[Adverse drug reactions among hospitalized elderly patients. Prospective study].

Abstract:

BACKGROUND:It is not clear if old age is a risk factor for adverse drug reactions. AIM:To study the incidence of adverse drug reactions and the effect of age in patients admitted to an Internal Medicine Service in an university hospital. PATIENTS AND METHODS:Two hundred one patients, hospitalized at the Clinical Hospital of the Catholic University, were studied. These patients were followed using a prospective pharmacological surveillance method. For statistical purposes, patients aged 65 years old or older were compared with those younger than 65 years old. RESULTS:Patients over 65 years old had a 33% incidence of adverse drug reactions, mainly involving cardiovascular system and provoking metabolic disturbances. Younger subjects had a 24% incidence of adverse drug reactions, mainly involving the gastrointestinal system and the skin. Sixteen percent of adverse drug reactions were classified as severe and there was a direct relationship between its frequency and the number of drugs prescribed, the hospitalization length and the presence of renal failure. Younger patients with adverse drug reactions had lower serum albumin levels than those without adverse reactions. This relationship was not observed in older patients. CONCLUSIONS:The frequency of adverse drug reactions in hospitalized patients, is related to the number of drugs prescribed and the length of hospitalization.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

González-Martín G,Yáñez L,Valenzuela E

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

1129-36

issue

10

eissn

0034-9887

issn

0717-6163

journal_volume

125

pub_type

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