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Ann Cardiol Angeiol (Paris) ; 69(2): 60-66, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32222286

RESUMO

PURPOSE: The objective of this study was to objectivize if the cardiovascular therapeutic changes performed during hospitalization of older patients with hypertension and/or heart failure (HF), were maintained in ambulatory 3 month after hospitalization. METHODS: This is a longitudinal study conducted in a geriatric unit. Patients over 65 years with hypertension and/or HF, who had at least one change in cardiovascular medicaton during hospitalization, and who accepted the 3-month follow-up were included in the longitudinal study. At admission, during hospitalization and 3 months after hospitalization data concerning cardiovascular medication were collected. RESULTS: During hospitalization, 142 (73.6%) patients had at least one change in hypertension and/or HF medication. Overall, 249 changes were performed. Forty-one patients received follow-up at 3 months. At 3 months, therapeutic changes were maintained by 48.8% of the general practitioners (n=20 patients). For the rest, 41.5% of the patients had benefited from new therapeutic changes (28 changes for 10 patients) and 9.7% of the general practitioners (n=4 patients) had restored the initial prescription before hospitalization. CONCLUSIONS: Medication review performed by geriatricians and pharmacists during hospitalization resulted in 249 changes. These changes aimed at limiting iatrogenic disease, by reducing overtreatment and potentially inappropriate prescriptions. Difficulties in the patient care continuity between the hospital and ambulatory setting have been identified.


Assuntos
Assistência Ambulatorial , Continuidade da Assistência ao Paciente , Insuficiência Cardíaca/tratamento farmacológico , Hospitalização , Hipertensão/tratamento farmacológico , Idoso , Idoso de 80 Anos ou mais , Substituição de Medicamentos/estatística & dados numéricos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle , Feminino , Seguimentos , Avaliação Geriátrica , Humanos , Doença Iatrogênica/prevenção & controle , Prescrição Inadequada/prevenção & controle , Estudos Longitudinais , Masculino , Uso Excessivo dos Serviços de Saúde/prevenção & controle , Estudos Prospectivos , Suspensão de Tratamento
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