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Caraterização do consumo de psicotrópicos em utentes de estruturas residenciais para pessoas idosas
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Abstract(s)
A nível mundial, estima-se que o número de idosos com idade igual ou superior a 65 anos continue a aumentar, em paralelo com o número de Estruturas Residenciais para Pessoas Idosas e a situação de Portugal não é exceção. O envelhecimento conduz a um aumento da incidência de morbilidades, como condições crónicas de saúde mental, e consequentemente ao aumento do consumo de medicamentos, com situações de polimedicação, ao consumo de Medicamentos Potencialmente Inapropriados, a uma maior suscetibilidade a reações adversas e a um aumento do número de interações farmacológicas. Por conseguinte, o uso de medicamentos psicotrópicos é bastante comum em pessoas idosas. Este trabalho pretendeu caraterizar o consumo de medicamentos psicotrópicos utilizados regularmente em utentes de uma Estrutura Residencial para Pessoas Idosas, na região do Algarve. Foi desenvolvido um estudo descritivo transversal, onde se analisaram os perfis farmacoterapêuticos de 50 utentes de uma Estrutura Residencial para Pessoas Idosas, localizada na região do Algarve. A amostra era constituída maioritariamente por mulheres (60%), 50% com diagnóstico de doenças do sistema nervoso, que consumiam 355 medicamentos, sendo 114 medicamentos psicotrópicos, correspondente a 82% dos utentes da amostra. Em média, os utentes consumiam 2,28±1,73 medicamentos psicotrópicos, nomeadamente antipsicóticos (52%). Cerca de 82% eram polimedicados e 86% apresentavam pelo menos uma interação medicamentosa, sendo que 70% apresentava pelo menos uma interação envolvendo psicotrópicos. O consumo de Medicamentos Potencialmente Inapropriados classificados como psicotrópicos foi analisado através de duas listas (EURO-FORTA e EU(7)-PIM) mostrando um consumo médio de 1,68±1,50 medicamentos e 1,12±1,02, respetivamente. Com este trabalho, verificou-se que a polimedicação e o uso de medicamentos psicotrópicos é bastante comum, havendo um elevado número de interações que envolvem estes medicamentos, bem como o consumo de Medicamentos Potencialmente Inapropriados. Estes resultados revelam a importância dos profissionais de saúde, principalmente dos Farmacêuticos, na avaliação contínua da farmacoterapia de idosos institucionalizados.
Worldwide, it is estimated that the number of elderly people aged 65 years or older will continue to increase, in parallel with the number of Residential Structures for the Elderly and the situation in Portugal is no exception. Ageing leads to an increased incidence of morbidities, such as chronic mental health conditions, and consequently increased consumption of medicinal products, with polymedication situations, the consumption of potentially inappropriate medicines, increased susceptibility to adverse reactions and an increase in the number of pharmacological interactions. Therefore, the use of psychotropic drugs is quite common in old persons. This work aimed to characterize the consumption of psychotropic drugs used regularly in users of a Residential Structure for The Old, in the Algarve region. A cross-sectional descriptive study was developed, which analyzed the pharmacotherapeutic profiles of 50 users of a Residential Structure for the Old, located in the Algarve region. The sample consisted mostly of women (60%), 50% diagnosed with nervous system diseases, who consumed 355 medications, 114 of which were psychotropic drugs, corresponding to 82% of the users of the sample. On average, users consumed 2.28±1.73 psychotropic drugs, including antipsychotics (52%). About 82% were polymedicated and 86% had at least one drug interaction, and 70% had at least one interaction involving psychotropic drugs. The consumption of potentially inappropriate drugs classified as psychotropic drugs was analyzed through two lists (EURO-FORTA and EU(7)-PIM) showing an average consumption of 1.68±1.50 drugs and 1.12±1.02, respectively. With this work, it was found that polymedication and the use of psychotropic drugs is quite common, with a high number of interactions involving these drugs, as well as the consumption of potentially inappropriate medications. These results reveal the importance of health professionals, especially pharmacists, in the continuous evaluation of pharmacotherapy of institutionalized elderly.
Worldwide, it is estimated that the number of elderly people aged 65 years or older will continue to increase, in parallel with the number of Residential Structures for the Elderly and the situation in Portugal is no exception. Ageing leads to an increased incidence of morbidities, such as chronic mental health conditions, and consequently increased consumption of medicinal products, with polymedication situations, the consumption of potentially inappropriate medicines, increased susceptibility to adverse reactions and an increase in the number of pharmacological interactions. Therefore, the use of psychotropic drugs is quite common in old persons. This work aimed to characterize the consumption of psychotropic drugs used regularly in users of a Residential Structure for The Old, in the Algarve region. A cross-sectional descriptive study was developed, which analyzed the pharmacotherapeutic profiles of 50 users of a Residential Structure for the Old, located in the Algarve region. The sample consisted mostly of women (60%), 50% diagnosed with nervous system diseases, who consumed 355 medications, 114 of which were psychotropic drugs, corresponding to 82% of the users of the sample. On average, users consumed 2.28±1.73 psychotropic drugs, including antipsychotics (52%). About 82% were polymedicated and 86% had at least one drug interaction, and 70% had at least one interaction involving psychotropic drugs. The consumption of potentially inappropriate drugs classified as psychotropic drugs was analyzed through two lists (EURO-FORTA and EU(7)-PIM) showing an average consumption of 1.68±1.50 drugs and 1.12±1.02, respectively. With this work, it was found that polymedication and the use of psychotropic drugs is quite common, with a high number of interactions involving these drugs, as well as the consumption of potentially inappropriate medications. These results reveal the importance of health professionals, especially pharmacists, in the continuous evaluation of pharmacotherapy of institutionalized elderly.
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Keywords
Estruturas residenciais para pessoas idosas Interações medicamentosas Lista euro-forta Lista eu(7)-pim Medicamentos psicotrópicos Medicamentos potencialmente inapropriados Polimedicação