Senility Homebound Polypharmacy

Aksoy Kartcı S., Ünalan G. P. , Merder Coşkun D., Bal S., Çifçili S. S.

EUROPEAN GENERAL PRACTICE NETWORK, Timisoara, Romanya, 7 - 10 Mayıs 2015, ss.38

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Timisoara
  • Basıldığı Ülke: Romanya
  • Sayfa Sayıları: ss.38


Background: This study aims to investigate the status of being homebound, the frequency of multimorbidity and drug use,who are over 65years-old ,followed by the Homecare Unit of a university hospital. Research question: What are elderly patients’s diseases and drug use profile,followed by homecare unit? Method: The study is a descriptive study. We collected the datas from the patients’s files. All patients who are over 65years- old and followed by theHomecareUnit of MarmaraUniversityHospital were included. Patients’s ages, current diseases, number of drugs used , the status of being homebound were investigated. Descriptive statistics of the data were analyzed with SPSS16. Results: The number of patients who were followed by our HomeCareUnit , ≥65years-old was 205.The mean age of patients was79.2 ± 7.1 , 56.1%patients were in the range of 75-84years-old.67.8%of the patients were female and 32.2%were male. The most common reasons for admission were chronic disease management need(57,1%), acute illness(22,4%) , and medical reporting for drug diaper , nutrition product etc(11,7%). The most common diseases of the patients who are visited by HomecareUnit health workers were cerebro-vasculardisease(36.6%), dementia(16.1%)and hypertension(12.2%). The mean follow-up was6.2 ± 2.6months and average visit in a year was2.3 ± 2.2 (min1, max13) in our unit. The mean number of chronicdiseases were2.6 ± 1.2 . 31%of the participants had 2diseases and 30%had 3diseases.There were totally 529diagnoses of the 205people. These diagnoses were25.2% hypertension, 15.3% cerebro-vasculardisease, 10.9%diabetesmellitus, and8.1%dementia .77%of patients were home-dependent. While the average number of drugs used was4.8 ± 2.7, the number of people without any medication was12. Conclusions: The prevalence of chronic disease and multiple drug use increases with age among elders.Side effects of the drugs used in elderly increase as the number of medications used.