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Problemas relacionados aos medicamentos em idosos fragilizados da Zona da Mata Mineira, Brasil Translated title: Drug-related problems of frail elderly people of Zona da Mata in Minas Gerais state, Brazil

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      Abstract

      OBJETIVO: Identificar os principais problemas de saúde, o perfil de utilização de medicamentos e os problemas relacionados aos medicamentos (PRMs) envolvidos no tratamento de idosos fragilizados da Zona da Mata Mineira. MÉTODOS: Foram avaliados prontuários de 260 idosos atendidos pelo Centro Mais Vida, Juiz de Fora-MG, entre agosto e setembro de 2010. As doenças foram agrupadas de acordo com a Classificação Internacional de Doenças - 10ª revisão, os medicamentos de acordo com o Anatomical Therapeutic Chemical Classification System e os PRMs de acordo com o Método Dáder. RESULTADOS: Observou-se que 73,8% dos idosos eram do sexo feminino e 42,7% possuíam entre 60 e 69 anos. Foram constatadas 1.300 doenças, sendo 31,07% do aparelho circulatório, 19,85% endócrinas, nutricionais e metabólicas e 13,46% do sistema osteomuscular e tecido conjuntivo. Dos 1.737 medicamentos, os mais prevalentes foram os do sistema cardiovascular (42,8%), seguidos pelos do trato alimentar e metabolismo (23,7%) e pelos do sistema nervoso (18,2%). Do total de medicamentos, 53,9% apresentaram algum PRM, sendo o PRM 1 (não utilização da medicação necessária) o mais frequente (37,4%). CONCLUSÃO: Os resultados evidenciam a necessidade da revisão dos esquemas terapêuticos dos idosos, visando o uso racional e efetivo dos medicamentos. Os dados apontam, ainda, a necessidade de aprofundar estudos de avaliação de riscos de PRM nessa população.

      Translated abstract

      OBJECTIVE: To identify major health problems, drug usage profile and drug-related problems (DRPs) involved in the treatment of frail elderly people of Zona da Mata of Minas Gerais state, Brazil. METHODS: The study assessed 260 medical records of elderly patients served by Centro Mais Vida, Juiz de Fora-MG, between August and September 2010. The diseases were grouped according to the International Classification of Diseases - 10th review, the drugs according to the Anatomical Therapeutic Chemical Classification System and the DRPs according to the Dáder method. RESULTS: It was observed that 73.8% of the elderly people were female and 42.7% were aged 60-69 years. We found 1,300 diseases, of which 31.07% were of circulatory system, 19.85% endocrine, nutritional and metabolic diseases and 13.46% of the musculoskeletal system and connective tissue. Among the 1,737 drugs, the ones of cardiovascular system (42.8%), followed by alimentary tract and metabolism (23.7%) and nervous system (18.2%) were the most prevalent. Among all drugs, 53.9% presented some DRPs, being DRP 1 (not using the drug needed) the most frequent (37.4%). CONCLUSION: The results highlight the need to review drug regimens of elderly patients, aiming to encourage rational and effective use of medicines. The data also show the need for more complete studies about the evaluation of DRP risks in the elderly population.

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      Most cited references 32

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      Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde -10ª Revisão

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        Health outcomes associated with potentially inappropriate medication use in older adults.

        The purpose of this study was to examine the prevalence of potentially inappropriate medication use (PIMs) among community-dwelling older adults and the association between PIMs and health care outcomes. Participants were 17,971 individuals age 65 years and older. PIM use was defined by the Beers criteria. Drug-related problems (DRPs) were defined using ICD-9 codes. Forty percent of the 17,971 individuals filled at least 1 PIM prescription, and 13% filled 2 or more PIM prescriptions. Overall DRP prevalence among those with at least 1 PIM prescription was 14.3% compared to 4.7% in the non-PIM group (p < .001). In conclusion, preventing PIM use may be important for decreasing medication-related problems, which are increasingly being recognized as requiring an integrated interdisciplinary approach. (c) 2007 Wiley Periodicals, Inc.
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          Indicadores Sociodemográficos e de Saúde no Brasil

           IBGE (2009)
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            Author and article information

            Affiliations
            [1 ] Universidade Federal de Juiz de Fora Brazil
            [2 ] Universidade Federal de Juiz de Fora Brazil
            [3 ] Secretaria de Estado de Saúde Brasil
            Contributors
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Journal
            rbgg
            Revista Brasileira de Geriatria e Gerontologia
            Rev. bras. geriatr. gerontol.
            Universidade do Estado do Rio Janeiro (Rio de Janeiro )
            1981-2256
            December 2013
            : 16
            : 4
            : 691-704
            S1809-98232013000400691 10.1590/S1809-98232013000400004

            http://creativecommons.org/licenses/by/4.0/

            Product
            Product Information: SciELO Brazil
            Categories
            GERIATRICS & GERONTOLOGY

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