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Revista de la OFIL

On-line version ISSN 1699-714XPrint version ISSN 1131-9429

Abstract

SCOLARI, MJ; PRIMERANO, FA  and  JAUREGUIBERRY, PC. Development of a structured tool and scoring system to detect clinical patients with a high need for exhaustive pharmacotherapeutic follow-up: initial presentation. Rev. OFIL·ILAPHAR [online]. 2022, vol.32, n.1, pp.51-56.  Epub Nov 21, 2022. ISSN 1699-714X.  https://dx.doi.org/10.4321/s1699-714x2022000100009.

Objetives:

Analyze and validate the results obtained with a tool for the selection of clinical patients with a high need for exhaustive pharmacotherapeutic follow-up. Present and evaluate a scoring system based on predisposing factors.

Methods:

Prospective, cross-sectional, observational and monocentric study. The results of the tool were analyzed and validated, based on the data extracted from the patient's admission medical history. Demographic data were collected and the percentage of tool selection, length of stay, readmissions, and death of the included patients were calculated. A scoring system was constructed based on the adds ratio of the variables sex, age and type of hospital admission.

Results:

The tool divides patients with high and low need for exhaustive pharmacotherapeutic follow-up equally. It was observed that the age of patients in the first group, as well as their stay, number of readmissions, and death events, were significantly higher compared to the low need group. Advanced age, male sex, and clinical admission would be predisposing factors, in the study sample, for exhaustive pharmacotherapeutic follow-up.

Conclusions:

The proposed tool proved to have clinical and operational potential to be implemented. A scoring system was built with the corresponding weights for the variables male sex, advanced age and clinical admission, which showed results similar to the tool ones.

Keywords : Pharmacotherapeutic follow-up; clinical patient; clinical pharmacy; predisposing factors; algorithm.

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