The frequency of analgesic drug use and causes in 65 years old and above; A family medicine unit experience.

Ahmet Öksüz; Yıldız Atadağ; Abdülkadir Aydın; Didem Kaya

doi:10.28982/josam.339263

Authors

Ahmet Öksüz
Yıldız Atadağ
Abdülkadir Aydın
Didem Kaya

DOI:

https://doi.org/10.28982/josam.339263

Keywords:

Geriatrics, Analgesics, Family Practice

Abstract

Aim: The elderly population in Turkey is increasing. One of the most common health problems among the elderly population, which increases day by day, is pain. The use of analgesics due to pain is seen at very high levels and the use of analgesics in the prescription is increasing. In this study, we aimed to determine the frequency and causes of drug use among elderly patients who applied to our unit of family medicine and used regular pain relievers.

Methods: Our study was done by retrospectively scanning the files of 65 years old and over individuals who applied for Sivas Ulas Family Health Centre for any reason. The number of patients aged 65 years and over registered to the family health centre is 286. 43 individuals who regularly used NSAID were included in the study.

Results: Forty-three patients (15%) who used regular analgesic medication were present in our polyclinic admission for any reason. Participants were using analgesic medication due to diffuse muscle and skeletal pain in 48.8% (n=21), gonarthrosis in 48.8% (n=21) and arthritis in 2.3% (n=1). The analgesic drug was using 32.6% (n=14) frequently paracetamol.

Conclusion: As a result, the use of analgesics is as commonplace in our country as it is in the world. Drug use should be monitored regularly, especially in elderly patients, as serious side effects associated with analgesic use may occur.

Downloads

Download data is not yet available.

References

TÜİK. İstatistiklerle Yaşlılar 2014. www.tuik.gov.tr/IcerikGetir.do?istab_id=265 [Erişim tarihi: 20.09.2017].

Birsen Altay, Figen Çavuşoğlu, Ayşe Çal. Yaşlıların sağlık algısı, yaşam kalitesi ve sağlıkla ilgili yaşam kalitesini etkileyen faktörler. TAF Prev Med Bull. 2016;15 (3): 18.

Barkin RL, Beckerman M, Blum SL, Clark FM, Koh EK, Wu DS. Should nonsteroidal anti-inflammatory drugs (NSAIDs) be prescribed to the older adult? Drugs & Aging, 2010 ; 27(10) :775–89.

Ferrell BA. Managing pain and discomfort in older adults near the end of life. Annals of Long-Term Care; Presented atthe American Geriatrics Society Annual Scientific Meeting; May 14, 2003; Baltimore, MD. 2003.

Won AB, Lapane KL, Vallow S, Schein J, Morris JN, Lipsitz LA. Persistent nonmalignant pain and analgesic prescribing patterns in elderly nursinghome residents. J Am Geriatr Soc. 2004;52:867–74.

Tanriverdi G., Okanli A., Cetin H., Ozyazicioglu N., Sezgin H., Kararman H.O., et al., "Pain In The Elderly Population", Turkish Journal of Geriatrics 2009; 12 (4): 190-197.

American Geriatrics Society. The management of persistent pain in older persons. J Am Geriatr Soc. 2002;50:205–224.

Ray WA, Stein CM, Byrd V, Shorr R, Pichert JW, Gideon P, et al. Educational program for physicians to reduce use of non-steroidal anti-inflammatorydrugs among community-dwelling elderly persons: A randomized controlled trial. Med Care.2001;39(5):425–435.

Clark J. Chronic pain prevalence and analgesic prescribing in a general medical population. J Pain SymptomManage. 2006;23: 131–7.

T.C. Sağlık Bakanlığı, Türkiye İlaç ve Tıbbi Cihaz Kurumu Reçete Bilgi Sistemi Verileri, 2015.

Yıldırım Y, Yılmaz Z, Kara AV, Kadiroğlu AK, Yılmaz ME. Nonsteroid Antienflamatuar İlaçlar ve Böbrek. Konuralp Tıp Dergisi 2016;8(1):56-60.

Helme RD. Chronic pain management in older people. EuropeanJournal of Pain 2001; 5: 31–36.

Balbaloğlu Ö.65 yaş üstündeki bireylerin ağrı kesici kullanım sıklığı ve özellikleri. Bozok Tıp Derg 2017;7(2):7-13.

Bıyık A, Özgür G, Özsoy SA, Erefe İ. Huzurevinde yaşayanyaşlıların fiziksel sağlık sorunları ve hastalıklarına yönelik ilaçkullanma davranışları. Geriatri 2002;5(2):68-74.

Güler G, Güler N, Kocataş S, Akgül N. Yaşlıların sağlık bakımgereksinimleri. Cumhuriyet Tıp Derg 2009;31(4):367-73.

Bernabei R, Gambessi G, Lapane K. Management of pain inelderly patients with cancer. JAMA 1998;279(23):1877-83.

Hwang U, Richardson LD, Harris B, Morrison RS. The quality of emergency department pain care for older adult patients. JAm Geriatr Soc 2010;58(11):2122-8.

Özel F,Yıldırım Y,Fadıloğlu Ç. Huzurevinde yaşayan yaşlılarda ağrı yönetimi.Ağrı 2014;26(2):57-64.

Helme RD, Gibson SJ. Pain in older people. In: Crombie IK (ed). Epidemiology of Pain. Seattle: IASP Press, 1999: 103-12.

Brown ST, Kirkpatrick MK, Swanson MS, McKenzie IL. Pain experienceof the elderly. Pain Manag Nurs 2011;12(4):190-6.