4CPS-222 Adherence in polymedicated elderly patients admitted to a trauma ward

Background and importancePolymedication is one of the most important problems facing healthcare professionals in Europe today.Aim and objectivesTo analyse adherence in polymedicated elderly patients and its relationship with the number of drugs prescribed.Material and methodsCross-sectional observat...

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Published in:European journal of hospital pharmacy. Science and practice 2022-03, Vol.29 (Suppl 1), p.A102-A103
Main Authors: Moñino Domínguez, L, Aguado Paredes, A, Martínez Suárez, A, Castillo Martín, C
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Section 4: Clinical pharmacy services
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container_issue Suppl 1
container_start_page A102
container_title European journal of hospital pharmacy. Science and practice
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creator Moñino Domínguez, L
Aguado Paredes, A
Martínez Suárez, A
Castillo Martín, C
description Background and importancePolymedication is one of the most important problems facing healthcare professionals in Europe today.Aim and objectivesTo analyse adherence in polymedicated elderly patients and its relationship with the number of drugs prescribed.Material and methodsCross-sectional observational study, carried out between February and May 2021 in the Traumatology area of a tertiary hospital. Patients >75 years old, multi-pathological (≥2 chronic pathologies) and polymedicated (≥5 chronic medications) were included. We excluded those with whom we were unable to communicate, due to their physical/mental condition and absence of a companion.The clinical history was reviewed, collecting anthropometric variables, pathologies and home medication, confirmed by a personal interview.Adherence to treatment was measured using the Morisky–Green questionnaire, which consists of four dichotomous yes/no questions to obtain information on patient compliance. Adherence was related to the number of drugs prescribed.The Shapiro–Wilk normality test and the non-parametric Mann–Whitney U test were used for statistical analysis. Results with p values
doi_str_mv 10.1136/ejhpharm-2022-eahp.215
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Patients &gt;75 years old, multi-pathological (≥2 chronic pathologies) and polymedicated (≥5 chronic medications) were included. We excluded those with whom we were unable to communicate, due to their physical/mental condition and absence of a companion.The clinical history was reviewed, collecting anthropometric variables, pathologies and home medication, confirmed by a personal interview.Adherence to treatment was measured using the Morisky–Green questionnaire, which consists of four dichotomous yes/no questions to obtain information on patient compliance. Adherence was related to the number of drugs prescribed.The Shapiro–Wilk normality test and the non-parametric Mann–Whitney U test were used for statistical analysis. Results with p values &lt;0.05 were considered significant.Results48 patients were selected, 76.2% female; mean age was 83.8±5.4 years.The mean number of pathologies/patient was 6±2.6. 61.9% of patients had five or more diseases. The most frequent health problems were hypertension (66.7%), hypercholesterolaemia (42.8%), diabetes mellitus (33.3%) and depression (33.3%). The mean number of medications/patient was 9±3.4. 35.7% of patients were highly polymedicated (≥10 medications).The Morisky–Green test showed that 82.5% were adherent to treatment. 22.5% of patients were not taking ≥2 prescribed and necessary medications. In addition, 36.6% were found to self-medicate.No statistically significant relationship was found between the number of medications and adherence (p=0.8).Conclusion and relevanceContrary to other recently published studies, adherence was good in our sample and was not related to the number of medications. The first finding may be related to the fact that many patients had caregivers who took care of their medication.This study shows that a significant proportion of the population is self-medicating. This calls for closer monitoring by community pharmacists, with patient education and collaboration with hospital pharmacists, whose easy access to medical records can help to conduct studies on the prevalence of polymedicated patients and the appropriateness of their prescriptions.References and/or acknowledgementsConflict of interestNo conflict of interest</description><identifier>ISSN: 2047-9956</identifier><identifier>EISSN: 2047-9964</identifier><identifier>DOI: 10.1136/ejhpharm-2022-eahp.215</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Conflicts of interest ; Patients ; Pharmacists ; Section 4: Clinical pharmacy services</subject><ispartof>European journal of hospital pharmacy. Science and practice, 2022-03, Vol.29 (Suppl 1), p.A102-A103</ispartof><rights>European Association of Hospital Pharmacists 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 European Association of Hospital Pharmacists 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids></links><search><creatorcontrib>Moñino Domínguez, L</creatorcontrib><creatorcontrib>Aguado Paredes, A</creatorcontrib><creatorcontrib>Martínez Suárez, A</creatorcontrib><creatorcontrib>Castillo Martín, C</creatorcontrib><title>4CPS-222 Adherence in polymedicated elderly patients admitted to a trauma ward</title><title>European journal of hospital pharmacy. Science and practice</title><addtitle>Eur J Hosp Pharm</addtitle><description>Background and importancePolymedication is one of the most important problems facing healthcare professionals in Europe today.Aim and objectivesTo analyse adherence in polymedicated elderly patients and its relationship with the number of drugs prescribed.Material and methodsCross-sectional observational study, carried out between February and May 2021 in the Traumatology area of a tertiary hospital. Patients &gt;75 years old, multi-pathological (≥2 chronic pathologies) and polymedicated (≥5 chronic medications) were included. We excluded those with whom we were unable to communicate, due to their physical/mental condition and absence of a companion.The clinical history was reviewed, collecting anthropometric variables, pathologies and home medication, confirmed by a personal interview.Adherence to treatment was measured using the Morisky–Green questionnaire, which consists of four dichotomous yes/no questions to obtain information on patient compliance. Adherence was related to the number of drugs prescribed.The Shapiro–Wilk normality test and the non-parametric Mann–Whitney U test were used for statistical analysis. Results with p values &lt;0.05 were considered significant.Results48 patients were selected, 76.2% female; mean age was 83.8±5.4 years.The mean number of pathologies/patient was 6±2.6. 61.9% of patients had five or more diseases. The most frequent health problems were hypertension (66.7%), hypercholesterolaemia (42.8%), diabetes mellitus (33.3%) and depression (33.3%). The mean number of medications/patient was 9±3.4. 35.7% of patients were highly polymedicated (≥10 medications).The Morisky–Green test showed that 82.5% were adherent to treatment. 22.5% of patients were not taking ≥2 prescribed and necessary medications. In addition, 36.6% were found to self-medicate.No statistically significant relationship was found between the number of medications and adherence (p=0.8).Conclusion and relevanceContrary to other recently published studies, adherence was good in our sample and was not related to the number of medications. The first finding may be related to the fact that many patients had caregivers who took care of their medication.This study shows that a significant proportion of the population is self-medicating. This calls for closer monitoring by community pharmacists, with patient education and collaboration with hospital pharmacists, whose easy access to medical records can help to conduct studies on the prevalence of polymedicated patients and the appropriateness of their prescriptions.References and/or acknowledgementsConflict of interestNo conflict of interest</description><subject>Conflicts of interest</subject><subject>Patients</subject><subject>Pharmacists</subject><subject>Section 4: Clinical pharmacy services</subject><issn>2047-9956</issn><issn>2047-9964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpFkMtKAzEUhoMoWGpfQQKuU5OTzCXLUrxBQUFdh5PJGWbK3JyZIt258UV9EjvUy-r8cD7-Hz7GLpVcKqXja9oWXYF9LUACCMKiW4KKTtgMpEmEtbE5_ctRfM4Ww1B6GWmdWqPtjD2Z9dOzAICvj89VKKinJiNeNrxrq31NocxwpMCpCtRXe97hWFIzDhxDXY7TZ2w58rHHXY38Hftwwc5yrAZa_Nw5e729eVnfi83j3cN6tRFeKRuJjDKyoLSMgk91Ail6aXIMBJ6iWHtNRuUq15hYo5IsSPQYgvJZnBgPaaLn7OrY2_Xt246G0W3bXd8cJh3ECehYaZseKDhSvt7-A0q6SZ77lecmeW6S5w7y9DcKXGa1</recordid><startdate>20220323</startdate><enddate>20220323</enddate><creator>Moñino Domínguez, L</creator><creator>Aguado Paredes, A</creator><creator>Martínez Suárez, A</creator><creator>Castillo Martín, C</creator><general>British Medical Journal Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20220323</creationdate><title>4CPS-222 Adherence in polymedicated elderly patients admitted to a trauma ward</title><author>Moñino Domínguez, L ; Aguado Paredes, A ; Martínez Suárez, A ; Castillo Martín, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1195-cece921305db83728ab04fade2be563b3e41f1f3a79417cd0abadd1bc674b2873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Conflicts of interest</topic><topic>Patients</topic><topic>Pharmacists</topic><topic>Section 4: Clinical pharmacy services</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moñino Domínguez, L</creatorcontrib><creatorcontrib>Aguado Paredes, A</creatorcontrib><creatorcontrib>Martínez Suárez, A</creatorcontrib><creatorcontrib>Castillo Martín, C</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>European journal of hospital pharmacy. Science and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moñino Domínguez, L</au><au>Aguado Paredes, A</au><au>Martínez Suárez, A</au><au>Castillo Martín, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>4CPS-222 Adherence in polymedicated elderly patients admitted to a trauma ward</atitle><jtitle>European journal of hospital pharmacy. Science and practice</jtitle><stitle>Eur J Hosp Pharm</stitle><date>2022-03-23</date><risdate>2022</risdate><volume>29</volume><issue>Suppl 1</issue><spage>A102</spage><epage>A103</epage><pages>A102-A103</pages><issn>2047-9956</issn><eissn>2047-9964</eissn><abstract>Background and importancePolymedication is one of the most important problems facing healthcare professionals in Europe today.Aim and objectivesTo analyse adherence in polymedicated elderly patients and its relationship with the number of drugs prescribed.Material and methodsCross-sectional observational study, carried out between February and May 2021 in the Traumatology area of a tertiary hospital. Patients &gt;75 years old, multi-pathological (≥2 chronic pathologies) and polymedicated (≥5 chronic medications) were included. We excluded those with whom we were unable to communicate, due to their physical/mental condition and absence of a companion.The clinical history was reviewed, collecting anthropometric variables, pathologies and home medication, confirmed by a personal interview.Adherence to treatment was measured using the Morisky–Green questionnaire, which consists of four dichotomous yes/no questions to obtain information on patient compliance. Adherence was related to the number of drugs prescribed.The Shapiro–Wilk normality test and the non-parametric Mann–Whitney U test were used for statistical analysis. Results with p values &lt;0.05 were considered significant.Results48 patients were selected, 76.2% female; mean age was 83.8±5.4 years.The mean number of pathologies/patient was 6±2.6. 61.9% of patients had five or more diseases. The most frequent health problems were hypertension (66.7%), hypercholesterolaemia (42.8%), diabetes mellitus (33.3%) and depression (33.3%). The mean number of medications/patient was 9±3.4. 35.7% of patients were highly polymedicated (≥10 medications).The Morisky–Green test showed that 82.5% were adherent to treatment. 22.5% of patients were not taking ≥2 prescribed and necessary medications. In addition, 36.6% were found to self-medicate.No statistically significant relationship was found between the number of medications and adherence (p=0.8).Conclusion and relevanceContrary to other recently published studies, adherence was good in our sample and was not related to the number of medications. The first finding may be related to the fact that many patients had caregivers who took care of their medication.This study shows that a significant proportion of the population is self-medicating. 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Section 4: Clinical pharmacy services
title 4CPS-222 Adherence in polymedicated elderly patients admitted to a trauma ward
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