Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit
Background: polypharmacy is a major concern for elderly patients, as it links to high morbidity related to drug interaction and adverse drug effects. Not much is known about profile of polypharmacy among elderly subjects visiting emergency department (ED) for acute conditions. Methods: a cross sect...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2021-03-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/1719 |
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| author | Czeresna Heriawan Soejono Aulia Rizka |
| author_facet | Czeresna Heriawan Soejono Aulia Rizka |
| author_sort | Czeresna Heriawan Soejono |
| collection | DOAJ |
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Background: polypharmacy is a major concern for elderly patients, as it links to high morbidity related to drug interaction and adverse drug effects. Not much is known about profile of polypharmacy among elderly subjects visiting emergency department (ED) for acute conditions. Methods: a cross sectional study conducted between July to December 2018 in ED of Cipto Mangunkusumo Hospital Jakarta Indonesia. All elderly patients admitted to ED were included. We evaluated drug use pattern using ATC system along with the association between polypharmacy with sex, age and number of comorbidities. Results: 475 geriatric patients visited EU 247 subjects were male (54.8%; mean age 67.69 (SD 6.58) years old). Polypharmacy was found in 57.6% subjects. The most frequently used of drug was that of alimentary tract and metabolism pharmacologic group, followed by drugs related to blood and blood forming organs, cardiovascular system, and anti-infectives for systemic use. Sex and age were not associated with polypharmacy, while more than 3 comorbidities was associated with polypharmacy. Conclusion: polypharmacy is prevalent among elderly visiting ED in Indonesia, requiring special attention from clinician to evaluate each drug and interaction among the drugs used.
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| format | Article |
| id | doaj-art-bcfcfba8be1242ebaeb701a4d62bc228 |
| institution | OA Journals |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-bcfcfba8be1242ebaeb701a4d62bc2282025-08-20T02:37:16ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322021-03-01531Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency UnitCzeresna Heriawan Soejono0Aulia Rizka1Division of Geriatrics, Department of Internal Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Division of Geriatrics, Department of Internal Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Background: polypharmacy is a major concern for elderly patients, as it links to high morbidity related to drug interaction and adverse drug effects. Not much is known about profile of polypharmacy among elderly subjects visiting emergency department (ED) for acute conditions. Methods: a cross sectional study conducted between July to December 2018 in ED of Cipto Mangunkusumo Hospital Jakarta Indonesia. All elderly patients admitted to ED were included. We evaluated drug use pattern using ATC system along with the association between polypharmacy with sex, age and number of comorbidities. Results: 475 geriatric patients visited EU 247 subjects were male (54.8%; mean age 67.69 (SD 6.58) years old). Polypharmacy was found in 57.6% subjects. The most frequently used of drug was that of alimentary tract and metabolism pharmacologic group, followed by drugs related to blood and blood forming organs, cardiovascular system, and anti-infectives for systemic use. Sex and age were not associated with polypharmacy, while more than 3 comorbidities was associated with polypharmacy. Conclusion: polypharmacy is prevalent among elderly visiting ED in Indonesia, requiring special attention from clinician to evaluate each drug and interaction among the drugs used. http://www.actamedindones.org/index.php/ijim/article/view/1719polypharmacygeriatricemergency departmentdrug |
| spellingShingle | Czeresna Heriawan Soejono Aulia Rizka Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit Acta Medica Indonesiana polypharmacy geriatric emergency department drug |
| title | Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit |
| title_full | Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit |
| title_fullStr | Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit |
| title_full_unstemmed | Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit |
| title_short | Polypharmacy and Drug Use Pattern among Indonesian Elderly Patients Visiting Emergency Unit |
| title_sort | polypharmacy and drug use pattern among indonesian elderly patients visiting emergency unit |
| topic | polypharmacy geriatric emergency department drug |
| url | http://www.actamedindones.org/index.php/ijim/article/view/1719 |
| work_keys_str_mv | AT czeresnaheriawansoejono polypharmacyanddrugusepatternamongindonesianelderlypatientsvisitingemergencyunit AT auliarizka polypharmacyanddrugusepatternamongindonesianelderlypatientsvisitingemergencyunit |