Patient risk factors for developing a drug-related problem in a cardiology ward
Urbina Bengoa, Olatz (Hospital del Mar (Barcelona, Catalunya))
Ferrández, Olivia (Hospital del Mar (Barcelona, Catalunya))
Luque Pardos, Sònia (Hospital del Mar (Barcelona, Catalunya))
Grau, Santiago (Universitat Autònoma de Barcelona)
Mojal, Sergi (Institut Hospital del Mar d'Investigacions Mèdiques)
Pellicer, Rosa (Hospital del Mar (Barcelona, Catalunya))
Riu i Camps, Marta (Hospital del Mar (Barcelona, Catalunya))
Salas, Esther (Hospital del Mar (Barcelona, Catalunya))
Comín-Colet, Josep (Hospital del Mar (Barcelona, Catalunya))

Data:	2015
Resum:	Because of the high incidence of drug-related problems (DRPs) among hospitalized patients with cardiovascular diseases and their potential impact on morbidity and mortality, it is important to identify the most susceptible patients, who therefore require closer monitoring of drug therapy. To identify the profile of patients at higher risk of developing at least one DRP during hospitalization in a cardiology ward. We consecutively included all patients hospitalized in the cardiology ward of a teaching hospital in 2009. DRPs were identified through a computerized warning system designed by the pharmacy department and integrated into the electronic medical record. A total of 964 admissions were included, and at least one DRP was detected in 29. 8%. The variables associated with a higher risk of these events were polypharmacy (odds ratio [OR]=1. 228; 95% confidence interval [CI]=1. 153-1. 308), female sex (OR=1. 496; 95% CI=1. 026-2. 180), and first admission (OR=1. 494; 95% CI=1. 005-2. 221). Monitoring patients through a computerized warning system allowed the detection of at least one DRP in one-third of the patients. Knowledge of the risk factors for developing these problems in patients admitted to hospital for cardiovascular problems helps in identifying the most susceptible patients.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Cardiovascular diseases ; Patient safety ; Drug therapy monitoring ; Computerized provider order entry ; Clinical pharmacist ; Pharmacy warning system
Publicat a:	Therapeutics and Clinical Risk Management, Vol. 11 (2015) , p. 9-15, ISSN 1178-203X

DOI: 10.2147/TCRM.S71749
PMID: 25565852

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