.
- W2080359056 cites W2055245690 @default.
- W2080359056 cites W2068859243 @default.
- W2080359056 cites W2079667743 @default.
- W2080359056 cites W2087552507 @default.
- W2080359056 cites W2113525252 @default.
- W2080359056 cites W2115500800 @default.
- W2080359056 cites W2119931272 @default.
- W2080359056 cites W2121576014 @default.
- W2080359056 cites W2130461649 @default.
- W2080359056 cites W2149737215 @default.
- W2080359056 cites W2151663042 @default.
- W2080359056 cites W2157405490 @default.
- W2080359056 doi "https://doi.org/10.1016/j.semerg.2014.10.018" @default.
- W2080359056 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25554433" @default.
- W2080359056 hasPublicationYear "2016" @default.
- W2080359056 type Work @default.
- W2080359056 sameAs 2080359056 @default.
- W2080359056 citedByCount "7" @default.
- W2080359056 countsByYear W20803590562016 @default.
- W2080359056 countsByYear W20803590562018 @default.
- W2080359056 countsByYear W20803590562019 @default.
- W2080359056 countsByYear W20803590562020 @default.
- W2080359056 countsByYear W20803590562022 @default.
- W2080359056 crossrefType "journal-article" @default.
- W2080359056 hasAuthorship W2080359056A5015247585 @default.
- W2080359056 hasAuthorship W2080359056A5054752290 @default.
- W2080359056 hasAuthorship W2080359056A5065149139 @default.
- W2080359056 hasAuthorship W2080359056A5071575935 @default.
- W2080359056 hasAuthorship W2080359056A5088617739 @default.
- W2080359056 hasConcept C138885662 @default.
- W2080359056 hasConcept C15708023 @default.
- W2080359056 hasConcept C159110408 @default.
- W2080359056 hasConcept C2426938 @default.
- W2080359056 hasConcept C29456083 @default.
- W2080359056 hasConcept C71924100 @default.
- W2080359056 hasConceptScore W2080359056C138885662 @default.
- W2080359056 hasConceptScore W2080359056C15708023 @default.
- W2080359056 hasConceptScore W2080359056C159110408 @default.
- W2080359056 hasConceptScore W2080359056C2426938 @default.
- W2080359056 hasConceptScore W2080359056C29456083 @default.
- W2080359056 hasConceptScore W2080359056C71924100 @default.
- W2080359056 hasIssue "1" @default.
- W2080359056 hasLocation W20803590561 @default.
- W2080359056 hasLocation W20803590562 @default.
- W2080359056 hasOpenAccess W2080359056 @default.
- W2080359056 hasPrimaryLocation W20803590561 @default.
- W2080359056 hasRelatedWork W1506200166 @default.
- W2080359056 hasRelatedWork W1995515455 @default.
- W2080359056 hasRelatedWork W2039318446 @default.
- W2080359056 hasRelatedWork W2048182022 @default.
- W2080359056 hasRelatedWork W2080531066 @default.
- W2080359056 hasRelatedWork W2748952813 @default.
- W2080359056 hasRelatedWork W2789448498 @default.
- W2080359056 hasRelatedWork W2899084033 @default.
- W2080359056 hasRelatedWork W3032375762 @default.
- W2080359056 hasRelatedWork W3108674512 @default.
- W2080359056 hasVolume "42" @default.
- W2080359056 isParatext "false" @default.
- W2080359056 isRetracted "false" @default.
- W2080359056 magId "2080359056" @default.
- W2080359056 workType "article" @default.