التفاصيل البيبلوغرافية
| العنوان: |
Treatment of insomnia in primary care services in the southern region of Bogotá. 2019-2021 ; Manejo del insomnio en los servicios de atención primaria de la región sur de Bogotá. 2019-2021 |
| المؤلفون: |
Perez-Perdomo, Johann Esteban, Aponte-González, Johanna, Melo-Villamizar, Junior Andretti |
| المصدر: |
Revista de la Facultad de Medicina; Vol. 72 No. 2 (2024); e108929 ; Revista de la Facultad de Medicina; Vol. 72 Núm. 2 (2024); e108929 ; Revista de la Facultad de Medicina; v. 72 n. 2 (2024); e108929 ; 2357-3848 ; 0120-0011 |
| بيانات النشر: |
Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina |
| سنة النشر: |
2024 |
| المجموعة: |
Universidad Nacional de Colombia: Portal de Revistas UN |
| مصطلحات موضوعية: |
Sleep Initiation and Maintenance Disorders, Cognitive Behavioral Therapy, Hypnotics and Sedatives, Benzodiazepines, sleep, Pharmacoepidemiology, Trastornos del inicio y del mantenimiento del sueño, Terapia cognitivo-conductual, Hipnóticos y sedantes, Benzodiacepinas, Alteraciones del sueño, Farmacoepidemiología, adultos |
| الوصف: |
Introduction: Insomnia is a prevalent sleep disorder in Colombia. Its treatment is challenging since there are no clinical practice guidelines (CPG) developed or adapted for the country. Objective: To evaluate the treatment of insomnia in primary care services in the southern region of Bogotá between 2019 and 2021. Materials and methods: Analytical cross-sectional study conducted using data from 247 adults with insomnia treated in the outpatient service of the primary health care centers of the Subred Sur E.S.E. of Bogotá, Colombia (southern region), between 2019 and 2021. The treatment was classified as adequate, partially adequate and inadequate following adherence to the recommendations of the European and American CPGs for the treatment of insomnia. Univariate and multivariate logistic regressions were performed to establish the correlation between receiving pharmacological prescription for insomnia and age, sex, and history of mental illness. Results: Among the patients, 70.04% were women and 48.18% were between 29 and 59 years of age. Regarding insomnia treatment, 14.17%, 17.40% and 68.42% received adequate, partially adequate and inadequate treatment, respectively. Furthermore, 14.17% (95%CI: 9.54-18.80) were referred to psychiatric or psychological therapy, while 40.48% (95%CI: 32.8-48.2) were prescribed a drug to treat insomnia; however, none of the prescribed drugs were included in the reference CPGs. The most commonly prescribed drugs were trazodone (45.45%; 95%CI: 36.7-55.5) and amitriptyline (35%; 95%CI: 24.9-45.1), and a slight correlation was found between receiving pharmacological treatment and age (univariate: OR: 1.02; p=0.017; multivariate: OR: 1.02; p=0.021). Conclusions: The treatment for insomnia was inadequate in most patients, as few were referred to psychiatric or psychological therapy, while none of the drugs prescribed for pharmacological treatment were recommended by the reference CPGs for the treatment of this sleep disorder. ; Introducción. El insomnio es un trastorno del sueño ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf; text/html |
| اللغة: |
English |
| Relation: |
https://revistas.unal.edu.co/index.php/revfacmed/article/view/108929/93124; https://revistas.unal.edu.co/index.php/revfacmed/article/view/108929/93125; https://revistas.unal.edu.co/index.php/revfacmed/article/view/108929 |
| الاتاحة: |
https://revistas.unal.edu.co/index.php/revfacmed/article/view/108929 |
| Rights: |
Derechos de autor 2024 Revista de la Facultad de Medicina ; http://creativecommons.org/licenses/by/3.0/ |
| رقم الانضمام: |
edsbas.5545BF37 |
| قاعدة البيانات: |
BASE |