<?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>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732023000500387</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v39i5.13518</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Polimedicação no idoso: perceção dos médicos de família (projeto de investigação)]]></article-title>
<article-title xml:lang="en"><![CDATA[Polymedication among elderly: family physicians&#8217; perception (research project)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Ângela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luís]]></surname>
<given-names><![CDATA[Joana Gonçalves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[Rosa Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Cávado I USF São Lourenço ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACeS Cávado I USF São Lourenço ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACeS Cávado I USF São Geraldo ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>10</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>5</numero>
<fpage>387</fpage>
<lpage>392</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732023000500387&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732023000500387&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732023000500387&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A polimedicação define-se pela utilização simultânea, apropriada ou não, de acordo com as comorbilidades de cada doente, de pelo menos cinco fármacos no mesmo utente. O médico de família (MF) deve identificar e combater, quando clinicamente apropriado, a polifarmácia.  Objetivos:  Identificar a prevalência de polimedicação e as principais classes farmacológicas potencialmente inapropriadas utilizadas nos utentes muito idosos inscritos na Unidade de Saúde Familiar participante e avaliar a perceção dos MF sobre esta realidade.  Método:  Estudo observacional transversal analítico na população dos inscritos com idade igual ou superior a 80 anos. Foram excluídos os utentes sem registos clínicos nos últimos três anos. Distribuiu-se um questionário aos MF para avaliar a sua perceção face à polimedicação no seu ficheiro. Os dados relativos à medicação utilizada pelos utentes foram obtidos dos programas SClínico® e PEM® e analisados no Excel®.  Resultados:  Incluíram-se 386 utentes com idade média de 85,6 anos, 62% do sexo feminino. 79,5% dos utentes estavam polimedicados, com uma média de 7,1±3,1 fármacos por utente. As estatinas corresponderam ao grupo farmacológico mais prescrito (64,2%) dos pesquisados, com as benzodiazepinas e os inibidores da bomba de protões a constituírem as classes potencialmente inapropriadas mais utilizadas em igual proporção (35%). Cinco MF aceitaram participar no estudo; três definiram corretamente polimedicação e evidenciaram perceção aproximada da realidade na respetiva lista de utentes. A percentagem de utilização de benzodiazepinas foi sobrestimada por quatro clínicos; a prescrição de anticoagulantes foi subestimada por três profissionais, contrariamente à utilização de antiagregantes e sulfuniloreias, sobrestimados em igual proporção.  Discussão/Conclusão:  Este estudo permitiu caracterizar o problema da polimedicação na unidade investigada, potenciando a consciencialização individual e da equipa para esta problemática, sendo que a prevalência se revelou superior à relatada noutros estudos. As investigadoras concluem que é imperativo desenvolver estratégias de combate à polimedicação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Polymedication is defined by the simultaneous use, appropriate or not, according to the comorbidities of each patient, of at least five drugs in the same person. The family physician (FP) should identify and combat, when clinically appropriate, polypharmacy.  Objectives:  To identify the prevalence of polymedication and the main potentially inappropriate pharmacological classes used in the elderly patients of the participating Family Health Unit and to evaluate the perception of FP about this reality.  Methods:  Analytical cross-sectional observational study in the population of patients aged 80 years or older. Patients without clinical records in the last three years were excluded. A questionnaire was distributed to FP to assess their perception of polymedication in their file. Data on the medication used by patients were obtained from SClinico® and PEM® software and analyzed in Excel®.  Results:  386 patients were included, with a mean age of 85.6 years, 62% female. 79.5% of the patients were polymedicated, with an average of 7.1±3.1 drugs per patient. Statins corresponded to the most prescribed pharmacological group (64.2%), with benzodiazepines and proton pump inhibitors (PPIs) being the most commonly used potentially inappropriate classes in equal proportion (35%). Five FPs agreed to participate in the study; three correctly defined polymedication and showed an approximate perception of the reality of their file. The percentage of benzodiazepine use was overestimated by four clinicians; the prescription of anticoagulants was underestimated by three professionals, contrary to the use of antiaggregants and sulfonyloreas, which were overestimated in equal proportion.  Discussion/Conclusion:  This study allowed us to characterize the problem of polymedication in the unit investigated, enhancing individual and team awareness about this problem. Polymedication prevalence was higher than that reported in other studies. The researchers conclude that it is imperative to develop strategies to combat polymedication.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Idoso]]></kwd>
<kwd lng="pt"><![CDATA[Polimedicação]]></kwd>
<kwd lng="pt"><![CDATA[Classes de fármacos potencialmente inapropriadas]]></kwd>
<kwd lng="en"><![CDATA[Elderly]]></kwd>
<kwd lng="en"><![CDATA[Polymedication]]></kwd>
<kwd lng="en"><![CDATA[Potentially inappropriate drug classes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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