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Farmacia Hospitalaria
On-line version ISSN 2171-8695Print version ISSN 1130-6343
Abstract
GUERRO-PRADO, Marta; OLMO-REVUELTO, María Adelina and CATALA-PINDADO, Miguel Ángel. Prevalence of medication-related problems in complex chronic patients and opportunities for improvement. Farm Hosp. [online]. 2018, vol.42, n.5, pp.197-199. ISSN 2171-8695. https://dx.doi.org/10.7399/fh.10899.
Objective:
To estimate the prevalence of medication-related problems in patients treated in continuous care units and to identify the therapeutic areas in which these problems were more concentrated.
Method:
Observational descriptive prospective study. Review of clinical histories and outpatient treatment by a hospital pharmacist. Communicating medication-related problems detected to the responsible doctor. Analysis of the therapeutic areas in which the problems were most concentrated.
Results:
85 patients were reviewed, and 368 potential medication-related problems were identified. The areas with the most prevalent medication-related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication.
Conclusions:
Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.
Keywords : Primary Health Care; Continuity of patient care; Chronic disease; Comorbidity; Intermediate care; Medication-related problems.