We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Evaluación de la carga anticolinérgica en pacientes mayores polimedicados en una residencia de mayores.
- Authors
Gastelurrutia Soto, Blanca; Gastelurrutia, Miguel Ángel; Calvo, Begoña
- Abstract
As the population ages, pluripathology, polymedication and the dependency and frailty situations increase. This is why monitoring drug's security becomes more important. In elderly patients, the anticholinergic effects of many drugs can significantly affect the quality of life. Objectives: To assess the anticholinergic burden (ACB) in a sample of polymedicated patients in a nursing home, in addition to: (a) study the drugs that add ACB, (b) categorize the level of polymedication in the residents of the nursing home, and (c) identify the drugs more frequently implicated in the ACB. Results: The ACB of the 144 patients in a residence for the elderly was analyzed on the 31st of march of 2020. The patients (mean age: 86.86 ±8.35 years; men 35,4%, women 64,6%) took a mean of 10.64 ±4.46 drugs, of which 60% were generic. The ACB increases as the amount/number of drugs' (D) use increases; so that in the 1-5 D category it was 1.11; in the 6-10 D it was 2.13; in the 11-15 D it was 2.79 and in patients with more than 15 D it was/reached the 3.08. Only 27 patients didn't have ACB (18.8%), where 8 were men (6,3%) and 18 women (12,5%). Conclusions: Assessing ACB it's a good strategy for the community pharmacists to contribute to the optimization of pharmacotherapy and the consequent improvement of the quality of life of the polymedicated elderly, through medication review and/or deprescription of this type of drugs. More research is needed in this area.
- Publication
Farmacéuticos Comunitarios, 2022, Vol 14, Issue 2, p27
- ISSN
1885-8619
- Publication type
Article
- DOI
10.33620/FC.2173-9218.(2022/Vol14).002.05