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Medication regimen complexity in institutionalized elderly people in an aging society

2014-08Journal article Restricted access
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dc.contributor.authorAdvinha, Ana Margarida
dc.contributor.authorde Oliveira-Martins, Sofia
dc.contributor.authorMateus, Vanessa
dc.contributor.authorPajote, Sara Grou
dc.contributor.authorLopes, Manuel José
dc.date.accessioned2016-02-23T17:53:35Z
dc.date.available2016-02-23T17:53:35Z
dc.date.issued2014-08
dc.description.abstractBackground: Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective: To use the MRCI to assess medication regimen complexity in institutionalized elderly people. Setting: Five nursing homes in mainland Portugal. Methods: A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. Main outcome measure: Medication regimen complexity index. Results: The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). Conclusion: Medication regimen complexity proved to be high. There is certainly potential for the pharmacist's intervention to reduce it as part as the medication review routine in all the patients.pt_PT
dc.identifier.citationAdvinha AM, de Oliveira-Martins S, Mateus V, Pajote SG, Lopes MJ. Medication regimen complexity in institutionalized elderly people in an aging society (Article). Int J Clin Pharm. 2014 Aug;36(4):750-6.pt_PT
dc.identifier.doi10.1007/s11096-014-9963-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/5724
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttp://link.springer.com/article/10.1007%2Fs11096-014-9963-4pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPharmacologypt_PT
dc.subjectDrug administration schedulept_PT
dc.subjectMedical recordspt_PT
dc.subjectMedication reconciliationpt_PT
dc.subjectPolypharmacypt_PT
dc.subjectPrescription drugspt_PT
dc.subjectPortugalpt_PT
dc.titleMedication regimen complexity in institutionalized elderly people in an aging societypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage756pt_PT
oaire.citation.startPage750pt_PT
oaire.citation.titleInternational Journal of Clinical Pharmacypt_PT
oaire.citation.volume36pt_PT
person.familyNamePinho Mateus
person.givenNameVanessa Alexandra
person.identifier.ciencia-id5A12-571D-AD6A
person.identifier.orcid0000-0002-3204-3772
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication406041a5-682c-4f94-a4e2-ddbfc541313c
relation.isAuthorOfPublication.latestForDiscovery406041a5-682c-4f94-a4e2-ddbfc541313c

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