Document Detail


Potential drug interactions in an ambulatory geriatric population.
MedLine Citation:
PMID:  1822974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Drug interactions are a common cause of iatrogenic disease in geriatric patients. Computer programs now exist which allow one to analyse groups of drugs for potential interactions. In an audit of charts of 100 geriatric patients seen in the Family Practice Center at Barberton Citizens Hospital, a computer printout was obtained, listing all patients aged 60 years and over who were seen at the Center during 1989. Names were selected randomly from this list by the head nurse and their charts were obtained for review, generating information on patient identification number, age, sex, diagnoses, medications, and allergies. The medications were analysed using the Hansten Drug Interaction Knowledge Base Program, which identified 27 patients as being on a combination of medications which had one or more potential drug interactions. A total of 37 potential drug interactions were identified in this group of 27 patients. Relative risk ratios were determined using the computer program, 'Epi Info,' for sex (female versus male), age (greater than or equal to 75 vs. 60-75 years), number of diagnoses greater than or equal to 3 vs. 0-2), and number of medications (greater than or equal to 4 vs. 0-3). The five medications, or groups of medications, which were most likely to be involved in potential drug interactions were digoxin, beta-blockers, oestrogen, oral hypoglycaemic agents, and diuretics.
Authors:
A J Costa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Family practice     Volume:  8     ISSN:  0263-2136     ISO Abbreviation:  Fam Pract     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1992-01-09     Completed Date:  1992-01-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8500875     Medline TA:  Fam Pract     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  234-6     Citation Subset:  IM    
Affiliation:
Barberton Citizens Hospital, Family Practice Residency Program, OH 44203.
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulatory Care*
Drug Interactions*
Female
Geriatrics*
Humans
Male
Middle Aged
Risk
Comments/Corrections
Erratum In:
Fam Pract 1992 Mar;9(1):126

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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