Associação dos medicamentos com o risco de queda na pessoa idosa: uma revisão integrativa
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Data
2023-06-14
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Mayer, Ana Luísa
Orientador
Silva, Kelly de Souza da
Coorientador
Resumo
O consumo excessivo de medicamentos por idosos aumenta o risco de quedas, causando problemas de saúde pública devido às fraturas e consequências fatais nessa faixa etária. O objetivo deste estudo foi investigar a relação entre consumo de medicamentos, especialmente a polifarmácia, e o risco de quedas, além da necessidade de incluir uma categoria farmacológica na avaliação desse risco. O método utilizado para o estudo foi o da revisão integrativa da literatura, seguindo seis etapas metodológicas, com busca na Biblioteca Virtual em Saúde (BVS). Foram analisados dez artigos, provenientes de oito países, que confirmaram a associação entre polifarmácia, consumo de medicamentos potencialmente inapropriados para idosos (PIMs) e o risco de quedas. Além disso, a descontinuação de anticolinérgicos e sedativos foi considerada viável para reduzir esse risco. Concluiu-se que avaliar cuidadosamente o consumo de PIMs e o número total de medicamentos utilizados por idosos é extremamente importante para avaliar precisamente o risco de quedas e prevenir incidentes e consequências negativas.
The excessive consumption of medication by elderly individuals increases the risk of falls, causing public health problems due to fractures and fatal consequences in this age group. The objective of this study was to investigate the relationship between medication consumption, especially polypharmacy, and the risk of falls, as well as the need to include a pharmacological category in the assessment of this risk. The method used for the study was the integrative literature review, following six methodological steps, with a search in the Biblioteca Virtual em Saúde (BVS). Ten articles from eight countries were analyzed, confirming the association between polypharmacy, the consumption of potentially inappropriate medications for the elderly (PIMs), and the risk of falls. Furthermore, the discontinuation of anticholinergic and sedative medications was considered feasible to reduce this risk. It was concluded that carefully evaluating the consumption of PIMs and the total number of medications used by the elderly is extremely important in accurately assessing the risk of falls and preventing incidents and negative consequences.
The excessive consumption of medication by elderly individuals increases the risk of falls, causing public health problems due to fractures and fatal consequences in this age group. The objective of this study was to investigate the relationship between medication consumption, especially polypharmacy, and the risk of falls, as well as the need to include a pharmacological category in the assessment of this risk. The method used for the study was the integrative literature review, following six methodological steps, with a search in the Biblioteca Virtual em Saúde (BVS). Ten articles from eight countries were analyzed, confirming the association between polypharmacy, the consumption of potentially inappropriate medications for the elderly (PIMs), and the risk of falls. Furthermore, the discontinuation of anticholinergic and sedative medications was considered feasible to reduce this risk. It was concluded that carefully evaluating the consumption of PIMs and the total number of medications used by the elderly is extremely important in accurately assessing the risk of falls and preventing incidents and negative consequences.
Palavras-chave
Acidentes por quedas, Polimedicação, Idoso