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Uso potencialmente inapropiado de medicamentos entre adultos mayores con pérdida de extremidades inferiores

Samantha Jeanne Stauffer¹, Ryan Todd Pohlig², John Robert Horne³

¹Delaware Limb Loss Studies, University of Delaware, Department of Physical Therapy, STAR Campus, 540 South College Ave, Suite 144A, Newark, DE, 19713, USA; Independence Prosthetics-Orthotics, Inc. 550 S. College Ave, Suite 111, Newark, DE, 19713, USA.

Geriatric nursing (New York, N.Y.)

|February 17, 2024

Abstracto

Objetivo:

El objetivo de este estudio fue evaluar la prevalencia de la prescripción de medicamentos potencialmente inapropiados (MPI) en adultos mayores con pérdida de extremidades inferiores (PEI), así como explorar los factores relacionados con dicha prescripción.

MéTodos:

Este fue un análisis secundario de un conjunto de datos transversales recopilados a través de una clínica interdisciplinaria de pérdida de extremidades entre septiembre de 2013 y noviembre de 2022. Las listas de medicamentos referidas por los propios pacientes se revisaron durante entrevistas presenciales en la clínica y se compararon con los Criterios de Beers de la American Geriatrics Society correspondientes al año de evaluación del paciente.

Resultados:

De 82 participantes (72.9 ± 6.6 años; 78.0 % hombres), n = 41 (50.0 %) informaron el uso de uno o más MIP. La prescripción de MIP estuvo significativamente asociada con la presencia de dolor de miembro fantasma, antecedentes de problemas gastrointestinales superiores y un mayor número de medicamentos.

Discussion:

La polifarmacia y el uso de PIM son comunes entre los adultos mayores con LLL. Se debe prestar mayor atención a los medicamentos después de la amputación, especialmente a los fármacos para el control del dolor, a fin de minimizar los posibles efectos adversos.

Palabras clave:

Envejecido Personas amputadas Geriatría Polifarmacia Lista de medicamentos potencialmente inapropiados

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