PREVALENT CHRONIC DISEASES AND IMPLEMENTED PHARMACOLOGICAL TREATMENTS IN A HEALTH CENTER OF MENDOZA

WALTER MANUCHA; MATILDE FELDBERG; VIVIANA PALOMO; CLAUDIA CALDERÓN

Mendoza

Congreso; XXXIV Reunión Científica Anual de la Sociedad de Biología de Cuyo; 2016

Sociedad de Biología de Cuyo

The purpose was to determine the prevalence of chronic diseases, mainly hypertension (H) and analyze the drugs prescribed at the Health Center of Mendoza (HC). A descriptive, cross-sectional and retrospective study was conducted in June-2015. Data of medical consultations and pharmacy records were collected. Formulary of Sanitary Area, Health Ministry biostatistics, and ICD-10 and ATC classifications were used. DDD/patient/day were calculated. Inclusion criteria: outpatient, >15 years with chronic conditions, treated at HC. Results as %: 700 patients were examined: women (F) 59, men (M) 41. Main age group: 50-69 years (60%). Specialists: generalists 48, diabetologist 28, psychiatrist 16, cardiologists 7. Pathologies: anxiety 35, H 32, DM1 29, DM2 18, hyperlipidemia 11. H: Prevalence: for the total 13, in chronic patients 32. Sex: F 52, M 48. Main age range: 50-69 years 71. Comorbidities: DM1 23, anxiety 22, DM2 12 hyperlipidemia 8. Drug number (D): 1D (31), 2D (39), 3D (15), 4D (11); average: 2.5D/patient. D: enalapril (E) and losartan (L) 28, insulin (I) 23, metformin (M) 20, amlodipine (Am) and atorvastatin (At) 19; clonazepam (C) and spironolactone (S) 11, ranitidine (R) 8; D en combination: E+M (9); E+At, L+At and L+S (5), E+M+I and E+R (4). DDD/1000 patient/day: L: 480, Am: 479, E: 469, M 157 and At 111. The largest proportion of H was found in males and in the age group increased cardiovascular risk. H associated with DM1 and anxiety were prevalent, and the most prescribed drugs were specific for them. The found profiles might be consequence of that HC is the unique of the Sanitary Area that have psychiatric and diabetologic ambulatory attention. It is necessary to reduce the prevalence of these diseases that increase morbidity and mortality, strengthen the acquisition of healthy habits and promote appropriate use of medicines.