{"id":114286,"date":"2018-03-11T10:42:15","date_gmt":"2018-03-11T10:42:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/identificacion-de-factores-asociados-a-cambios-de-medicacion-en-personas-mayores-institucionalizadas\/"},"modified":"2018-03-11T10:42:15","modified_gmt":"2018-03-11T10:42:15","slug":"identificacion-de-factores-asociados-a-cambios-de-medicacion-en-personas-mayores-institucionalizadas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/farmacologia\/identificacion-de-factores-asociados-a-cambios-de-medicacion-en-personas-mayores-institucionalizadas\/","title":{"rendered":"Identificaci\u00f3n de factores asociados a cambios de medicaci\u00f3n en personas mayores institucionalizadas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Esteban Hern\u00e1ndez Soto <\/strong><\/h2>\n<p>Objective: to identify factors associated with the number of medication changes (mc) in elderly nursing home residents. method: prospective study for 4 months. The number of mc was recorded weekly. We analyzed the factors associated with having a large number of changes (4 or more), calculating the odds ratio as a measure of association through multivariate logistic regression and a confidence interval of 95% (or, 95% ci)  results: there were 997 cm in 234 residents. A 80.0% of patients had any medication change, while 42.7% of patients had four or more cm. The largest number of mc was associated with nervous system medicines, digestive and metabolism system medicines and cardiovascular system medicines. Factors associated with a large number of cm were having chronic renal failure, immobility, heart failure, loss of visual acuity, dysphagia, edema, comorbidity and polypharmacy. Both polypharmacy and comorbidity (measured by the charlson index) were associated with a high number of medication changes (\u00c2\u00a1\u00ed\u00bd 4) in four months, regardless of other variables. The risk of having a large number of medication changes in patients with polypharmacy is three times higher, while in patients with comorbidity is twice as high. On the other hand, patients suffering from the above diseases had approximately twice the risk of having 4 or more medication changes in four months.  conclusions: a large number of cm is associated with risk factors as indicators of drug-related problems. The number of cm in elderly nursing home residents may be an indicator to prioritize the medication review.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Identificaci\u00f3n de factores asociados a cambios de medicaci\u00f3n en personas mayores institucionalizadas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Identificaci\u00f3n de factores asociados a cambios de medicaci\u00f3n en personas mayores institucionalizadas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Esteban Hern\u00e1ndez Soto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/06\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Berta Esperanza Lasheras Aldaz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda  lourdes Sainz suberviola <\/li>\n<li>Jos\u00e9 Javier Velasco del castillo (vocal)<\/li>\n<li>Marta Irujo lizaur (vocal)<\/li>\n<li>Jos\u00e9 L\u00f3pez guzm\u00e1n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Esteban Hern\u00e1ndez Soto Objective: to identify factors associated with the number of medication changes (mc) in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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