Medication approaches potentially inappropriate for the elderly: a Cuban proposal
Keywords:
elderly, inadequate prescription, problems associated with the use of medications, pharmaco-surveillance, methods for the pharmaceutical care.Abstract
Introduction: The impact of inappropriate prescription of medication in the elderly has led to the development of methods for its reduction in several parts of the world.
Objective: To design and validate the medication approaches potentially inappropriate in the elderly, adapted to the socio-sanitary environment of Cuba.
Methods: A qualitative investigation was carried out, in which the approaches were validated by means of the Delphi methodology, by an experts committee (specialists in geriatrics medicine and clinic from different geographical areas of the country), and the internal consistency was calculated by means of the alpha coefficient of Cronbach.
Results: The approaches were structured in three lists: 1) potentially inappropriate medication, advised medication non prescribed, when contraindication doesn't exist for its use; 2) medication potentially inappropriate, independent from the diagnosis or clinical condition; 3) potentially inappropriate medication, depending on the diagnosis or clinical condition.
Conclusions: The validity of the content and the appropriate internal consistency of the designed approaches for the medication identification potentially inappropriate in the elderly were demonstrated.
Downloads
References
´
2. Cala Calviño L, Casas Gross S, Dunán Cruz LK. Efecto cascada en el anciano como consecuencia de la polifarmacia. MEDISAN. 2017 [citado 22/06/2020];21(3):296–303. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017000300006
3. Delgado-Silveira E, Fernández-Villalba EM, García-Mina Freire M, Albiñana Pérez MS, Casajús Lagranja MP, Peris Martí JF. Impacto de la Intervención Farmacéutica en el tratamiento del paciente mayor pluripatológico. Farm Hosp. 2015 [citado 22/06/2020];39(4):192-202. Disponible en: http://scielo.isciii.es/scielo.php?pid=S1130-63432015000400002&script=sci_arttext&tlng=es
4. Cruz-Jentoft AJ. Prescripción inapropiada en personas mayores: hora de pasar a la acción. Farm Hosp. 2017 [citado 22/06/2020];41(1):1-2. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-63432017000100001
5. Bjerre LM, Ramsay T, Cahir C, Ryan C, Halil R, Farrell B, et al. Assessing potentially inappropriate prescribing (PIP) and predicting patient outcomes in Ontario’s. BMJ Open. 2015 [citado 22/06/2020];5. Disponible en: https://bmjopen.bmj.com/content/bmjopen/5/11/e010146.full.pdf
6. Fajreldines AV, Insua JT, Schnitzler E. Prescripción inapropiada en adultos mayores hospitalizados. Medicina (Buenos Aires). 2016 [citado 22/06/2020];76(6):362–8. Disponible en: https://www.medicinabuenosaires.com/revistas/vol76-16/n6/362-368-Med76-3-6408-Fajreldines-A%20oJo%20anexo%20solo%20web--.pdf
7. Martínez VN, Gutiérrez VM, Larráyoz SB. Deprescripción en el anciano diabético. Diabetes Práctica. 2015 [citado 22/06/2020];6(4):145-92. Disponible en: http://www.diabetespractica.com/files/docs/publicaciones/145502979604_Habilidades_6-4.pdf
8. American Geriatrics Society. American Geriatrics Society 2015 Beers Criteria Update Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2015;63(11):2227-46.
9. Silveira Delgado E, Errasquín Montero E, García Muñoz M, Vélez-Díaz Pallarés M, Lozano Montoya I, Sánchez-Castellano C, et al. Mejorando la prescripción de medicamentos en las personas mayores: una nueva edición de los criterios STOPP-START. Rev Esp Geriatr Gerontol. 2015 [citado 22/06/2020];50(2):89-96. Disponible en: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-pdf-S0211139X14002236
10. Ortega López IL, Reyes Hernández I, Dupotey Varela NM, Lores Delgado D, Veranes Vera Y, Pupo Benítez L, et al. Medicación potencialmente inapropiada en pacientes ancianos en Santiago de Cuba. J Pharm Pharmacogn Res. 2019;7(4): 288-96.
11. Cuba. Ministerio de Salud Pública; Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2018. La Habana: MINSAP; 2019 [citado 22/06/2020]. Disponible en: http://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2018-ed-2019-compressed.pdf
12. Galván-Banqueri M, González-Méndez AI, Alfaro Lara ER, Nieto Martín MD, Pérez-Guerrero C, Santos Ramos B. Evaluation of the appropriateness of pharmacotherapy in patients with high comorbidity. Aten Primaria. 2013 [citado 25/06/2020];45(5):235-43. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985534/
13. Spinewine A, Fialová D, Byrne S. The role of the pharmacist in optimizing pharmacotherapy in older people. Drugs Aging. 2012;29(6):495-510.
14. American Diabetes Association. Standards of medical care in diabetes-2016. Diabetes Care. 2016 [citado 25/06/2020];39(suppl. 1):1-106. Disponible en: https://care.diabetesjournals.org/content/suppl/2015/12/21/39.Supplement_1.DC2/2016-Standards-of-Care.pdf
15. Bustos-Guadaño F, Martín-Calderón JL, Criado-Álvarez JJ, Muñoz-Jara R, Cantalejo-Gutiérrez A, Mena-Moreno MC. Estimación del filtrado glomerular en personas mayores de 85 años: comparación de las ecuaciones CKD-EPI, MDRD-IDMS y BIS1. Nefrología. 2017 [citado 25/06/2020];37(2):115-22. Disponible en: https://www.revistanefrologia.com/es-pdf-S0211699516302053
16. Pasina L, Djade C, Nobili A, Tettamanti M, Franchi C, Salerno F, et al. Drug–drug interactions in a cohort of hospitalized elderly patients. Pharmacoepidemiol Drug Saf. 2013; 22(10):1054-60.
17. Maust DT, Myra H, Seyfried LS, Chiang C, Kavanagh J, Schneider LS, et al. Antipsychotics, other psychotropics, and the risk of death in patients with dementia. JAMA Psychiatry. 2015 [citado 25/06/2020];72(5):438-45. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4439579/pdf/nihms690005.pdf
18. Gray SL, Anderson ML, Dublin S, Hanlon JT, Hubbard R, Walker R, et al. Cumulative use of strong anticholinergics and incident dementia: A prospective cohort study. JAMA Intern Med. 2015 [citado 25/06/2020];175(3):401-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4358759/pdf/nihms665195.pdf
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.
![Secimed](/templates/images/secimed.png"){kind=small}
