Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Healthcare Centres in Bahrain: A cross-sectional study
This study aimed to determine the prevalence, characteristics and determinants of polypharmacy among elderly patients in Bahrain. This cross-sectional study was conducted between March and April 2022 in all primary healthcare centres in Bahrain. A simple random sample was obtained. An elderly patien...
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| Veröffentlicht in: | Sultan Qaboos University medical journal 2024-02, Vol.24 (1), p.63-69 |
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| creator | Alawainati, Mahmood Habib, Fatima Ateya, Eman Dakheel, Eman Al-Buainain, Muneera |
| description | This study aimed to determine the prevalence, characteristics and determinants of polypharmacy among elderly patients in Bahrain.
This cross-sectional study was conducted between March and April 2022 in all primary healthcare centres in Bahrain. A simple random sample was obtained. An elderly patient was defined as one aged ≥60 years and polypharmacy was defined as the concomitant use of 5 or more medications, with excessive polypharmacy defined as the concomitant use of 10 or more medications.
A total of 977 patients were included, with more than half of them being females (n = 533, 54.55%) and the mean age of the participants at 67.90 ± 6.87 years. Essential hypertension, hyperlipidaemia and diabetes mellitus were the most common comorbidities among the participants (61.51%, 57.63% and 53.22%, respectively). Among the cohort, 443 (45.34%) were on 5 or more medications and of those 66 (6.76%) were on at least 10 medications. A multivariate analysis revealed that patients with diabetes (odds ratio [OR] = 5.836, 95% confidence interval [CI]: 4.061-8.385; |
| doi_str_mv | 10.18295/squmj.9.2023.052 |
| format | Article |
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This cross-sectional study was conducted between March and April 2022 in all primary healthcare centres in Bahrain. A simple random sample was obtained. An elderly patient was defined as one aged ≥60 years and polypharmacy was defined as the concomitant use of 5 or more medications, with excessive polypharmacy defined as the concomitant use of 10 or more medications.
A total of 977 patients were included, with more than half of them being females (n = 533, 54.55%) and the mean age of the participants at 67.90 ± 6.87 years. Essential hypertension, hyperlipidaemia and diabetes mellitus were the most common comorbidities among the participants (61.51%, 57.63% and 53.22%, respectively). Among the cohort, 443 (45.34%) were on 5 or more medications and of those 66 (6.76%) were on at least 10 medications. A multivariate analysis revealed that patients with diabetes (odds ratio [OR] = 5.836, 95% confidence interval [CI]: 4.061-8.385;
<0.001), hypertension (OR = 6.231, 95% CI: 4.235-9.168;
<0.001), hyperlipidaemia (OR = 3.999, 95% CI: 2.756-5.802;
<0.001), cardiovascular diseases (OR = 3.589, 95% CI: 1.787-7.205;
<0.001) and asthma (OR = 3.148, 95% CI: 1.646-6.019;
<0.001) were significantly more likely to suffer from polypharmacy.
Polypharmacy is prevalent among elderly patients in Bahrain, particularly among those with non-communicable diseases. Polypharmacy should be considered while delivering healthcare services to the elderly, especially those with non-communicable diseases.</description><identifier>ISSN: 2075-0528</identifier><identifier>EISSN: 2075-0528</identifier><identifier>DOI: 10.18295/squmj.9.2023.052</identifier><identifier>PMID: 38434473</identifier><language>eng</language><publisher>Oman</publisher><subject>Aged ; Bahrain - epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Hyperlipidemias ; Male ; Middle Aged ; Noncommunicable Diseases ; Polypharmacy ; Prevalence ; Primary Health Care</subject><ispartof>Sultan Qaboos University medical journal, 2024-02, Vol.24 (1), p.63-69</ispartof><rights>Copyright 2024, Sultan Qaboos University Medical Journal, All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38434473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alawainati, Mahmood</creatorcontrib><creatorcontrib>Habib, Fatima</creatorcontrib><creatorcontrib>Ateya, Eman</creatorcontrib><creatorcontrib>Dakheel, Eman</creatorcontrib><creatorcontrib>Al-Buainain, Muneera</creatorcontrib><title>Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Healthcare Centres in Bahrain: A cross-sectional study</title><title>Sultan Qaboos University medical journal</title><addtitle>Sultan Qaboos Univ Med J</addtitle><description>This study aimed to determine the prevalence, characteristics and determinants of polypharmacy among elderly patients in Bahrain.
This cross-sectional study was conducted between March and April 2022 in all primary healthcare centres in Bahrain. A simple random sample was obtained. An elderly patient was defined as one aged ≥60 years and polypharmacy was defined as the concomitant use of 5 or more medications, with excessive polypharmacy defined as the concomitant use of 10 or more medications.
A total of 977 patients were included, with more than half of them being females (n = 533, 54.55%) and the mean age of the participants at 67.90 ± 6.87 years. Essential hypertension, hyperlipidaemia and diabetes mellitus were the most common comorbidities among the participants (61.51%, 57.63% and 53.22%, respectively). Among the cohort, 443 (45.34%) were on 5 or more medications and of those 66 (6.76%) were on at least 10 medications. A multivariate analysis revealed that patients with diabetes (odds ratio [OR] = 5.836, 95% confidence interval [CI]: 4.061-8.385;
<0.001), hypertension (OR = 6.231, 95% CI: 4.235-9.168;
<0.001), hyperlipidaemia (OR = 3.999, 95% CI: 2.756-5.802;
<0.001), cardiovascular diseases (OR = 3.589, 95% CI: 1.787-7.205;
<0.001) and asthma (OR = 3.148, 95% CI: 1.646-6.019;
<0.001) were significantly more likely to suffer from polypharmacy.
Polypharmacy is prevalent among elderly patients in Bahrain, particularly among those with non-communicable diseases. Polypharmacy should be considered while delivering healthcare services to the elderly, especially those with non-communicable diseases.</description><subject>Aged</subject><subject>Bahrain - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperlipidemias</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Noncommunicable Diseases</subject><subject>Polypharmacy</subject><subject>Prevalence</subject><subject>Primary Health Care</subject><issn>2075-0528</issn><issn>2075-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkc1O3DAQgC1UBAh4AC6Vjz00W_8ksdPbdqEFCYk9wNny2pOukeMstlMp79KHxezSCl88I38zmvGH0BUlCypZ13xLL9PwvOgWjDC-IA07QmeMiKYqofz0IT5Flyk9k3K4FC1tTtAplzWva8HP0N91hD_aQzDwFa-2OmqTIbqUnUlYB4uvoeSDCzrkhMcer0c_7wo3aDPj5TCG3_jGW4h-xmudHbxhy5whWFee1tENOs74FrTPW6Mj4FVBIiTsAv6ht1G78B0vsYljSlUCk90YtMcpT3a-QMe99gku3-9z9PTz5nF1W90__LpbLe8rQ1uZq40EED1johWM9cCJIEBkq2UtG7BQQ28aKsp3bEjXtB2TVmgwDKQltLO05ufoy6HvLo4vE6SsBpcMeK8DjFNSrOOC866u24LSA7ofOEKvdocVFSVq70XtvahOvXlRRUCp-fzeftoMYP9X_LPAXwEkDYze</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Alawainati, Mahmood</creator><creator>Habib, Fatima</creator><creator>Ateya, Eman</creator><creator>Dakheel, Eman</creator><creator>Al-Buainain, Muneera</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240201</creationdate><title>Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Healthcare Centres in Bahrain: A cross-sectional study</title><author>Alawainati, Mahmood ; Habib, Fatima ; Ateya, Eman ; Dakheel, Eman ; Al-Buainain, Muneera</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c168t-b8ee7f2276722fe3070e086a8485ede4efc517075b0956928d7aec2e8d019d143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Bahrain - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperlipidemias</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Noncommunicable Diseases</topic><topic>Polypharmacy</topic><topic>Prevalence</topic><topic>Primary Health Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alawainati, Mahmood</creatorcontrib><creatorcontrib>Habib, Fatima</creatorcontrib><creatorcontrib>Ateya, Eman</creatorcontrib><creatorcontrib>Dakheel, Eman</creatorcontrib><creatorcontrib>Al-Buainain, Muneera</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sultan Qaboos University medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alawainati, Mahmood</au><au>Habib, Fatima</au><au>Ateya, Eman</au><au>Dakheel, Eman</au><au>Al-Buainain, Muneera</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Healthcare Centres in Bahrain: A cross-sectional study</atitle><jtitle>Sultan Qaboos University medical journal</jtitle><addtitle>Sultan Qaboos Univ Med J</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>63</spage><epage>69</epage><pages>63-69</pages><issn>2075-0528</issn><eissn>2075-0528</eissn><abstract>This study aimed to determine the prevalence, characteristics and determinants of polypharmacy among elderly patients in Bahrain.
This cross-sectional study was conducted between March and April 2022 in all primary healthcare centres in Bahrain. A simple random sample was obtained. An elderly patient was defined as one aged ≥60 years and polypharmacy was defined as the concomitant use of 5 or more medications, with excessive polypharmacy defined as the concomitant use of 10 or more medications.
A total of 977 patients were included, with more than half of them being females (n = 533, 54.55%) and the mean age of the participants at 67.90 ± 6.87 years. Essential hypertension, hyperlipidaemia and diabetes mellitus were the most common comorbidities among the participants (61.51%, 57.63% and 53.22%, respectively). Among the cohort, 443 (45.34%) were on 5 or more medications and of those 66 (6.76%) were on at least 10 medications. A multivariate analysis revealed that patients with diabetes (odds ratio [OR] = 5.836, 95% confidence interval [CI]: 4.061-8.385;
<0.001), hypertension (OR = 6.231, 95% CI: 4.235-9.168;
<0.001), hyperlipidaemia (OR = 3.999, 95% CI: 2.756-5.802;
<0.001), cardiovascular diseases (OR = 3.589, 95% CI: 1.787-7.205;
<0.001) and asthma (OR = 3.148, 95% CI: 1.646-6.019;
<0.001) were significantly more likely to suffer from polypharmacy.
Polypharmacy is prevalent among elderly patients in Bahrain, particularly among those with non-communicable diseases. Polypharmacy should be considered while delivering healthcare services to the elderly, especially those with non-communicable diseases.</abstract><cop>Oman</cop><pmid>38434473</pmid><doi>10.18295/squmj.9.2023.052</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Bahrain - epidemiology Cross-Sectional Studies Female Humans Hyperlipidemias Male Middle Aged Noncommunicable Diseases Polypharmacy Prevalence Primary Health Care |
| title | Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Healthcare Centres in Bahrain: A cross-sectional study |
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