<?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>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2023000200002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La polifarmacia como detección del paciente de alto riesgo mayor de 65 años en urgencias]]></article-title>
<article-title xml:lang="en"><![CDATA[The polypharmacy as screening of high-risk elderly patient in emergency services]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobedo-Romero]]></surname>
<given-names><![CDATA[Rosario Leyre]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Izquierdo-Fernández]]></surname>
<given-names><![CDATA[María Natividad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Navarra Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Pamplona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de Navarra Servicio de Urgencias Hospitalarias ]]></institution>
<addr-line><![CDATA[Pamplona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>91</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2023000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2023000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2023000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivos: La polifarmacia es un concepto ampliamente utilizado en la práctica clínica. Sin embargo, no existe unanimidad en el punto de corte. De lo que sí hay evidencia es que a mayor número de medicamentos los pacientes pueden presentar mayor número de eventos adversos y menor adherencia terapéutica. El objetivo de este estudio es analizar la relación entre la polifarmacia -entendida como 10 medicamentos o más- en los pacientes mayores de 65 años atendidos en urgencias y la mortalidad, la hospitalización y la readmisión en urgencias.  Metodología: Estudio descriptivo retrospectivo de 591 pacientes, en el que se realiza estadística univariante, bivariante y multivariante estableciendo una p &lt; 0,05.  Resultados: Se encontró asociación estadísticamente significativa entre la polifarmacia y la mortalidad y la hospitalización tanto a 3, 6 como a 9 meses. También se encontró asociación con la readmisión en urgencias a los 6 y los 9 meses. De estas asociaciones, los datos fueron de forma especial clínicamente relevantes en la asociación entre la polifarmacia y la mortalidad, tanto a corto como a medio plazo. Los pacientes con polifarmacia tuvieron 1,66 (1,12-2,44) veces más riesgo que los pacientes sin polifarmacia.  Conclusiones: La polifarmacia, entendida como 10 o más fármacos, es un óptimo punto de corte para detectar a pacientes mayores de 65 años de alto riesgo en urgencias. La selección de estos pacientes puede ayudar al clínico a tomar decisiones, a optimizar el tratamiento y a la inclusión en programas específicos para estos pacientes de alto riesgo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives: Polypharmacy is a widely used concept in clinical practice. However, there are a lot of cut point in literature. There are a lot of evidence about the fact of a greater number of medications, patients may present a greater number of adverse events and less therapeutic adherence. The objective of this study is to analyze association between polypharmacy -as 10 medications or more- in elderly patients (&gt; 65 years) attended in the emergency department (ED), with mortality, hospitalization and readmission in ED.  Methodology: Retrospective descriptive study of 591 patients in which univariate, bivariate and multivariate statistics were performed, establishing a p &lt; 0.05.  Results: There are significant association between polypharmacy and mortality and hospitalization at 3, 6 and 9 months. There are association with readmission to ED at 6 and 9 months too. These data are clinically relevant in the association between polypharmacy and mortality, both short and medium term. Patients with polypharmacy obtained 1.66 (1.12, 2.44) times more risk than patients without polypharmacy.  Conclusions: Polypharmacy, as 10 or more drugs, is an optimal cut-off point to detect high-risk patients over 65 years old in ED. The selection of these patients could help to make decisions in the clinical practice, optimize treatment and promote the inclusion of this patients in high-risk specific programs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Anciano frágil]]></kwd>
<kwd lng="es"><![CDATA[servicios médicos de urgencia]]></kwd>
<kwd lng="es"><![CDATA[polifarmacia]]></kwd>
<kwd lng="en"><![CDATA[Frail elderly]]></kwd>
<kwd lng="en"><![CDATA[emergency medical services]]></kwd>
<kwd lng="en"><![CDATA[polypharmacy]]></kwd>
</kwd-group>
</article-meta>
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