Impacto de la polifarmacia en la dependencia funcional en pacientes mayores de 65 años de edad que acuden a la consulta externa del Hospital General Guasmo Sur en el periodo de febrero a marzo del 2019.

Abstract

Introduction: With medical advances has been achieved to bring the population to an average longevity of 60 years, however, these patients suffer physiological changes in metabolism and pharmacokinetics exposing themselves to a higher risk of presenting the adverse effects of drugs that consume, adding that they are patients with comorbidities, geriatric syndromes and inadequate follow-up to the medical prescription due to age. Objective: To determine the impact of polypharmacy on the functional dependence of patients over 65 years of age at the Guasmo Sur General Hospital in the period from February to March 2019. Materials and Methods: Cohort, prospective, cross-sectional, observational and descriptive study carried out during the period from February to March 2019, over 65 years old who attended the outpatient service of the Guasmo Sur General Hospital. Results: Total population of older adults studied (n=50), Age group more frequent was 65 to 75 years (n=31, 62%), Polypharmacy was presented in (n=15, 30%), Functional dependence according to Scale of Lawton and Brody detected Autonomous (n=14; 28%), Light Dependency (n=14; 28%), Moderate Dependence (n=15; 30%), Serious Dependency (n=6; 12%) and Total Dependency (n=1 ; 2%). There was no significant association between polypharmacy and predisposing factors vs. functional dependence. Conclusions: There is no statistically significant association that determines that there is an impact between polypharmacy and functional dependence in adults over 65 years of age.