Causes of drug-related problems in the emergency room of a hospital in southern Brazil

被引：26

作者：

Andreazza, Roberta Simone ^{[1
]}

De Castro, Mauro Silveira ^{[1
]}

Koeche, Patricia Sippel ^{[1
]}

Heineck, Isabela ^{[1
]}

机构：

[1] Univ Fed Rio Grande do Sul, Sch Pharm, Porto Alegre, RS, Brazil

来源：

GACETA SANITARIA | 2011年 / 25卷 / 06期

关键词：

Drug-related problem; Emergency room service; Drug utilization; Adverse drug reaction; Pharmaceutical care; RISK; CARE;

D O I：

10.1016/j.gaceta.2011.05.016

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To assess the frequency and types of drug-related problems (DRPs) in patients seeking emergency care in a teaching hospital in southern Brazil and to identify the possible causes and drugs involved in these problems. Method: A cross-sectional study was performed, using a structured questionnaire for data collection. Multivariate logistic regression was used to control for possible confounding factors and to establish an independent association between the presence of DRPs and the amount of medication, patient's age and their educational level. Results: A total of 350 patients were interviewed. The frequency of DRPs was 31.6%. Quantitative ineffectiveness was observed in 30.9% of DRPs and the main cause of the DRP was an inadequate dosing regimen. Sixty-six DRPs (53.7%) were caused by the health system or the health professionals. Factors independently influencing the development of DRPs were educational level and the number of drugs being taken. Conclusions: Our data suggest that one-third of the patients attending the emergency room of our hospital had a drug-related problem, highlighting the importance of considering drugs as a possible cause of health problems and the need for their more rational use. (C) 2011 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.

引用

页码：501 / 506

页数：6

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