Pharmacology, Department of Biomedical Sciences, Faculty of Health Sciences, Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain.
Applied Mathematics, Department of Mathematics, University of León, 24071 León, Spain.
Int J Environ Res Public Health. 2021 Feb 19;18(4):2037. doi: 10.3390/ijerph18042037.
In Spain, there has been a progressive increase in aging. Specifically, Leon has been one of the Spanish provinces with the highest aging index. Polypharmacy is highly prevalent among the elderly, with significant consequences for safety. The aim of this study was to assess the consumption of drugs in a nursing home in the province of Leon and establish the relationship between polypharmacy and the most common comorbid diseases. A descriptive, observational, and cross-sectional study design was used. Residents' information and treatments were collected by reviewing on medical charts, completed with clinical information obtained from the physician of the nursing home. The mean age of residents was 86.8 years, and 63.8% were female. Mean medical consumption amounted to 7.02 prescriptions. Polypharmacy was observed in 54.9% of residents, and excessive polypharmacy in 22.1%. The most commonly used medications (ATC classification) were those acting on the cardiovascular system (84.4%) and the nervous system (82.8%). A high-level of drug consumption was observed in the nursing home. Interventions should focus on those residents hospitalized the last year and with recent contact with a general practitioner. There is a need to develop a comprehensive monitoring system to assess the quality of prescriptions for nursing home residents.
在西班牙，老龄化问题日益严重。具体来说，莱昂省是西班牙老龄化指数最高的省份之一。老年人普遍存在多种用药情况，这对安全性有重大影响。本研究旨在评估莱昂省一家养老院的药物使用情况，并确定多种用药与最常见合并症之间的关系。采用描述性、观察性和横断面研究设计。通过查阅病历收集居民的信息和治疗情况，并结合养老院医生提供的临床信息进行补充。居民的平均年龄为 86.8 岁，63.8%为女性。平均用药量为 7.02 种处方。54.9%的居民存在多种用药情况，22.1%存在过度多种用药情况。使用最多的药物（ATC 分类）是作用于心血管系统（84.4%）和神经系统（82.8%）的药物。养老院的药物消耗量很高。干预措施应针对去年住院和最近与全科医生有过接触的居民。有必要开发一个综合监测系统来评估养老院居民处方的质量。
