Drug-Related Problems in Elderly Patients Attended to by Emergency Services

被引:0
|
作者
Ruiz-Ramos, Jesus [1 ,2 ,3 ]
Plaza-Diaz, Adrian [1 ,2 ,3 ]
Roure-i-Nuez, Cristina [4 ]
Fernandez-Morato, Jordi [4 ]
Gonzalez-Bueno, Javier [5 ,6 ]
Barrera-Puigdollers, Maria Teresa [5 ]
Garcia-Pelaez, Milagros [7 ]
Rudi-Sola, Nuria [7 ]
Blazquez-Andion, Marta [3 ,8 ]
San-Martin-Paniello, Carla [9 ]
Sampol-Mayol, Caterina [9 ]
Juanes-Borrego, Ana [1 ,3 ]
Vogiatzis, Ioannis
机构
[1] Hosp Santa Creu & Sant Pau, Pharm Dept, Barcelona 08025, Spain
[2] Univ Autonoma Barcelona, Dept Med, Barcelona 08193, Spain
[3] Inst Recerca St Pau IR St PAU, Barcelona 08041, Spain
[4] Consorci Sanitaria Terrassa, Pharm Dept, Terrassa 08227, Spain
[5] Hosp Dos Maig Consorci Sanitari Integral, Pharm Dept, Barcelona 08025, Spain
[6] Univ Vic, Cent Univ Catalonia, Cent Catalonia Chron Res Grp C3RG, Vic 08500, Spain
[7] Hosp Gen Granollers, Pharm Dept, Granollers 08402, Spain
[8] Hosp Santa Creu & Sant Pau, Emergency Dept, Barcelona 08025, Spain
[9] Hosp Santa Creu & Sant Pau, Strategy & Innovat Off Mes St Pau, Barcelona 08025, Spain
关键词
elderly; polypharmacy; emergency care; adverse events; CLINICAL DECISION-SUPPORT; ENGINEERED DISCHARGE RED; HOSPITAL READMISSIONS; DEPARTMENT VISITS; EVENTS; PHARMACIST; PREVALENCE; IMPACT; IMPLEMENTATION; INTERVENTION;
D O I
10.3390/jcm13010003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The progressive aging and comorbidities of the population have led to an increase in the number of patients with polypharmacy attended to in the emergency department. Drug-related problems (DRPs) have become a major cause of admission to these units, as well as a high rate of short-term readmissions. Anticoagulants, antibiotics, antidiabetics, and opioids have been shown to be the most common drugs involved in this issue. Inappropriate polypharmacy has been pointed out as one of the major causes of these emergency visits. Different ways of conducting chronic medication reviews at discharge, primary care coordination, and phone contact with patients at discharge have been shown to reduce new hospitalizations and new emergency room visits due to DRPs, and they are key elements for improving the quality of care provided by emergency services.
引用
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页数:12
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