Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic
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| Format: | Artículo científico |
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Sociedade Brasileira de Geriatria e Gerontologia
2024
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| author | Natascha Melo Linkievicz |
| author_facet | Natascha Melo Linkievicz |
| contents | Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic Natascha Melo Linkievicz Vanessa Sgnaolin Paula Engroff Mateus Fraga Pereira Alfredo Cataldo Neto Multidisciplinaria (Ciencias Naturales y Exactas) Aged drugs deprescriptions psychotropic drugs Objective: To describe the psychotropic drug deprescription process in older patients of a geriatric psychiatry outpatient clinic. Methods: We conducted a quasi-experimental study of people aged ≥ 60 years who were treated at Hospital São Lucas’ Geriatric Psychiatry Outpatient Clinic, which is affiliated with Pontifícia Universidade Católica do Rio Grande do Sul, Brazil. Data on 150 older people were collected from March 2021 to August 2022 and were evaluated by the pharmacists. The inclusion criteria were age ≥ 60 years, being a patient of the hospital’s Geriatric Psychiatry Outpatient Clinic, use of at least one psychotropic drug, and agreeing to participate in the study. Those unable to report their medications and those who only came to the first appointment were excluded. Results: Overall, deprescription of at least one psychotropic drug was indicated in 61.3% (n = 92) of the participants, and it was effectively implemented in 68.5% (n = 63) of this group. Deprescribing, which was more frequent in the youngest age group (60–69 years) (p = 0.049), was indicated for 37.4% (n = 136) of psychotropic drugs, 67.6% (n = 92) of which were effectively deprescribed. The main classes indicated for deprescription were hypnotics and sedatives (90.0%; n = 18) and anxiolytics (73.3%; n = 11). Conclusions: At least 1 psychotropic drug was indicated for deprescription in the majority of the patients, and in most cases it was effectively implemented. One-third of the prescribed psychotropic drugs were indicated for deprescription, and more than half were successfully deprescribed. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769002 https://www.redalyc.org/journal/7397/739777769002/ https://www.redalyc.org/journal/7397/739777769002/html/ https://www.redalyc.org/journal/7397/739777769002/739777769002.epub https://www.redalyc.org/journal/7397/739777769002/movil https://doi.org/10.53886/gga.e0000043_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| format | Artículo científico |
| id | redalyc_739777769002 |
| institution | Redalyc |
| language | en |
| publishDate | 2024 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic Natascha Melo Linkievicz Multidisciplinaria (Ciencias Naturales y Exactas) Aged drugs deprescriptions psychotropic drugs Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic Natascha Melo Linkievicz Vanessa Sgnaolin Paula Engroff Mateus Fraga Pereira Alfredo Cataldo Neto Multidisciplinaria (Ciencias Naturales y Exactas) Aged drugs deprescriptions psychotropic drugs Objective: To describe the psychotropic drug deprescription process in older patients of a geriatric psychiatry outpatient clinic. Methods: We conducted a quasi-experimental study of people aged ≥ 60 years who were treated at Hospital São Lucas’ Geriatric Psychiatry Outpatient Clinic, which is affiliated with Pontifícia Universidade Católica do Rio Grande do Sul, Brazil. Data on 150 older people were collected from March 2021 to August 2022 and were evaluated by the pharmacists. The inclusion criteria were age ≥ 60 years, being a patient of the hospital’s Geriatric Psychiatry Outpatient Clinic, use of at least one psychotropic drug, and agreeing to participate in the study. Those unable to report their medications and those who only came to the first appointment were excluded. Results: Overall, deprescription of at least one psychotropic drug was indicated in 61.3% (n = 92) of the participants, and it was effectively implemented in 68.5% (n = 63) of this group. Deprescribing, which was more frequent in the youngest age group (60–69 years) (p = 0.049), was indicated for 37.4% (n = 136) of psychotropic drugs, 67.6% (n = 92) of which were effectively deprescribed. The main classes indicated for deprescription were hypnotics and sedatives (90.0%; n = 18) and anxiolytics (73.3%; n = 11). Conclusions: At least 1 psychotropic drug was indicated for deprescription in the majority of the patients, and in most cases it was effectively implemented. One-third of the prescribed psychotropic drugs were indicated for deprescription, and more than half were successfully deprescribed. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769002 https://www.redalyc.org/journal/7397/739777769002/ https://www.redalyc.org/journal/7397/739777769002/html/ https://www.redalyc.org/journal/7397/739777769002/739777769002.epub https://www.redalyc.org/journal/7397/739777769002/movil https://doi.org/10.53886/gga.e0000043_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| title | Deprescribing psychotropic drugs in a geriatric psychiatry outpatient clinic |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) Aged drugs deprescriptions psychotropic drugs |
| url | https://www.redalyc.org/articulo.oa?id=739777769002 https://www.redalyc.org/journal/7397/739777769002/ https://www.redalyc.org/journal/7397/739777769002/html/ https://www.redalyc.org/journal/7397/739777769002/739777769002.epub https://www.redalyc.org/journal/7397/739777769002/movil https://doi.org/10.53886/gga.e0000043_EN |