دورية أكاديمية
Factors associated with high medication regimen complexity in primary care older adults in Brazil.
| العنوان: | Factors associated with high medication regimen complexity in primary care older adults in Brazil. |
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| المؤلفون: | Pantuzza LLN; Programa de Pós-Graduação em Medicamentos e Assistência Farmacêutica, Faculdade de Farmácia, Universidade Federal de Minas Gerais, 6627 Presidente Antônio Carlos Ave, Pampulha, Belo Horizonte, Minas Gerais, Brazil., das Graças Braga Ceccato M; Faculdade de Farmácia, Universidade Federal de Minas Gerais, 6627 Presidente Antônio Carlos Ave, Pampulha, Belo Horizonte, Minas Gerais, Brazil., Reis EA; Instituto de Ciências Exatas da Universidade Federal de Minas Gerais, 6627 Presidente Antônio Carlos Ave, Pampulha, Belo Horizonte, Minas Gerais, Brazil., Silveira MR; Faculdade de Farmácia, Universidade Federal de Minas Gerais, 6627 Presidente Antônio Carlos Ave, Pampulha, Belo Horizonte, Minas Gerais, Brazil., Almeida-Brasil CC; Center for Outcomes Research and Evaluation (CORE), Research Institute at the McGill University Health Centre, 5252 Bd. de Maisonneuve O, Montreal, QC, H4A 3S9, Canada., Almeida TA; Prefeitura Municipal de Belo Horizonte, Farmácia Distrital Leste, 141 Joaquim Felício st., Sagrada Família, Belo Horizonte, Minas Gerais, Brazil., Pinto IVL; Prefeitura Municipal de Belo Horizonte, Farmácia Distrital Leste, 141 Joaquim Felício st., Sagrada Família, Belo Horizonte, Minas Gerais, Brazil., Reis AMM; Faculdade de Farmácia, Universidade Federal de Minas Gerais, 6627 Presidente Antônio Carlos Ave, Pampulha, Belo Horizonte, Minas Gerais, Brazil. amreis@outlook.com. |
| المصدر: | European geriatric medicine [Eur Geriatr Med] 2020 Apr; Vol. 11 (2), pp. 279-287. Date of Electronic Publication: 2019 Dec 05. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101533694 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1878-7649 (Print) Linking ISSN: 18787649 NLM ISO Abbreviation: Eur Geriatr Med |
| أسماء مطبوعة: | Publication: 2018- : Cham : Springer International Publishing Original Publication: Issy-les-Moulineaux, Paris : Elsevier Masson SAS |
| مواضيع طبية MeSH: | Medication Adherence* , Polypharmacy*, Aged ; Brazil ; Cross-Sectional Studies ; Female ; Humans ; Infant, Newborn ; Male ; Primary Health Care |
| مستخلص: | Purpose: Complex medication regimens are common among older adults and contribute to the occurrence of undesirable health outcomes. This study aims to investigate the factors associated with high medication regimen complexity in older people. Methods: A cross-sectional study was conducted with older adults selected from two primary healthcare units. Medication regimen complexity was measured using the Brazilian version of the Medication Regimen Complexity Index. The Pearson's Chi square test was used to analyse the individual association of each independent variable with high medication regimen complexity. The backward stepwise method was used to obtain the final multivariate logistic regression model. Results: We included 227 older adults with a median age of 70 years who were mostly females (70.9%). The median total Medication Regimen Complexity Index was 20.8 for high complexity and 10.5 for patients that were not using high complexity regimens. The Medication Regimen Complexity Index section with higher median scores in both groups was dosing frequency, followed by additional instructions. High complexity was associated with diabetes (OR 5.42; p = 0.00 2.69-10.93) and asthma/Chronic Obstructive Pulmonary Disease (OR 2.96(1.22-7.18); p = 0.02). Conclusions: Older people in primary care with diabetes and respiratory disease were most likely to have complex medication regimens. Dosing frequency and additional instructions were medication regime complexity index components that most contributed to the high complexity in medication regime of older adults. |
| معلومات مُعتمدة: | APQ-00770-14 International Fundação de Amparo à Pesquisa do Estado de Minas Gerais |
| فهرسة مساهمة: | Keywords: Aged; High Medication Regimen Complexity Index; Medication regimen complexity; Primary Health Care |
| تواريخ الأحداث: | Date Created: 20200417 Date Completed: 20210818 Latest Revision: 20210818 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s41999-019-00275-0 |
| PMID: | 32297189 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. | تدمد: | 1878-7649 |
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| DOI: | 10.1007/s41999-019-00275-0 |