Association between continuous use drugs and dizziness in institutionalized elderly people
Associação entre medicamentos de uso contínuo e tontura em idosos institucionalizados
Lidiane Maria de Brito Macedo Ferreira; Javier Jerez-Roig; Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro; Francisca Sueli Monte Moreira; Kenio Costa de Lima
Abstract
Purpose: to associate continuous use drugs with the presence of dizziness in institutionalized elderly people.
Methods: a cross-sectional study performed in 10 nursing homes. People aged 60 years or older, able to walk and who presented good cognitive level were included in this study. Data on medications for continuous treatment and data referring to the Institution were collected. The elderly were asked if they had experienced dizziness in the previous year. The Chi-squared and Fisher exact tests were used for bivariate analysis and stepwise forward logistic regression to perform multiple analysis, with a significance level of 5%.
Results: out of 92 elderly, 35 reported dizziness in the previous year (23.8%). The anti-epileptics (p=0.034, RR=2.26, CI95% 1.06-4.78), antithrombotics (p=0.008, RR=0.21, CI95% 0.07-0.67) and diuretics (p=0.024, RR=2.29, CI95% 1.11-4.70) were associated to dizziness, adjusted by psycholeptics.
Conclusion: dizziness in these institutionalized elderly people was associated with the chronic use of anti-epileptics and diuretic drugs.
Keywords
Resumo
Objetivo: associar medicamentos de uso contínuo com a presença de tontura em idosos institucionalizados.
Métodos: trata-se de um estudo transversal realizado em 10 Instituições de longa permanência para idosos. Foram incluídos todos os idosos a partir de 60 anos que fossem capazes de deambular e que apresentassem bom nível cognitivo. Foram coletadas as medicações de uso contínuo e dados referentes à Instituição. Ao idoso, foi questionado se apresentou tontura no último ano. Para análise estatística, utilizou-se os testes do Qui-quadrado e Exato de Fisher para análise bivariada e regressão logística para análise múltipla stepwise forward, com nível de significância de 5%.
Resultados: dos 92 idosos avaliados, 35 afirmaram terem apresentado tontura nos últimos 12 meses (23,8%). Foram associados à tontura os antiepilépticos (p=0,034, RR= 2,26, IC95% 1,06-4,78), anti-trombóticos (p=0,008, RR= 0,21, IC95% 0,07-0,67) e diuréticos (p=0,024, RR= 2,29, IC95% 1,11-4,70), ajustados pelos psicolépticos.
Conclusão: a tontura nos idosos institucionalizados esteve associada ao uso crônico de anti-epilépticos e diuréticos.
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References
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Submitted date:
05/04/2017
Accepted date:
06/07/2017
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