<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2020000700005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Criterios STOPP-START y la prescripción inapropiada del anciano]]></article-title>
<article-title xml:lang="en"><![CDATA[STOPP/START criteria and inappropriate prescription in the elderly]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Orihuela]]></surname>
<given-names><![CDATA[Marlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Martínez]]></surname>
<given-names><![CDATA[René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Hernández]]></surname>
<given-names><![CDATA[Bárbaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;General Calixto García&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2020000700005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2020000700005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2020000700005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El envejecimiento no solo promueve daños moleculares y celulares con deterioro progresivo de las funciones del cuerpo, sino que este proceso trasciende a los tratamientos y predispone a las prescripciones potencialmente inapropiadas y a la polifarmacia. Esta situación complejiza la atención del anciano con mayor utilización de servicios sanitarios y gastos en medicamentos.  Objetivo:  Identificar posibles prescripciones potencialmente inapropiadas y estimar la influencia de factores biomédicos en la polifarmacia de los ancianos hospitalizados.  Material y Métodos:  Investigación cuasi-experimental estudio antes-después, que acopió información de variables biomédicas de las historias clínicas de 200 pacientes hospitalizados en el Centro de Investigaciones sobre Longevidad, Envejecimiento y Salud, se utilizaron los criterios STOPP-START para identificar prescripciones potencialmente inapropiadas; se realizaron pruebas para estadística descriptiva e inferencial (&#945;=0,05).  Resultados:  Se identificaron al ingreso 349 prescripciones inapropiadas STOPP y 357 prescripciones inapropiadas START, la sección correspondiente al sistema nervioso central aportó el 24,8 % de las prescripciones inapropiadas STOPP y el sistema cardiovascular reveló el 59,9 % de las prescripciones inapropiadas START. La polifarmacia estuvo presente en el 43,0 % de los ancianos y la comorbilidad fue la variable que mostró mayor fuerza de asociación con la polifarmacia (OR =8,65; IC-95 %: 4,51-16,59), seguido por la presencia de dos o más prescripciones inapropiadas según los criterios STOPP.  Conclusiones:  Los criterios STOPP-START identifican prescripciones inapropiadas en el contexto sanitario cubano, todo lo cual impacta de forma negativa en la polifarmacia de los ancianos. El sistema nervioso central y el sistema cardiovascular mostraron el mayor número de prescripciones potencialmente inapropiadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Aging not only promotes molecular and cellular damage with progressive deterioration of body functions, but this process transcends treatments and predisposes to potentially inappropriate prescriptions and polypharmacy. This situation complicates the care of the elderly with greater use of health services and drug expenses.  Objective:  To identify possible potentially inappropriate prescriptions and estimate the influence of biomedical factors on polypharmacy in hospitalized elderly people.  Material and Methods:  Quasi-experimental before-after study which collected information on biomedical variables from the medical records of 200 hospitalized patients at the Longevity, Aging and Health Research Center. The STOPP/START criteria were used to identify potentially inappropriate prescriptions. Descriptive and inferential statistical tests were performed (&#945; = 0.05).  Results:  A total of 349 inappropriate STOPP prescriptions and 357 inappropriate START prescriptions were identified upon admission. The section corresponding to the central nervous system contributed 24.8% of the inappropriate STOPP prescriptions and the cardiovascular system revealed 59.9% of the inappropriate START prescriptions. Polypharmacy was present in 43.0% of the elderly and comorbidity was the variable that showed the greatest strength of association with polypharmacy (OR = 8.65; 95% CI: 4.51-16.59), followed by the presence of two or more inappropriate prescriptions according to the STOPP criteria.  Conclusions:  The STOPP/START criteria identify inappropriate prescriptions in the Cuban healthcare context which has a negative impact on polypharmacy in the elderly. The central nervous system and the cardiovascular system showed the highest number of potentially inappropriate prescriptions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[prescripción inapropiada]]></kwd>
<kwd lng="es"><![CDATA[polifarmacia]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="en"><![CDATA[inappropriate prescription]]></kwd>
<kwd lng="en"><![CDATA[polypharmacy]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
</kwd-group>
</article-meta>
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