Impact of polypharmacy and the use of medicines associated with the risk of falls in the elderly             /            Impacto da polifarmácia e o uso de medicamentos associados ao risco de quedas de idosos: Impact of polypharmacy associated with the risk of falls

Cristiane Regina Soares; Meiry Fernanda Pinto Okuno

doi:10.9789/2175-5361.rpcfo.v16.13055

Autores

Cristiane Regina Soares Universidade Federal de São Paulo https://orcid.org/0000-0003-4563-689X
Meiry Fernanda Pinto Okuno Universidade Federal de São Paulo https://orcid.org/0000-0003-4200-1186

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v16.13055

Palavras-chave:

Acidentes por quedas, Envelhecimento, Polimedicação, Saúde do idoso

Resumo

Objetivo: associar a polifarmácia e as classes medicamentosas com o risco de quedas de idosos. Método: estudo transversal e quantitativo, realizado em um ambulatório na cidade de São Paulo – SP, com 117 idosos, no período de março a novembro de 2019. A coleta dos dados foi realizada pela transcrição integral dos receituários e pela Escala de Risco de Quedas de Downton. Os testes estatísticos utilizados foram o Mann-Whitney e o Qui-Quadrado, sendo considerado um nível de significância de 5% e intervalo de confiança de 95%. Resultados: o risco de quedas apresentou correlação significativa com o número de medicamentos, média de seis ao dia (p<0,0001) e as classes medicamentosas, os anti-hipertensivos (p<0,0001), os antidiabéticos orais (p=0,027), os diuréticos (p<0,0001) e os antidepressivos (p=0,042). Conclusão: portanto, ressalta-se a importância da avaliação dos fatores relacionados ao aumento do risco de quedas, para planejar e implementar estratégias no cuidado da saúde do idoso.

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Biografia do Autor

Cristiane Regina Soares, Universidade Federal de São Paulo

Programa de Pós-Graduação em Enfermagem, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, São Paulo, Brasil.

Meiry Fernanda Pinto Okuno, Universidade Federal de São Paulo

Professora Adjunto do Departamento de Saúde Coletiva, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, São Paulo, Brasil.

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