Déprescription dans le contexte de l’hypertension [Deprescribing antihypertensive therapy]

Détails

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Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_5A2DC6BD14CF
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Déprescription dans le contexte de l’hypertension [Deprescribing antihypertensive therapy]
Périodique
Revue medicale suisse
Auteur⸱e⸱s
Tebib N., Wuerzner G.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
16/09/2020
Peer-reviewed
Oui
Volume
16
Numéro
706
Pages
1690-1692
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
With the rise of life-expectancy, the number of comorbidities can increase and lead to polypharmacy (≥ 5 drugs/day) and excessive polypharmacy (> 9 drugs/day). In order to define suitable therapeutic targets, it is essential to take into account the heterogeneity of this population which can be classified into 3 categories : robust, vulnerable or dependent. In this context, the concept of deprescription, which englobes the process of tapering or stopping drugs, aimed at improving patient outcomes, becomes an important therapeutic tool. In the context of hypertension, this approach seems to be a safe, provided that patients can benefit from regular monitoring. It must be considered in vulnerable and dependent patients or patients institutionalized in nursing homes. Although, scientific evidence slowly accumulates, its levels remain moderate. Finally, the deprescribing process, can also be applied in specifics situations in order to prevent adverse events, such as during a heat wave.
Mots-clé
Antihypertensive Agents/administration & dosage, Deprescriptions, Humans, Nursing Homes, Polypharmacy
Pubmed
Création de la notice
19/09/2020 12:34
Dernière modification de la notice
20/08/2022 7:10
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