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Biomedical subjects

M González Solanellas

Publications and source records attributed to M González Solanellas.

6 recordsLinked to original sources
PubMed2000

[Home chronic illness and consumption of psychopharmaceuticals].

OBJECTIVE: To assess the consumption of psychiatric drugs by chronic homebound patients. DESIGN: Descriptive, longitudinal study. SETTING: Raval Nord Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS: All 243 chronically ill homebound patients registered on the home care programme in May 1996. After three years 16% had gone into a home, 9% had moved residence, 38% had died, and 37% remained active. MEASUREMENTS AND MAIN RESULTS: Of the 90 patients still active, 40% took some psychiatric drug in May 1999. 8% of the patients who said they had taken psychiatric drugs did so by self-medication. The most commonly consumed pharmacological group of the psychiatric drugs were benzodiazepines at 64%. Women took more psychiatric drugs (45%), as did persons living alone or who had been bereaved (50%). The proportion of patients taking psychiatric drugs was greater when there was worse autonomy according to the Katz index (67%), a cognitive deficit on the Short Portable Mental Status Questionnaire (SPMSQ) of Pfeiffer (62%), and in the presence of comorbidity (56%) (p < 0.01). CONCLUSIONS: There is high consumption of psychiatric drugs by chronic homebound patients, especially when there is physical-cognitive deterioration and presence of comorbidity.

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PubMed2000

[Home care of patients with chronic disease: full physical and cognitive assessment and falls over 3 years of follow-up].

OBJECTIVE: To assess the physical and cognitive capacity of chronically ill homebound patients, and the falls they suffered during three years of monitoring. DESIGN: Descriptive, longitudinal study. SETTING: "Raval Nord" Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS: All the 243 homebound chronic patients registered in the home care programme in May 1996 (67% women, average age 84). MEASUREMENTS AND MAIN RESULTS: After three years 16% had gone into an old people's home, 9% had moved house and 38% had died. The probability of not continuing in the programme after three years monitoring was related to less autonomy, presence of comorbidity, and worse cognitive capacity (p < 0.05). Of the 90 patients (37%) who remained active in May 1999, 41% showed disorders on the Short Portable Mental Status Questionnaire (SPMSQ), with a significant relationship to greater age, less autonomy and the presence of comorbidity. Numerous alterations in analysis (21.6%) and linked illnesses (18.9%) were found in the patients with cognitive deterioration. 42% of the patients active in May 99 had fallen during the monitoring period. 10% of the falls involved fractures. The number of falls was higher when there was visual-auditory loss, consumption of psychiatric drugs or absence of use of orthopaedic aids. There was also a greater probability of falls in patients who only had a part-time carer (p < 0.05). CONCLUSIONS: It is important to assess the autonomy, cognitive capacity and comorbidity of home-bound chronic patients when monitoring them. Likewise, cognitive disorders and falls must be properly weighed, as they are common in this class of patient.

Accidental Falls↗
PubMed1997

[The computerized repeat prescription. The follow-up of drug consumption and of authorized medication cards over the first 3 years].

OBJECTIVE: To find the characteristics of the quantitative data and their evolution from June 1993 to June 1996 concerning our system of computerised repeat prescriptions (CRP). DESIGN: A population-based, longitudinal and observational study. SETTING: Raval Nord Primary Care District, Barcelona. PARTICIPANTS: All the authorized medication cards (AMC) from the first, second and third years, collected in dBASE-IV. MEASUREMENTS AND MAIN RESULTS: Overall number of AMC, for pensioners and workers, total number of medicines, mean medicines per AMC, mean attendance of patients by days and mean counterfoils per doctor per month. Sex and age in 1996. The overall number of AMC fell from 3,432 to 3,129. Users attended the CRP service every 68.44 days, which did not change. Overall medicines fell from 12,392 to 11,108. Mean medicines per AMC fell from 3.61 to 3.55. Mean counterfoils per doctor per month fell for pensioners from 18.20 to 14.45, and for workers from 2.00 to 1.63. CONCLUSIONS: There was a steady fall in all the indicators under study. The profile of the user with an AMC is a woman, pensioner, 65 or over, using the CRP service every two months, with 3.5 authorized medicines per year and receiving steadily less prescriptions.

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