long-term drug use and polypharmacy among the elderly population in the republic of srpska, bosnia and herzegovina
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ID: 225396
2016
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Abstract
Background/Aim. Prescription of drugs is a fundamental care component of the
elderly. Elderly patients often take multiple drugs, and it is known that
polypharmacy may lead to drug interactions and adverse events. The aim of
this study was to analyze the long-term drug use and the prevalence of
polypharmacy among the elderly population in the Republic of Srpska, Bosnia
and Herzegovina. Methods. A retrospective study of outpatient drug use in
2005 and 2010 was conducted, analyzing prescriptions for patients aged ≥ 65
years reimbursed by the Health Insurance Fund. The study population was
stratified by gender and age. Long-term drug use was defined as continuous
drug dispensing for a whole year or at least two thirds of the year.
Polypharmacy was defined as the use of 5 or more different reimbursed drugs.
Results. Of all insured people aged ≥ 65 years, long-term drug use was
identified in 10% (2005) and in 19% (2010), of whom 62% were women. Two to
four different drugs were used by almost 49% (2005) and 54% (2010) of the
elderly patients. The polypharmacy prevalence increased from 1.4% (2005) to
3.6% (2010); it increased in all the age groups of both genders. The largest
increase was observed in the age group 65-74 years. Polypharmacy prevalence
increase was higher in women. The most commonly used drugs were those for to
treatment of cardiovascular diseases, in particular drugs for hypertension
and cardiac treatment. Conclusion. The study findings point out to the
increase of elderly population with a long-term drug use. Over a half of
elderly patients use 2-4 different drugs on the long-term basis. The
polypharmacy prevalence was low. It increased in the period of 5 years in
both genders. The increase was more prominent in women of all the age groups.
The use of multiple drugs and polypharmacy increased with ageing.
| Reference Key |
vanda2016vojnosanitetskilong-term
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|---|---|
| Authors | ;Marković-Peković Vanda;Škrbić Ranko |
| Journal | applied nursing research : anr |
| Year | 2016 |
| DOI |
10.2298/VSP150224032M
|
| URL | |
| Keywords |
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