Carga Anticolinérgica em Idosos Hospitalizados com Quedas Intrahospitalares: Um Estudo Transversal
DOI:
https://doi.org/10.36489/saudecoletiva.2025v16i101p17468-17487Palavras-chave:
carga anticolinérgica, escala anticolinérgica, idosos, quedasResumo
Objetivo: Analisar a carga anticolinérgica em idosos hospitalizados que sofreram quedas, relacionando-a a idade, sexo, polifarmácia e tempo de internação. É um dos primeiros estudos a acompanhar a carga em quatro momentos da hospitalização. Métodos: Estudo retrospectivo e transversal em hospital universitário do sul do Brasil. Foram revisados prontuários de pacientes ≥60 anos com quedas entre janeiro/2023 e janeiro/2024. A carga foi calculada pela Escala Brasileira de Atividade Anticolinérgica em quatro momentos: antes da internação, no primeiro dia, um dia antes e no dia da queda. Resultados: Identificaram-se 37 quedas em 32 pacientes (mediana: 68 anos; 71,9% homens). Conciliação medicamentosa ocorreu em 90,6% dos casos. Uso prévio de fármacos crônicos foi de 78,1%, e 40,6% tinham polifarmácia. Houve aumento significativo da carga, associado à idade e ao tempo de internação. Conclusão: O aumento progressivo da carga reforça a importância da revisão farmacoterapêutica e da desprescrição.
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