A two-year retrospective study of comorbidities and drug use in psychogeriatric patients

Marta H. Hernández; Concepción Mestres; Pilar Modamio; Jaume Junyent; Cecilia F. Lastra; Eduardo L. Mariño

A two-year retrospective study of comorbidities and drug use in psychogeriatric patients

Marta H. Hernández, Concepción Mestres, Pilar Modamio, Jaume Junyent, Cecilia F. Lastra, Eduardo L. Mariño

Facultad de Ciencias de la Salud Blanquerna

Producción científica: Artículo en revista indizada › Artículo › revisión exhaustiva

Resumen

La demencia a menudo se asocia con síntomas conductuales y psicológicos (BPSD, por sus siglas en inglés) que se tratan con diferentes medicamentos. El propósito de este estudio retrospectivo fue determinar los patrones de prescripción en pacientes con demencia y el uso de fármacos psicotrópicos para tratar BPSD entre diciembre de 2012 y 2014 en una unidad de psicogeriatría. Un total de 85 pacientes fueron incluidos. Los resultados de las diferentes pruebas realizadas al ingreso mostraron que los pacientes presentaban alteraciones cognitivas moderadas y dependencia severa-moderada. El número promedio de medicamentos para los pacientes fue de 8.8 y el 76% de ellos tomaba más de un medicamento. El tratamiento farmacológico fue inapropiado en el 31% de los pacientes. En el momento de la admisión, se prescribió un fármaco psicoactivo al 88% de los pacientes y al 56% se le recetaron dos drogas psicoactivas. Las revisiones de medicamentos para pacientes mostraron un alto grado de polifarmacia, prescripción inapropiada de drogas y uso extensivo de drogas psicotrópicas. Es necesario un enfoque multidisciplinario para lograr mejores resultados en los pacientes, incluida la participación de los cuidadores, así como la capacitación adecuada de todos los profesionales que trabajan con estos pacientes.

Idioma original	Inglés
Páginas (desde-hasta)	368-372
Número de páginas	5
Publicación	Latin American Journal of Pharmacy
Volumen	37
N.º	2
Estado	Publicada - 11 ene 2018

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title = "A two-year retrospective study of comorbidities and drug use in psychogeriatric patients",

abstract = "Dementia is often associated with behavioral and psychological symptoms (BPSD) that are treated with different drugs. The purpose of this retrospective study was to determine the prescribing patterns in patients with dementia and the use of psychotropic drugs to treat BPSD between December 2012 and 2014 in a psychogeriatric unit. A total of 85 patients were included. The results of the different tests performed at admission showed that patients presented with moderate cognitive impairments and severe-moderate dependence. The mean number of drugs for patients was 8.8 and 76% of them were taking more than one drug. Drug treatment was inappropriate in 31% of the patients. At admission, one psychoactive drug was prescribed to 88% of the patients, and 56% were prescribed two psychoactive drugs. Patient medication reviews displayed a high degree of polypharmacy, inappropriate drug prescribing, and extensive use of psychotropic drugs. A multidisciplinary approach is necessary to achieve better patient outcomes, including the participation of caregivers, as well as adequate training of all professionals who work with these patients.",

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AU - Hernández, Marta H.

AU - Mestres, Concepción

AU - Modamio, Pilar

AU - Junyent, Jaume

AU - Lastra, Cecilia F.

AU - Mariño, Eduardo L.

PY - 2018/1/11

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N2 - Dementia is often associated with behavioral and psychological symptoms (BPSD) that are treated with different drugs. The purpose of this retrospective study was to determine the prescribing patterns in patients with dementia and the use of psychotropic drugs to treat BPSD between December 2012 and 2014 in a psychogeriatric unit. A total of 85 patients were included. The results of the different tests performed at admission showed that patients presented with moderate cognitive impairments and severe-moderate dependence. The mean number of drugs for patients was 8.8 and 76% of them were taking more than one drug. Drug treatment was inappropriate in 31% of the patients. At admission, one psychoactive drug was prescribed to 88% of the patients, and 56% were prescribed two psychoactive drugs. Patient medication reviews displayed a high degree of polypharmacy, inappropriate drug prescribing, and extensive use of psychotropic drugs. A multidisciplinary approach is necessary to achieve better patient outcomes, including the participation of caregivers, as well as adequate training of all professionals who work with these patients.

AB - Dementia is often associated with behavioral and psychological symptoms (BPSD) that are treated with different drugs. The purpose of this retrospective study was to determine the prescribing patterns in patients with dementia and the use of psychotropic drugs to treat BPSD between December 2012 and 2014 in a psychogeriatric unit. A total of 85 patients were included. The results of the different tests performed at admission showed that patients presented with moderate cognitive impairments and severe-moderate dependence. The mean number of drugs for patients was 8.8 and 76% of them were taking more than one drug. Drug treatment was inappropriate in 31% of the patients. At admission, one psychoactive drug was prescribed to 88% of the patients, and 56% were prescribed two psychoactive drugs. Patient medication reviews displayed a high degree of polypharmacy, inappropriate drug prescribing, and extensive use of psychotropic drugs. A multidisciplinary approach is necessary to achieve better patient outcomes, including the participation of caregivers, as well as adequate training of all professionals who work with these patients.

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KW - Clinical pharmacist

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A two-year retrospective study of comorbidities and drug use in psychogeriatric patients

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