Geraldo Sadoyama Leal

Consumo de medicamentos por idosos, Goiânia, Brasil

OBJETIVO: Analisar o padrao de consumo de medicamentos entre idosos e sua associacao com aspectos socioeconomicos e autopercepcao de saude. METODOS: Estudo de base populacional e delineamento transversal com 934 idosos de Goiânia, GO, Brasil, entre dezembro de 2009 e abril de 2010. Os dados foram coletados por meio de questionario. As variaveis estudadas foram: numero de medicamentos consumidos, sexo, estado civil, escolaridade, tipo de moradia, idade, renda e autopercepcao de saude. Os medicamentos foram classificados segundo o Anatomical Therapeutic and Chemical Classification. Os medicamentos improprios para idosos foram identificados segundo o Criterio de Beers-Fick. Os testes utilizados foram Qui-quadrado (X2) e exato de Fisher e p foi considerado significativo quando < 0,05. RESULTADOS: Os idosos consumiam 2.846 medicamentos (3,63 medicamentos/idoso). Os mais usuais atuavam no aparelho cardiovascular (38,6%). A prevalencia de polifarmacia foi de 26,4% e da automedicacao de 35,7%. Os medicamentos mais ingeridos por automedicacao foram os analgesicos (30,8%); 24,6% dos idosos consumia medicamento considerado improprio. Mulheres, viuvos, idosos com 80 anos ou mais e com pior autopercepcao de saude praticavam mais a polifarmacia. A maior pratica da automedicacao esteve associada com menor escolaridade e pior autopercepcao de saude. CONCLUSOES: O padrao do consumo de medicamentos por idosos foi semelhante ao encontrado em idosos de outras regioes do Brasil. O numero de medicamentos usados, a prevalencia das praticas da polifarmacia e automedicacao e consumo de medicamentos improprios estiveram dentro da media nacional.OBJECTIVE To analyze the pattern of use of medications use in aged people and associate it with socioeconomic aspects and with the self-rated health. METHODS A population-based cross-sectional design study with 934 elderly people from Goiania, Midwestern Brazil, between December 2009 and April 2010. Data were collected through a questionnaire. The dependent variable was the number of medications consumed and the independent variables were sex, marital status, education, type of residence, age, income, and self-rated health. Drugs were classified according to the Anatomical Therapeutic Chemical Classification. The inappropriate drugs for the elderly were identified according to the Beers-Fick criteria. The tests used were Chi-square and Fishers exact test, p was considered significant when < 0.05. RESULTS The elderly consumed 2,846 medicines (3.63 medications/person). The most commonly consumed were those which act in the cardiovascular system (38.6%). The prevalence of polypharmacy was 26.4% and self-medication was 35.7%. The most used drugs for self-medication were analgesics (30.8%), 24.6% of the elderly consumed drug considered inappropriate. Women, widows, those aged 80 or over and with worse self-rated health were more likely to practiced more polypharmacy. Most self-medication was associated with lower levels of education and worse self-rated health. CONCLUSIONS The pattern of drug use by the elderly was similar to that found in the elderly in other regions of Brazil. The number of drugs used, the prevalence of self-medication and practice of polypharmacy and inappropriate drug use were within the national average.

Medicine use by the elderly in Goiania, Midwestern Brazil

OBJETIVO: Analisar o padrao de consumo de medicamentos entre idosos e sua associacao com aspectos socioeconomicos e autopercepcao de saude. METODOS: Estudo de base populacional e delineamento transversal com 934 idosos de Goiânia, GO, Brasil, entre dezembro de 2009 e abril de 2010. Os dados foram coletados por meio de questionario. As variaveis estudadas foram: numero de medicamentos consumidos, sexo, estado civil, escolaridade, tipo de moradia, idade, renda e autopercepcao de saude. Os medicamentos foram classificados segundo o Anatomical Therapeutic and Chemical Classification. Os medicamentos improprios para idosos foram identificados segundo o Criterio de Beers-Fick. Os testes utilizados foram Qui-quadrado (X2) e exato de Fisher e p foi considerado significativo quando < 0,05. RESULTADOS: Os idosos consumiam 2.846 medicamentos (3,63 medicamentos/idoso). Os mais usuais atuavam no aparelho cardiovascular (38,6%). A prevalencia de polifarmacia foi de 26,4% e da automedicacao de 35,7%. Os medicamentos mais ingeridos por automedicacao foram os analgesicos (30,8%); 24,6% dos idosos consumia medicamento considerado improprio. Mulheres, viuvos, idosos com 80 anos ou mais e com pior autopercepcao de saude praticavam mais a polifarmacia. A maior pratica da automedicacao esteve associada com menor escolaridade e pior autopercepcao de saude. CONCLUSOES: O padrao do consumo de medicamentos por idosos foi semelhante ao encontrado em idosos de outras regioes do Brasil. O numero de medicamentos usados, a prevalencia das praticas da polifarmacia e automedicacao e consumo de medicamentos improprios estiveram dentro da media nacional.OBJECTIVE To analyze the pattern of use of medications use in aged people and associate it with socioeconomic aspects and with the self-rated health. METHODS A population-based cross-sectional design study with 934 elderly people from Goiania, Midwestern Brazil, between December 2009 and April 2010. Data were collected through a questionnaire. The dependent variable was the number of medications consumed and the independent variables were sex, marital status, education, type of residence, age, income, and self-rated health. Drugs were classified according to the Anatomical Therapeutic Chemical Classification. The inappropriate drugs for the elderly were identified according to the Beers-Fick criteria. The tests used were Chi-square and Fishers exact test, p was considered significant when < 0.05. RESULTS The elderly consumed 2,846 medicines (3.63 medications/person). The most commonly consumed were those which act in the cardiovascular system (38.6%). The prevalence of polypharmacy was 26.4% and self-medication was 35.7%. The most used drugs for self-medication were analgesics (30.8%), 24.6% of the elderly consumed drug considered inappropriate. Women, widows, those aged 80 or over and with worse self-rated health were more likely to practiced more polypharmacy. Most self-medication was associated with lower levels of education and worse self-rated health. CONCLUSIONS The pattern of drug use by the elderly was similar to that found in the elderly in other regions of Brazil. The number of drugs used, the prevalence of self-medication and practice of polypharmacy and inappropriate drug use were within the national average.

Consumo de medicamentos por ancianos, Goiania, Brasil

OBJETIVO: Analisar o padrao de consumo de medicamentos entre idosos e sua associacao com aspectos socioeconomicos e autopercepcao de saude. METODOS: Estudo de base populacional e delineamento transversal com 934 idosos de Goiânia, GO, Brasil, entre dezembro de 2009 e abril de 2010. Os dados foram coletados por meio de questionario. As variaveis estudadas foram: numero de medicamentos consumidos, sexo, estado civil, escolaridade, tipo de moradia, idade, renda e autopercepcao de saude. Os medicamentos foram classificados segundo o Anatomical Therapeutic and Chemical Classification. Os medicamentos improprios para idosos foram identificados segundo o Criterio de Beers-Fick. Os testes utilizados foram Qui-quadrado (X2) e exato de Fisher e p foi considerado significativo quando < 0,05. RESULTADOS: Os idosos consumiam 2.846 medicamentos (3,63 medicamentos/idoso). Os mais usuais atuavam no aparelho cardiovascular (38,6%). A prevalencia de polifarmacia foi de 26,4% e da automedicacao de 35,7%. Os medicamentos mais ingeridos por automedicacao foram os analgesicos (30,8%); 24,6% dos idosos consumia medicamento considerado improprio. Mulheres, viuvos, idosos com 80 anos ou mais e com pior autopercepcao de saude praticavam mais a polifarmacia. A maior pratica da automedicacao esteve associada com menor escolaridade e pior autopercepcao de saude. CONCLUSOES: O padrao do consumo de medicamentos por idosos foi semelhante ao encontrado em idosos de outras regioes do Brasil. O numero de medicamentos usados, a prevalencia das praticas da polifarmacia e automedicacao e consumo de medicamentos improprios estiveram dentro da media nacional.OBJECTIVE To analyze the pattern of use of medications use in aged people and associate it with socioeconomic aspects and with the self-rated health. METHODS A population-based cross-sectional design study with 934 elderly people from Goiania, Midwestern Brazil, between December 2009 and April 2010. Data were collected through a questionnaire. The dependent variable was the number of medications consumed and the independent variables were sex, marital status, education, type of residence, age, income, and self-rated health. Drugs were classified according to the Anatomical Therapeutic Chemical Classification. The inappropriate drugs for the elderly were identified according to the Beers-Fick criteria. The tests used were Chi-square and Fishers exact test, p was considered significant when < 0.05. RESULTS The elderly consumed 2,846 medicines (3.63 medications/person). The most commonly consumed were those which act in the cardiovascular system (38.6%). The prevalence of polypharmacy was 26.4% and self-medication was 35.7%. The most used drugs for self-medication were analgesics (30.8%), 24.6% of the elderly consumed drug considered inappropriate. Women, widows, those aged 80 or over and with worse self-rated health were more likely to practiced more polypharmacy. Most self-medication was associated with lower levels of education and worse self-rated health. CONCLUSIONS The pattern of drug use by the elderly was similar to that found in the elderly in other regions of Brazil. The number of drugs used, the prevalence of self-medication and practice of polypharmacy and inappropriate drug use were within the national average.