دورية أكاديمية
Lists of potentially inappropriate medications for older people in primary care: a systematic review of health outcomes.
العنوان: | Lists of potentially inappropriate medications for older people in primary care: a systematic review of health outcomes. |
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المؤلفون: | Rodrigues RC; Secretaria de Saúde do Distrito Federal, Brasília, Brasil.; Universidade de Brasília, Brasília, Brasil., Gomes GKA; Secretaria de Saúde do Distrito Federal, Brasília, Brasil.; Universidade de Brasília, Brasília, Brasil., Sodré BMC; Universidade de Brasília, Brasília, Brasil., Lima RF; Universidade de Brasília, Brasília, Brasil., Barros DSL; Universidade de Brasília, Brasília, Brasil., Figueiredo ACMG; Escola Superior de Ciências da Saúde, Brasília, Brasil., Stefani CM; Universidade de Brasília, Brasília, Brasil., Silva DLMD; Universidade de Brasília, Brasília, Brasil. |
المصدر: | Cadernos de saude publica [Cad Saude Publica] 2024 May 20; Vol. 40 (5), pp. e00016423. Date of Electronic Publication: 2024 May 20 (Print Publication: 2024). |
نوع المنشور: | Journal Article; Systematic Review |
اللغة: | English |
بيانات الدورية: | Publisher: Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Country of Publication: Brazil NLM ID: 8901573 Publication Model: eCollection Cited Medium: Internet ISSN: 1678-4464 (Electronic) Linking ISSN: 0102311X NLM ISO Abbreviation: Cad Saude Publica Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2012->: Rio De Janeiro : Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Original Publication: Rio de Janeiro : A Escola, |
مواضيع طبية MeSH: | Primary Health Care* , Potentially Inappropriate Medication List* , Inappropriate Prescribing*/statistics & numerical data , Inappropriate Prescribing*/prevention & control, Humans ; Aged ; Polypharmacy |
مستخلص: | This study is a systematic literature review of the association between lists of potentially inappropriate medications (PIM) in clinical practice and health outcomes of older adults followed up in primary health care. For this purpose, the PRISMA protocol was used to systematize the search for articles in the PubMed, Web of Science, Scopus, Cochrane Central, LIVIVO and LILACS databases, in addition to the gray literature. Studies with randomized clinical trials were selected, using explicit criteria (lists) for the identification and management of PIM in prescriptions of older patients in primary care. Of the 2,400 articles found, six were used for data extraction. The interventions resulted in significant reductions in the number of PIM and adverse drug events and, consequently, in potentially inappropriate prescriptions (PIP) in polymedicated older adults. However, there were no significant effects of the interventions on negative clinical outcomes, such as emergency room visits, hospitalizations and death, or on improving the health status of the older adults. The use of PIM lists promotes adequate medication prescriptions for older adults in primary health care, but further studies are needed to determine the impact of reducing PIM on primary clinical outcomes. |
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تواريخ الأحداث: | Date Created: 20240522 Date Completed: 20240522 Latest Revision: 20240524 |
رمز التحديث: | 20240524 |
مُعرف محوري في PubMed: | PMC11111166 |
DOI: | 10.1590/0102-311XEN016423 |
PMID: | 38775606 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1678-4464 |
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DOI: | 10.1590/0102-311XEN016423 |