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• W4294783531 abstract "La polifarmacia es un problema actual en el ámbito sanitario. El aumento de la esperanza de vida de las personas, gracias a los avances en investigación y a una mejor calidad de vida, hace que el perfil de la población se caracterice por el predominio de personas de edad avanzada con múltiples comorbilidades que precisan tratamiento médico. No existe unanimidad en la literatura para definir qué es la polifarmacia, encontrando discrepancias tanto en aspectos cuantitativos como cualitativos, aunque la definición más aceptada de polifarmacia se basa en el uso de cinco o más medicamentos. La polifarmacia deriva en diversas complicaciones para los pacientes y para el sistema sanitario, requiriendo en muchos casos hospitalizaciones que, en buena parte, podrían ser evitadas. Por ello es muy importante conocer los principales factores de riesgo y hacer un buen diagnóstico y detección de las prescripciones inadecuadas. En este artículo se describirán todos estos aspectos, así como una revisión de las estrategias para reducir la polifarmacia mediante la revisión de las prescripciones, la conciliación de la medicación y las herramientas de desprescripción. Polypharmacy is a current problem in the field of healthcare. The increase in people's life expectancy, thanks to advances in research and a better quality of life, has made it so the population is characterized by a predominance of elderly individuals with multiple comorbidities that require medical treatment. There is no consensus in the literature for defining what polypharmacy is. Discrepancies are found in both quantitative and qualitative aspects, though the most accepted definition of polypharmacy is based on the use of five or more medications. Polypharmacy leads to various complications for both patients and the healthcare system, in many cases requiring hospitalizations which in large part could have been avoided. Therefore, it is very important to know the main risk factors, make the correct diagnosis, and detect inappropriate prescribing. All these aspects will be described in this article, which will also review the strategies for reducing polypharmacy by means of a prescription review, a medication conciliation, and deprescribing tools." @default.
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• W4294783531 date "2022-09-01" @default.
• W4294783531 modified "2023-10-15" @default.
• W4294783531 title "Polifarmacia" @default.
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• W4294783531 doi "https://doi.org/10.1016/j.med.2022.08.012" @default.
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