Abstract

CALA CALVINO, Leidys; CASAS GROSS, Sandra  and  DUNAN CRUZ, Liam Kadel. Cascade effect in the elderly as a consequence of polypharmacy. MEDISAN [online]. 2017, vol.21, n.3, pp.279-286. ISSN 1029-3019.

A descriptive, longitudinal and prospective study of 52 elderly with cascade effect resulting from polymedication was carried out, who were part of a total of 305 elderly with non communicable chronic diseases, belonging to "José Martí Pérez" University Polyclinic in Santiago de Cuba. In the investigation, developed during 2014-2015 biennium, the mentioned effect was verified starting from the adverse reactions referred by the patients and the predominant symptoms that justified the drug prescription. The cascade effect prevailed in the elderly with more than 3 diagnosed disorders, although it was also presented in those that suffered from just 1 or 2. In all the identified cases there was more than one prescriptor for the follow up of the affected patients

Keywords : elderly; drug prescription; cascade effect; polypharmacy; primary health care.

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