[Use of psychoactive drugs in a health and welfare centre]. / Utilización de psicofármacos en un centro sociosanitario.

OBJECTIVE: To analyse the use of psychoactive drugs in a health and welfare centre and compare this use with current guidelines. METHOD: A cross-sectional study of the drug treatment regime of hospitalised patients in a health and welfare centre was carried out. Information was obtained from prescriptions and the clinical histories of patients in the centre. The following variables were assessed: demographic data, treatment with psychoactive drugs, date of commencing treatment, dosage, drug combinations, indication and total number of drugs analysed. The results were compared with the literature and current prescription guidelines. RESULTS: 45 of the 70 patients analysed were taking psychoactive drugs: 51.1% were being treated with neuroleptic drugs, 42.2% with antidepressants, and 6.7% with anxiolytic agents. 62% were women. The overall mean age was 80.3 years old. The average number of psychoactive drugs administered to each patient was 1.6 and the average number of total drugs prescribed was 10.5. The most frequently administered psychoactive drugs were risperidone, lorazepam and citalopram. The most frequent association was neuroleptic drugs with benzodiazepine. The indication and dosage prescribed were appropriate according to the data sheet, although some inappropriate prescription practices were observed. CONCLUSIONS: The results of the study would recommend controlling the duration of treatment with benzodiazepine, confirming the diagnosis of states of depression and correctly monitoring the associations between psychoactive drugs.

Utilización de psicofármacos en un centro sociosanitario / No disponible

Objetivo: Analizar la utilización de psicofármacos en un centro sociosanitario y compararlo con las guías de recomendación existentes. Material y métodos: Se realizó un estudio transversal del perfil farmacoterapéutico de los residentes ingresados en un centro sociosanitario. Las fuentes de información fueron las prescripciones médicas y las historias clínicas del centro. Se evaluaron variables demográficas, del tratamiento con psicofármacos, fecha de inicio, dosis y combinaciones, indicación y número total de medicamentos estudiados. Se compararon los resultados con la bibliografía y las guías de prescripción existentes. Resultados: Tomaban psicofármacos 45 de los 70 pacientes estudiados observándose que el 51,1% estaban siendo tratados con fármacos neurolépticos, el 42,2% con antidepresivos, el 6,7% con ansiolíticos. El 62% eran mujeres. La edad media global fue de 80,3 años. El número medio de psicofármacos por paciente fue 1,6 y del total de medicamentos 10,5. Los psicofármacos más utilizados fueron risperidona, lorazepam y citalopram. Las asociación más frecuente fue neuroléptico más benzodiazepina. La indicación y dosis prescritas eran adecuadas según ficha técnica, aunque se observaron pautas de prescripción desaconsejadas. Conclusiones: Los resultados del estudio aconsejarían controlar la duración de los tratamientos con benzodiazepinas, asegurar el diagnóstico de los estados depresivos y realizar un adecuado seguimiento de las asociaciones entre psicofármaco

Objective: To analyse the use of psychoactive drugs in a health and welfare centre and compare this use with current guidelines. Method: A cross-sectional study of the drug treatment regime of hospitalised patients in a health and welfare centre was carried out. Information was obtained from prescriptions and the clinical histories of patients in the centre. The following variables were assessed: demographic data, treatment with psychoactive drugs, date of commencing treatment, dosage, drug combinations, indication and total number of drugs analysed. The results were compared with the literature and current prescription guidelines. Results: 45 of the 70 patients analysed were taking psychoactive drugs: 51.1% were being treated with neuroleptic drugs, 42.2% with antidepressants, and 6.7% with anxiolytic agents. 62% were women. The overall mean age was 80.3 years old. The average number of psychoactive drugs administered to each patient was 1.6 and the average number of total drugs prescribed was 10.5. The most frequently administered psychoactive drugs were risperidone, lorazepam and citalopram. The most frequent association was neuroleptic drugs with benzodiazepine. The indication and dosage prescribed were appropriate according to the data sheet, although some inappropriate prescription practices were observed. Conclusions: The results of the study would recommend controlling the duration of treatment with benzodiazepine, confirming the diagnosis of states of depression and correctly monitoring the associations between psychoactive drugs