Prevalência do uso de medicamentos potencialmente inapropriados por idosos de Diamantina-MG com hipertensão arterial e fatores associados

Abstract

Introduction: Despite the benefits of pharmatherapy the elderly lack sufficient attention, because polypharmacy practice increases the chances of negative results, principally due to the higher risk of exposure to potentially inappropriate medicine (MPIs). Objective: Identify the prevalence of the use of MPIs by elderly people with high blood pressure assisted by the Family Health Strategy of Diamantina-MG and analyze associated factors. Method: Retrospective transversal study involving 325 elderly people with high blood pressure whose data was collected through home interviews, from November 2018 to December 2019. The x2 test was applied to categorical co-variables and the t test to continuous co-variables. The multiple binary logistic regression tested if the co-variables affected conditionally the probability of the use of MPI in the presence of simultaneous ones, and the MCL-CA identified multi-varied profiles according to the state of the use of MPIs. Results: The prevalence of the use of MPIs was 78.5%. The factors associated to this use were the polypharmacy and being of the female sex. The MPIs more frequently used were Hydrochlorothiazide; Omeprazole; Furosemide and Glibenclamide. Conclusion: The population attended makes elevated use of MPIs reinforcing the need of attention to the risk/benefit of pharmatherapy applied to the elderly population.