Sp.40 Prescription Profiles In Residential Patients

M.M. Avataneo, G.C. Scarzello
Asl 18 Alba-Bra, Alba (CN), Italy
Patients over 65 years almost always take more than one medication at a time and other drugs to treat co-existing conditions. Nursing homes (RSA) are the major supplier of welfare care for elderly patients. The aim of the study was to analyse drug prescriptions and co-prescriptions for residential patients in the Alba area. Data were collected from Hospital Pharmacy’s dispensing database (January 2006). Therapies were dispensed according to local RSA Formulary. 389 prescriptions (367 patients, 8 RSA) were analysed. Drugs for cardiovascular disorders and Central Nervous System covered almost 71% of dispensed medications. Patients under polytherapy (drugs dispensed in the same day) were 291 (80%). The number of drugs co-administered ranged from 2 (113 pz.) to 10 (3 pz.), 99 older patients (34%) took more than 5 drugs at a time. anti-hypertensives and furosemide were combined in 67 polytherapies, proton pump inhibitors and Acetylsalicylic acid in 41, antipsychotics and antiepileptics or anti-Parkinson drugs in 17 and 5 patients respectively. Oral antidiabetics were combined with antipsychotics in 5 cases, with antidepressives in 9 cases and with anti-hypertensives or diuretics or antiplatelet aggregants in 38 cases. More than two medications to treat the same condition characterised a large number of cases. Relevant differences were noted between RSA. The research gave us the opportunity to survey multi-drug prescriptions in older residential people, identifying both pathologies and prescribed drugs: it is therefore a possible approach to improving the quality of prescription and to optimise drug use in order to develop the quality of assistance.