A QUESTIONNAIRE BASED OBSERVATIONAL STUDY ON POLYPHARMACY IN ELDERLY PEOPLE LIVING IN URBAN AND RURAL AREAS
Journal Title: IJSR-International Journal Of Scientific Research - Year 2018, Vol 7, Issue 11
Abstract
Introduction: Polypharmacy is defined as taking more than five drugs per day, every day. Polypharmacy in elderly is becoming more common because of increased number of chronic diseases with which an elderly person suffers given the longer life expectancy in modern times. The major concern about polypharmacy in elderly is prescription cascade. Drug interaction and adverse drug reactions are misinterpreted and misdiagnosed as another health problem. This will lead to one more prescription. Quality of life of an elderly person is compromised with polypharmacy though it prolongs life expectancy. Method: Questionnaire based cross sectional study conducted on both urban and ruralpopulation. Institutional ethics committee permission has been taken. Oral consent has been taken from the subjects and only their information has been used in this study.Subjects aged more than 60 years have been considered for the study. Bed ridden patients, hospitalized patients and elderly people with acute illness were excluded from the study. Results: Data was collected from 134 subjects. Number of subjects: urban participants were 64 and rural participants were 70. Male and female were included. Prevalence of polypharmacy observed in this study was 40% in urban participants and 23% in rural participants. It was observed that, among elderly participants on polypharmacy 75% faced adverse drug reactions and 60% were subjected to prescription cascade. Among the elderly participants taking less than 5 drugs per day, 50% faced adverse drug reactions and 12% were subjected to prescription cascade. Discussion: Adverse drug reactions and prescription cascade are main complications of polypharmacy in elderly people. Prescription review, counseling, life style modification and carefully supervised deprescription are some of the available solutions to solve the complications due to polypharmacy.
Authors and Affiliations
Avula Baby Suguna, N. Jagathi Devi
Keywords
Related Articles
- EP ID EP510247
- DOI -
- Views 403
- Downloads 0
NON DERMATOPHYTE MOULDS: NOT SO UNCOMMON AGENTS OF ONYCHOMYCOSIS
Onychomycosis is a frequent condition seen in dermatology clinics. The causative can be dermatophyte, non-dermatophyte moulds (NDM), or yeasts. NDM can be hyaline or dematiaceous moulds with reported prevalence of 1.49%...
A STUDY ON UTILITY OF PAP SMEAR SCREENING FOR PREVENTION OF CERVICAL CANCER IN NORTH TELANGANA
Background: Cancer cervix is a leading cause of mortality and morbidity among women worldwide. According to National Cancer Registry Program of India, cancers of cervix and breast are leading malignancies in Indian women...
LIPIDS A TRIGGERING FACTOR RESPONSIBLE FOR CORONARY ARTERY DISEASE IN PATIENTS WITH TYPE 2 DIABETES
Diabetes is a major global epidemic, currently affecting approximately 451 million adults worldwide. The present study was undertaken to establish the relation between lipid profile and the risk of cardiac diseases. Card...
A COMPARATIVE STUDY OF PULMONARY FUNCTION TESTS IN SICKLE CELL ANAEMIA PATIENTS IN RAIPUR DISTRICT,C.G
Background: The inherited disorders of haemoglobin are the commonest single gene disorder of the world population. Sickle cell anaemia being the most widespread and numerically the most important haemoglobinopathy in the...
A FUNCTIONAL AND RADIOLOGICAL OUTCOME OF SURGICAL MANAGEMENT OF BIMALLEOLAR AND TRIMALLEOLAR ANKLE FRACTURES
BACKGROUND: Ankle joint is one of the unstable joints in the body due to its anatomic position and is more prone to injury during daily activities. Malleolar fractures are one of the most common fractures in orthopedic t...