[A review of the medication in polymedicated elderly with vascular risk: a randomised controlled trial].

Atencion primaria
Teresa Molina LópezSoledad López Rubio

Abstract

To analyse the effectiveness of a medication review based on intervention directed at improving the appropriateness of drug treatments according to the established guidelines, as well as blood pressure, serum lipid and blood glucose control in elderly patients on multiple medication, and cardiovascular disease or high risk of cardiovascular disease. A randomised controlled trial with blind evaluation. Fourteen Primary Health Care centres in Andalusia A total of 323 patients older than 65 on polypharmacy and cardiovascular disease or high risk of cardiovascular disease. A pharmacist interviewed the patient, reviewed the appropriateness of the drug treatment, taking in account health record data, proposed modifications and communicated them to the general practitioner or nurse. The control group received usual health care. Percentage of patients with appropriate use of low doses of acetylsalicylic acid, blood pressure, LDL-cholesterol, HbA(1c), and quality of life scores. A total of 41% of patients (average age 74, 61% women) had cardiovascular disease. Ten months after the intervention (18.3% withdrawals), more patients in the intervention group used low dose acetylsalicylic acid than in the control group (52.3% vs 38.6%; P=.024...Continue Reading

References

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Feb 25, 2010·Journal of Managed Care Pharmacy : JMCP·Jennifer L KirwinThomas D Sequist
Sep 20, 2011·Atencion primaria·Teresa Molina LópezJuan Carlos Morales Serna

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Citations

Nov 26, 2015·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·J Terol-FernándezJ A González-Correa
Aug 1, 2012·Atencion primaria·Gabriel Coll de Tuero
Sep 22, 2016·International Journal of Nursing Knowledge·Alonso Montiel-LuqueUNKNOWN Polipresact
Oct 28, 2018·International Journal of Clinical Pharmacy·Mar Saavedra-MitjansJean-François Bussières
Mar 7, 2019·Journal of Clinical Medicine·Antonio Nuñez-MontenegroJose A González-Correa
Mar 1, 2019·Revista de salud pública·José R Sánchez-RodríguezCatherine T Jara-Castillo

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