Criterios explÃcitos para la deprescripción de medicamentos en adultos mayores
Eliezer Alemán Fernández
Resumen
El mundo experimenta un envejecimiento poblacional constantemente, por ello se hace cada vez más importante evaluar la seguridad y el uso de medicamentos en adultos mayores. Una de las estrategias propuestas a nivel internacional es la deprescripción, que consiste en la reducción o suspensión de fármacos en tratamiento habitual. Este artÃculo se propone describir los criterios explÃcitos más actuales para la deprescripción, como una alternativa para la optimización de la medicación en los adultos mayores. Se realizó una búsqueda sobre el tema entre los años 2020 y 2024; fueron consultadas las bases de datos Medline, Pubmed, SciELO y otras revistas de acceso abierto. Entre los 57 documentos revisados se seleccionaron 10 referencias. La deprescripción es un procedimiento poco estudiado en Cuba; sin embargo, existe suficiente evidencia que avala la disminución de los problemas de salud, en especial los referidos a la seguridad de la farmacoterapia en los adultos mayores.
Palabras clave
envejecimiento; polifarmacia; deprescripciones.
Este artÃculo está licenciado bajo la licencia
Creative Commons Reconocimiento-NoComercial 4.0 Internacional .
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(1), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(1), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2