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Medication regimen complexity in institutionalized elderly people in an aging society.
Advinha, Ana Margarida; de Oliveira-Martins, Sofia; Mateus, Vanessa; Pajote, Sara Grou; Lopes, Manuel José.
Afiliación
  • Advinha AM; iMed.UL - Instituto de Investigação do Medicamento, Faculty of Pharmacy of the University of Lisbon, Avenida Professor Gama Pinto, 1649-003, Lisbon, Portugal, ana.advinha@gmail.com.
Int J Clin Pharm ; 36(4): 750-6, 2014 Aug.
Article en En | MEDLINE | ID: mdl-24906719
BACKGROUND: Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. OBJECTIVE: To use the MRCI to assess medication regimen complexity in institutionalized elderly people. SETTING: Five nursing homes in mainland Portugal. METHODS: A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. MAIN OUTCOME MEASURE: Medication regimen complexity index. RESULTS: The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). CONCLUSION: Medication regimen complexity proved to be high. There is certainly potential for the pharmacist's intervention to reduce it as part as the medication review routine in all the patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Envejecimiento / Polifarmacia / Medicamentos bajo Prescripción / Conciliación de Medicamentos Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Int J Clin Pharm Año: 2014 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Envejecimiento / Polifarmacia / Medicamentos bajo Prescripción / Conciliación de Medicamentos Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Int J Clin Pharm Año: 2014 Tipo del documento: Article Pais de publicación: Países Bajos