Assessment on Prevalence of Polypharmacy in Geriatric Patients with Cardiovascular Diseases


Authors : Dr. K. Sechana; A.Rashmi

Volume/Issue : Volume 5 - 2020, Issue 6 - June

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/2ZiZlhF

Polypharmacy is the consumption of five or more drugs at the same time. Cardiovascular disease is difficult to diagnose and be treated in geriatric patients. Objectives: The objective of the present study is to assess the prevalence of polypharmacy in cardiovascular diseases among geriatric patients. Other objectives include evaluation of the common reasons of admission, comorbidities, and echocardiography and to assess this polypharmacy using ARMOR TOOL. Methods: A 6 months prospective study was conducted at a tertiary hospital with 150 ambulatory geriatric patients (60yr or above and of either sex). We followed two methods in the study. In method-1, the etiology and frequency of polypharmacy, comorbidities, reasons of admission and the nature of drug treatment were taken into consideration. In method-2, ARMOR TOOL was used to evaluate the polypharmacy in geriatric patients. Result: Of the total 150 prescriptions received, 75.34% (n=113) were males and 24.66% (n=37) were females. The polypharmacy among patients were calculated, 14.68% (n=22) were noted as minor polypharmacy, 62.66% (n=94) were noted as moderate polypharmacy and 22.64% (n=34) were found to be serious polypharmacy. Beers criteria list of drugs were identified and monitored using ARMOR TOOL. The drug interactions were found in 93.33% (n=140) of the total prescriptions and in 6.67% (n=10) had no interactions. The total number of ADRs found were 8.67% (n=13). Conclusion: Careful and thoughtful drug prescription strategy seems to be able to eliminate most of the cases of polypharmacy and drug related problems even in patients who are suffering from multiple disorders.

Keywords : Cardiovascular diseases, Comorbidities, ADRs, Polypharmacy, ARMOR TOOL, Geriatrics

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