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首页> 外文期刊>Therapeutics and Clinical Risk Management >Patient risk factors for developing a drug-related problem in a cardiology ward
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Patient risk factors for developing a drug-related problem in a cardiology ward

机译:在心脏病科病房中出现药物相关问题的患者危险因素

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Background: 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. Purpose: To identify the profile of patients at higher risk of developing at least one DRP during hospitalization in a cardiology ward. Method: 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. Results: 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). Conclusion: 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.
机译:背景:由于在住院的心血管疾病患者中药物相关问题(DRP)的发生率很高,并且它们可能对发病率和死亡率产生潜在影响,因此确定最易感的患者非常重要,因此需要对药物治疗进行更密切的监测。目的:确定在心脏病病房住院期间有较高风险发展出至少一种DRP的患者的概况。方法:我们连续纳入2009年教学医院心脏病病房中住院的所有患者。通过药房设计的计算机警告系统识别DRP,并将其整合到电子病历中。结果:共计入院964例,其中至少29.8%的DRP被检出。与这些事件的较高风险相关的变量是多药店(赔率[OR] = 1.228; 95%置信区间[CI] = 1.153-1.308),女性(OR = 1.496; 95%CI = 1.026-1.280),首次入院(OR = 1.494; 95%CI = 1.005–2.221)。结论:通过计算机警告系统对患者进行监测,可以在三分之一的患者中至少检测出一种DRP。对因心血管问题而入院的患者中出现这些问题的危险因素的了解有助于确定最易感的患者。

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