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Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Healthcare Centres in Bahrain: A cross-sectional study.
Alawainati, Mahmood; Habib, Fatima; Ateya, Eman; Dakheel, Eman; Al-Buainain, Muneera.
Afiliación
  • Alawainati M; Family Medicine, Primary Healthcare Centers, Manama, Bahrain.
  • Habib F; Family Medicine, Royal College of Surgeons in Ireland - Medical University of Bahrain, Muharraq, Bahrain.
  • Ateya E; Family Medicine, Primary Healthcare Centers, Manama, Bahrain.
  • Dakheel E; Family Medicine, Primary Healthcare Centers, Manama, Bahrain.
  • Al-Buainain M; Family Medicine, Primary Healthcare Centers, Manama, Bahrain.
Sultan Qaboos Univ Med J ; 24(1): 63-69, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38434473
ABSTRACT

Objectives:

This study aimed to determine the prevalence, characteristics and determinants of polypharmacy among elderly patients in Bahrain.

Methods:

This cross-sectional study was conducted between March and April 2022 in all primary healthcare centres in Bahrain. A simple random sample was obtained. An elderly patient was defined as one aged ≥60 years and polypharmacy was defined as the concomitant use of 5 or more medications, with excessive polypharmacy defined as the concomitant use of 10 or more medications.

Results:

A total of 977 patients were included, with more than half of them being females (n = 533, 54.55%) and the mean age of the participants at 67.90 ± 6.87 years. Essential hypertension, hyperlipidaemia and diabetes mellitus were the most common comorbidities among the participants (61.51%, 57.63% and 53.22%, respectively). Among the cohort, 443 (45.34%) were on 5 or more medications and of those 66 (6.76%) were on at least 10 medications. A multivariate analysis revealed that patients with diabetes (odds ratio [OR] = 5.836, 95% confidence interval [CI] 4.061-8.385; P <0.001), hypertension (OR = 6.231, 95% CI 4.235-9.168; P <0.001), hyperlipidaemia (OR = 3.999, 95% CI 2.756-5.802; P <0.001), cardiovascular diseases (OR = 3.589, 95% CI 1.787-7.205; P <0.001) and asthma (OR = 3.148, 95% CI 1.646-6.019; P <0.001) were significantly more likely to suffer from polypharmacy.

Conclusion:

Polypharmacy is prevalent among elderly patients in Bahrain, particularly among those with non-communicable diseases. Polypharmacy should be considered while delivering healthcare services to the elderly, especially those with non-communicable diseases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades no Transmisibles / Hiperlipidemias Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Sultan Qaboos Univ Med J Año: 2024 Tipo del documento: Article País de afiliación: Bahrein Pais de publicación: Omán
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades no Transmisibles / Hiperlipidemias Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Sultan Qaboos Univ Med J Año: 2024 Tipo del documento: Article País de afiliación: Bahrein Pais de publicación: Omán