Abstract

AMADO-TINEO, José; VASQUEZ-ALVA, Rolando; ROJAS-MOYA, César  and  OSCANOA-ESPINOZA, Teodoro. Adverse drug reactions in elderly patients as reason of emergency hospitalization. Acta méd. peruana [online]. 2014, vol.31, n.4, pp.228-233. ISSN 1728-5917.

Introduction. Adverse drug reactions are frequent and avoidable. Aims. To describe habitual medication, potentially inadequate medication and adverse drug reactions as reason of hospitalization. Material and Methods. Descriptive study in 65 or more yearold inpatients, emergency of Rebagliati hospital. Systematic sampling of 238 patients. Interview to patient or keeper and checked clinical history. Instruments: Screening Tool of Older Person’s Potentially Inappropriate and Karl and Lasagna’s algorithm. Results. Male 47,1 %, average age 78,36 (± 7,83) years. 731 medicaments were prescribed in 238 patients (3 medicaments for patient), enalapril and aspirin were most frequent. Potentially inadequate medication was in 24,6 %, being the most frequent glibenclamide and digoxin. 7,6 % of inpatient presented adverse drug reaction as reason of admission; glibenclamide, insulin and clopidogrel were frequent; and the clinical presentation was hypoglycemia, arrhythmia and digestive bleeding. Conclusions. The frequent habitual medication was cardiacvascular, frequent potentially inadequate medication and adverse drug reactions patients as reason of hospitalization.

Keywords : adverse drug reaction; inappropriate prescribing; elderly patient; emergency hospitalization.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )