POLA PENGGUNAAN OBAT ANTIHIPERTENSI PADA POPULASI GERIATRI DI RUMAH SAKIT UMUM

Atjo Neng Mira, Hardjo Marhaen, Soraya Gita Vita
https://doi.org/10.34011/juriskesbdg.v12i2.848

Article Sidebar

Issue
Vol. 12 No. 2 (2020): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Keywords:
    Hypertension, Geriatrics, JNC-8, Adherence Hipertensi, Geriatri, JNC-8, Kepatuhan, Hipertensi, Geriatri, JNC-8, Kepatuhan
pdf

Abstract

Hypertension is a major health problem in Indonesia and also in various countries in the world. Based on epidemiological research, it was found that as we get older, blood pressure also rises. Hypertension is a problem in geriatrics because it is a major cause of coronary heart disease. Objective: To assess patterns of antihypertensive drug use in the geriatric population and the adherence of antihypertensive regimes towards the JNC-8 hypertension treatment guidelines within the geriatric population. Methods: This is a cross-sectional observational study using retrospective data consisting of medical records of outpatient hypertension patients at the General hospital in Majene District, Indonesia. The sample analyzed was geriatric patients (≥ 60 years) with uncomplicated hypertension. This study was conducted between July and October 2019. Results: Of 196 patients, 80 (40.81%) were male and 116 (59.18%) were female. Most of the prescriptions were given as single therapy use (72.5%) and the rest as multiple therapy use consisted mostly of a combination of two drugs (27.5%). Diuretics with ACEi are the most used combination (14.3%), followed by CCB with ACEI (7.7%) and Potassium-sparing diuretics (3.1%), last CCB + ARB (2.6%). The percentage for stage 1 hypertension patients is 77% and 15.3% for stage 2. Conclusion: Treatment of hypertension in geriatric patients at the Majene District General Hospital is not fully in line with current JNC-8 guidelines.

Full text article

Generated from XML file

References

1. Charlesworth, C. J., Smit, E., Lee, D. S., Alramadhan, F., & Odden, M. C. Polypharmacy among adults aged 65 years and older in the United States: 1988–2010. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences.2015; 70(8), pp. 989-995
2. Cooney D, Pascuzzi K.Polypharmacy in the elderly: focus on drug interactions and adherence in hypertension. Clin Geriatri Med. 2009;25:222-33.
3. Daskalopoulou SS, Rabi DM, Zarnke KB, et al. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. Can J Cardiol. 2015;31:54968.
4. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. Evidence based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA.2014;311:507-20.
5. Jhaj R, Goel NK, Gautam CS, Hota D, Sangeeta B, Sood A, et al. Prescribing patterns and cost of antihypertensive drugs in an internal medicine clinic. Indian Heart J. 2001; 53:323-7.
6. Lee PK, Li RK, Chan JC, Chang S, Lee SC, Tomlinson B, et al. A prescription survey in a hospital hypertension outpatient clinic. Br J Clin Pharmacol. 1997; 44:577-82.
7. Munger MA. Polypharmacy and combination therapy in the management of hypertension in elderly patients with co-morbid diabetes mellitus. Drugs Aging. 2010; 27(11):871-83.
8. Niccoli, T., & Partridge, L. Ageing as a risk factor for disease. Current Biology.2012;22(17), pp. R741R752
9. Pai PG, Shenoy J, Sanji N. Prescribing patterns of antihypertensive drugs in a South Indian tertiary care hospital. Drug Invention Today. 2011; 3(4):38-40.
10. Sica, D. A., Carter, B., Cushman, W., & Hamm, L. Thiazide and loop diuretics. The journal of clinical hypertension.2011;13(9), 639-643.
11. Niccoli, Teresa; Partridge, Linda. Ageing As A Risk Factor For Disease. Current Biology, 2012, 22.17: R741-R752.
12. Charlesworth, Christina J., et al. Polypharmacy among adults aged 65 years and older in the United States: 1988–2010. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 2015, 70.8: 989-995.
13. Bennett, Heather, et al. The effectiveness of health coaching, home blood pressure monitoring, and home-titration in controlling hypertension among low-income patients: protocol for a randomized controlled trial. BMC public health, 2009, 9.1: 456.
14. Jessup, Mariell, et al. 2016 ESC and ACC/AHA/HFSA heart failure guideline update—what is new and why is it important?. Nature Reviews Cardiology, 2016, 13.10: 623.
15. Yancy, Clyde W., et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 2013, 62.16: e147-e239.
16. American Geriatrics Society 2015 Beers Criteria Update Expert Panel, et al. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 2015, 63.11: 2227-2246.
17. Romday, Rakesh; Gupta, Ajay Kumar; Bhambani, Pawan. An assessment of antihypertensive drug prescription patterns and adherence to Joint National Committee-8 hypertension treatment guidelines among hypertensive patients attending a tertiary care teaching hospital. Int J Res Med Sci, 2016, 4.12: 5125-5133.

Authors

Atjo Neng Mira
Hasanuddin University
nengmiraatjo85@gmail.com (Primary Contact)
Hardjo Marhaen
Nursing Study Program, Faculty of Health Sciences, Sulawesi Barat University, Indonesia
Soraya Gita Vita
Department of Biochemistry, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Mira, A. N., Marhaen, H., & Vita, S. G. (2020). POLA PENGGUNAAN OBAT ANTIHIPERTENSI PADA POPULASI GERIATRI DI RUMAH SAKIT UMUM. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, 12(2), 262-268. https://doi.org/10.34011/juriskesbdg.v12i2.848 (Original work published December 26, 2020)
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

Article Details