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Abstract(s)
Introdução: As benzodiazepinas são largamente prescritas em Portugal, pelas suas múltiplas indicações e baixo risco de toxicidade. No entanto, são fármacos cujos benefícios são limitados no tempo por estarem associados a tolerância, dependência, síndrome de abstinência, alterações cognitivas e aumento do risco de queda e de outros acidentes, quando consumidos cronicamente. Os idosos são ainda mais suscetíveis a estes efeitos. O objetivo deste trabalho é descrever o consumo de benzodiazepinas por idosos residentes em instituições de longa permanência situadas na cidade da Covilhã e analisar que fatores lhe estão associados.
Metodologia: Trata-se de um estudo retrospetivo, transversal e observacional, elaborado numa amostra aleatória de idosos institucionalizados na cidade da Covilhã. Depois da recolha dos dados procedeu-se à análise descritiva e correlacional das variáveis, utilizando software SPSS.
Resultados: Verificou-se que 58,9% da amostra consumia pelo menos uma benzodiazepina diária, sendo o lorazepam a benzodiazepina mais consumida. Os tempos de consumo desta classe farmacológica encontrados foram superiores a 9 anos, em média. A análise estatística revelou que os idosos que consumiam benzodiazepinas tinham um número médio de quedas no ano anterior significativamente maior do que aqueles que não consumiam estes fármacos. Entre outros resultados, o estudo revelou também que os idosos que consumiam benzodiazepinas diariamente tinham um número significativamente maior de patologias diagnosticadas e de fármacos consumidos por dia do que os idosos que não tinham benzodiazepinas na sua lista de medicação habitual. Conclusão: A prevalência do consumo de benzodiazepinas por idosos residentes em instituições de longa permanência situadas na cidade da Covilhã é muito elevada, está associada a polipatologias, polifarmárcia e a um maior risco de queda. O tempo médio de consumo foi também muito elevado.
Introduction: Benzodiazepines are widely prescribed in Portugal because of their multiple indications and low toxicity risk. However, their benefit is limited in time because they’re associated with the development of tolerance, dependence, withdrawal syndrome, cognitive impairment and increase the risk of fall and other accidents when consumed for long periods of time. Elders are even more susceptive to these effects. The objective of this work is to describe the use of benzodiazepines by ancients who live in long-term institutions situated in the city of Covilhã and analyze which factors are associated with it. Methodology: This is a retrospective and cross-sectional study, elaborated with a random sample of ancients who live in nursing homes situated in the city of Covilhã. After the collection of the data, the descriptive and correlational analysis of the variables was carried out, using the SPSS software. Results: It was found that 58,9% of the sample consumed at least one daily benzodiazepine. The most commonly used benzodiazepine was lorazepam. The consumption times of this pharmacological class were greater than 9 years on average. The statistical analysis revealed that the elderly who consumed benzodiazepines had a significantly greater mean number of falls in the previous year than those who did not use these drugs. Among other results, the study also revealed that the elderly who consumed benzodiazepines daily had a significantly higher number of diagnosed pathologies and consumed a greater number of daily drugs than the elderly who did not have benzodiazepines on their usual medication list. Conclusion: The prevalence of benzodiazepine consumption by elderly people living in long-term institutions in the city of Covilhã is very high, associated with polypathology, polypharmacy and a higher risk of falls. The average time of consumption was also very high.
Introduction: Benzodiazepines are widely prescribed in Portugal because of their multiple indications and low toxicity risk. However, their benefit is limited in time because they’re associated with the development of tolerance, dependence, withdrawal syndrome, cognitive impairment and increase the risk of fall and other accidents when consumed for long periods of time. Elders are even more susceptive to these effects. The objective of this work is to describe the use of benzodiazepines by ancients who live in long-term institutions situated in the city of Covilhã and analyze which factors are associated with it. Methodology: This is a retrospective and cross-sectional study, elaborated with a random sample of ancients who live in nursing homes situated in the city of Covilhã. After the collection of the data, the descriptive and correlational analysis of the variables was carried out, using the SPSS software. Results: It was found that 58,9% of the sample consumed at least one daily benzodiazepine. The most commonly used benzodiazepine was lorazepam. The consumption times of this pharmacological class were greater than 9 years on average. The statistical analysis revealed that the elderly who consumed benzodiazepines had a significantly greater mean number of falls in the previous year than those who did not use these drugs. Among other results, the study also revealed that the elderly who consumed benzodiazepines daily had a significantly higher number of diagnosed pathologies and consumed a greater number of daily drugs than the elderly who did not have benzodiazepines on their usual medication list. Conclusion: The prevalence of benzodiazepine consumption by elderly people living in long-term institutions in the city of Covilhã is very high, associated with polypathology, polypharmacy and a higher risk of falls. The average time of consumption was also very high.
Description
Keywords
Benzodiazepina Geriatria Idoso Institucionalização Quedas