Problemas relacionados con los medicamentos en el área de observación de urgencias de un hospital de tercer nivel

Torres-Murillo, J M; Campos-Pérez, M A; Gómez del Río, S; Calleja-Hernández, M A

doi:10.1016/S1130-6343(06)73970-8

Farmacia Hospitalaria

ISSN: 1130-6343

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Web of Science, MEDLINE, Scopus, Scimago Journal and Country Rank (SJR), CINHAL, EMBASE, Índice Bibliográfico Español en Ciencias de la Salud (IBECS), Índice Español de Ciencia Y Tecnología (ICyT), Índice Médico Español (IME), International Pharmaceutical Abstracts (IPA), DOAJ, Dialnet, Latindex, Medes, Scientific Electronic Library Online (SciELO), REDIB.

Objetivo: Describir los problemas relacionados con los medicamentos en pacientes ingresados en el área de observación de urgencias y evitabilidad. Método: Estudio descriptivo transversal, aleatorizado en el área de observación del servicio de urgencias general de un hospital de tercer nivel durante 3 meses en 125 pacientes para detectar problemas relacionados con los medicamentos (PRM). Se usó el método Dáder adaptado a hospital. Resultados: Se obtuvo un promedio de 0,94 PRM por paciente. Los PRM principales (PRMp) supusieron el 50% del total de PRM. El 69,50% de los PRM fueron evitables. El 44% moderados, 38% leves y 18%, resultaron graves. El 54,4% de los pacientes estudiados ingresaron, de los cuales el 25% fueron originados por un PRMp, esto equivale al 50% de todos los pacientes con PRMp. Conclusiones: Una parte importante de los pacientes que ingresan en el área de observación lo hace como consecuencia de un PRM.

Palabras clave:

Atención Farmacéutica

Problemas relacionados con medicamentos

Observación

Urgencias

Objective: The therapeutic armamentarium of developed countries has experienced a great advance; however, increased drug therapy not only provides benefits, as the inappropriate use of drugs results in relevant consequences for patients. Method: A 3-month, descriptive, cross-sectional, randomized study in 125 patients seen at the emergency department observation area of a third-level hospital to identify drug-related problems (DRPs). A hospital adaptation of Dader's method was used. Results: A mean of 0.94 DRPs per patient was obtained. Major DRPs (mDRPs) represented 50% of all DRPs; 69.50% of DRPs were avoidable; 44% were moderate, 38% mild, and 18% serious; 54.4% of patients were admitted to hospital, which originated in a mDRP in 25% of cases - this represents 50% of all patients with a mDRP. Conclusions: A significant portion of patients admitted to the observation area present there as a result of a DRP.

Keywords:

Pharmaceutical care

Drug-related problems

Observation

Emergency room

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