DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT

Ünlüoglu, İlhami; Acar, Nurdan; BİLGE, UĞUR; KAPLAN, Çiçek

DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT

Çiçek KAPLAN, (Yıldıztepe Aile Sağlığı Merkezi)

Uğur BİLGE, (Eskişehir Osmangazi Üniversitesi)

Nurdan ACAR, (Eskişehir Osmangazi Üniversitesi)

İlhami ÜNLÜOĞLU (Eskişehir Osmangazi Üniversitesi)

Türk Geriatri Dergisi

3 1

Yıl: 2019 Cilt: 22 Sayı: 3 Sayfa Aralığı: 287 - 294 Metin Dili: İngilizce İndeks Tarihi: 22-05-2020

DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT

Öz:

Introduction: No study in the literature has reported the rate of inappropriate drug use among olderpatients admitted to emergency department in Turkey. This study aimed to evaluate polypharmacy andinappropriate drug use by elderly patients admitted to the emergency department.Materials and Method: Patients aged ≥65 years were prospectively assessed for appropriateness ofdrugs they use between March and May 2016 according to both the 2012 Beers Criteria and STOPP Version2 Criteria. Inappropriate drug use was separately assessed according to these criteria, and both patient anddrug counts were calculated to assess inappropriate drug use in the study population. Age, gender, date ofadmission to the emergency department, blood pressure, pulse rate, respiratory rate, body temperature,oxygen saturation, state of consciousness, additional diseases, number of drugs used, names of drugs used,clinical outcome were recorded.Results: Among 835 study participants, 406 (48.6%) were females and 429 (51.4%) were males. Meanage was 74.2 ± 6.6 years. The rate of polypharmacy and excessive polypharmacy was the highest in patientsdiagnosed with hypertension (35.0% and 16.0%, respectively) and lowest in patients diagnosed with chronicrenal failure (2.0% and 2.0%, respectively). In total, 835 patients were using 5 637 drugs. Inappropriatedrug use was present in 431 (51.6%) patients according to the STOPP Version 2 Criteria and in 441 (52.8%)according to the 2012 Beers Criteria.Conclusion: Emphasis on inappropriate drug use will help physicians in the emergency departmentand other healthcare professionals reduce side effects and complications of medications and reduceemergency admissions to hospital.

Anahtar Kelime:

Konular: Cerrahi

ACIL SERVISE BAŞVURAN 65 YAŞ ÜZERI HASTALARDA POLIFARMASI VE UYGUNSUZ ILAÇ KULLANIMININ BELIRLENMESI

Öz:

Giriş: Türkiye’de acil servise başvuran yaşlı hastalarda literatürde herhangi bir uygunsuz ilaç kullanımı oranı bildirilmemiştir. Bu çalışma, acil servise başvuran yaşlı hastaların çoklu ilaç kullanımını ve uygun olmayan ilaç kullanımını değerlendirmeyi amaçlamıştır. Gereç ve Yöntem: 65 yaşın üstündeki hastalar, 2012 Beers Kriterleri ve Yaşlı Kişilerin Potansiyel Olarak Uygun Olmayan Reçetelerinin Tarama Aracı Sürüm 2 Kriterlerine göre Mart ve Mayıs 2016 arasında kullandıkları ilaçların uygunluğu açısından prospektif olarak değerlendirildi. Uygun olmayan ilaç kullanımı, bu kriterlere göre ayrı ayrı değerlendirildi ve hem hasta hem de ilaç sayıları, çalışma popülasyonunda ki uygunsuz ilaç kullanımını değerlendirmek için hesaplandı.Yaş, cinsiyet, acil servise geliş tarihi, kan basıncı, nabız, solunum sayısı, vücut sıcaklığı, oksijen saturasyonu, bilinç durumu, ek hastalıklar, kullandığı ilaçlar ve isimleri ve klinik sonuçlanma kaydedildi. Bulgular: 835 katılımcının 406’sı (% 49) kadın, 429’u (% 51) erkekti. Yaş ortalaması 74.18 ± 6.58 yıldı Polifarmasi ve aşırı polifarmasi oranı, hipertansiyon tanısı alan hastalarda (sırasıyla% 35 ve % 16) en yüksek, kronik böbrek yetmezliği tanısı alan hastalarda en düşüktü (sırasıyla% 2 ve% 2). Toplamda 835 hasta 5.637 ilaç kullanıyordu.Yaşlı Kişilerin Potansiyel Olarak Uygun Olmayan Reçetelerinin Tarama Aracı Versiyon 2 Kriterlerine göre 431 (% 51.6) hastada uygunsuz ilaç kullanımı ve 2012 Beers kriterine göre 442 kişide (% 52.9) uygunsuz ilaç kullanımı mevcuttu. Sonuç: Uygunsuz ilaç kullanımına önem verilmesi, acil servisteki hekimlerin ve diğer sağlık çalışanlarının ilaçların yan etkilerini ve komplikasyonlarını azaltmasına ve hastaneye acilen kabulü azaltmasına yardımcı olacaktır.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KAPLAN Ç, BİLGE U, Acar N, Ünlüoglu İ (2019). DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. , 287 - 294.
Chicago	KAPLAN Çiçek,BİLGE UĞUR,Acar Nurdan,Ünlüoglu İlhami DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. (2019): 287 - 294.
MLA	KAPLAN Çiçek,BİLGE UĞUR,Acar Nurdan,Ünlüoglu İlhami DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. , 2019, ss.287 - 294.
AMA	KAPLAN Ç,BİLGE U,Acar N,Ünlüoglu İ DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. . 2019; 287 - 294.
Vancouver	KAPLAN Ç,BİLGE U,Acar N,Ünlüoglu İ DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. . 2019; 287 - 294.
IEEE	KAPLAN Ç,BİLGE U,Acar N,Ünlüoglu İ "DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT." , ss.287 - 294, 2019.
ISNAD	KAPLAN, Çiçek vd. "DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT". (2019), 287-294.

APA	KAPLAN Ç, BİLGE U, Acar N, Ünlüoglu İ (2019). DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi, 22(3), 287 - 294.
Chicago	KAPLAN Çiçek,BİLGE UĞUR,Acar Nurdan,Ünlüoglu İlhami DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi 22, no.3 (2019): 287 - 294.
MLA	KAPLAN Çiçek,BİLGE UĞUR,Acar Nurdan,Ünlüoglu İlhami DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi, vol.22, no.3, 2019, ss.287 - 294.
AMA	KAPLAN Ç,BİLGE U,Acar N,Ünlüoglu İ DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi. 2019; 22(3): 287 - 294.
Vancouver	KAPLAN Ç,BİLGE U,Acar N,Ünlüoglu İ DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi. 2019; 22(3): 287 - 294.
IEEE	KAPLAN Ç,BİLGE U,Acar N,Ünlüoglu İ "DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT." Türk Geriatri Dergisi, 22, ss.287 - 294, 2019.
ISNAD	KAPLAN, Çiçek vd. "DETERMINATION OF POLYPHARMACY AND INAPPROPRIATE DRUG USE IN PATIENTS AGED OVER 65 YEARS WHO PRESENTED TO THE EMERGENCY DEPARTMENT". Türk Geriatri Dergisi 22/3 (2019), 287-294.