Polifarmácia em adultos atendidos na atenção primária à saúde de um município do interior do Rio Grande do Sul

Abstract

Objectives: To verify the prevalence of polypharmacy in adults treated at PHC, and identify the main sociodemographic, behavioral and health factors related with polypharmacy. Methodology: This is a cross-sectional study, carried out with adults, aged between 20 and 59 years, treated in Primary Health Care (PHC) in the city of Marau-RS. Data collection was carried out using electronic medical records, digitized using EpiData software, and statistical analyzes were carried out using PSPP software, both freely distributed. The project was approved by the Human Research Ethics Committee of the Federal University of Fronteira Sul (opinion no. 4,769,903). Results: Among the 1581 patients, 7.7% use polypharmacy, being more significant in the age group between 44 and 55 years old (17.0%; p<0.001), incomplete primary education (15.9%; p<0.001), unemployed (18.7%;p<0.001), obese (14.9%;p<0.001), hypertensive (27.8%;p<0.001), diabetics (46.5%;p<0.001), dyslipidemic (36.1%;p<0.001), with heart disease (39.3%;p<0.001), with stroke (60%;p<0.001) and acute myocardial infarction (50%;p<0.001).Conclusion: Polypharmacy was more prevalent in patients aged between 44 and 59 years, with chronic diseases, unemployed and with a low level of education