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[Bulk-forming agents as laxatives in geriatric patients]
P Meier1, W O Seiler, H B Stähelin
1Medizinisch-geriatrische Klinik, Kantonsspital Basel.
Schweizerische Medizinische Wochenschrift
|March 3, 1990
Summary
Daily bulk-forming laxatives are more effective and 35% cheaper than periodic laxative therapy for elderly patients with constipation. This study compared psyllium, wheat bran, and linseed to lactulose and paraffin oil/phenolphthalein treatments.
Area of Science:
- Geriatrics
- Gastroenterology
- Pharmacology
Background:
- Constipation is a prevalent issue in elderly long-term care patients.
- Current routine laxative therapies often involve periodic administration.
Purpose of the Study:
- To compare the efficacy and cost-effectiveness of daily bulk-forming laxatives versus routine laxative therapy.
- To evaluate patient acceptance and treatment outcomes for different laxative regimens.
Main Methods:
- A comparative study involving three bulk-forming agents: semen psyllii (Effersyllium), wheat bran with karaya gum (Crusca di Fior), and bruised linseed.
- Comparison against a routine therapy of lactulose (Duphalac) and paraffin oil/phenolphthalein (Agarol).
- Monitoring of fecal quantity/quality, need for additional laxatives, patient acceptance, and daily costs.
Main Results:
- Daily laxative administration proved significantly more effective than periodic administration.
- Bulk-forming agents demonstrated comparable effectiveness to lactulose but were 35% less expensive.
- Patient acceptance and overall treatment outcomes favored daily administration of bulk-forming agents.
Conclusions:
- Daily administration of bulk-forming laxatives offers a more effective and cost-efficient solution for constipation in elderly long-care patients.
- Bulk-forming agents represent a superior alternative to lactulose-based therapy in this population.
- Optimizing laxative regimens can improve patient care and reduce healthcare costs in geriatric settings.