Pharmacist Impact in a Post Neuro Intensive Care Virtual Clinic (PREVAIL).

Autor:	Conroy GM; Department of Pharmacy, Cleveland Clinic, Cleveland, OH, USA., Marut DM; Department of Pharmacy, Cleveland Clinic, Cleveland, OH, USA., Gomes JA; Cereberovascular Center, Cleveland Clinic, Cleveland, OH, USA., Street S; Cereberovascular Center, Cleveland Clinic, Cleveland, OH, USA., Idoine J; Select Medical, Cleveland, OH, USA., Ahrens C; Department of Pharmacy, Cleveland Clinic, Cleveland, OH, USA.
Jazyk:	angličtina
Zdroj:	Journal of pharmacy practice [J Pharm Pract] 2024 Dec 13, pp. 8971900241308624. Date of Electronic Publication: 2024 Dec 13.
DOI:	10.1177/08971900241308624
Abstrakt:	Background: Traditional Post-Intensive Care Recovery Clinics (PIRCs) often exclude neurocritical care patients. In 2020, a multidisciplinary team started Post Neuro Intensive Care Virtual Clinic (PREVAIL) that uses telemedicine to provide consultative care for patients with a primary neurologic injury who are at risk for post-intensive care syndrome. During clinic, critical care pharmacists perform medication reconciliations and provide drug therapy recommendations. Objectives: The objective of this observational review is to describe the pharmacists' interventions and role in a novel PIRC. Methods: A retrospective, observational review was conducted for patients who were seen in PREVAIL from December 2020 to January 2022. The pharmacist completed a medication reconciliation and provided drug therapy recommendations. Results: Amongst fifty-two PREVAIL patients, the most common neurologic diagnosis was intracerebral hemorrhage, seizures, and acute ischemic stroke. All patients were mechanically ventilated during their ICU stay, with a median ICU length of stay of 17 days [IQR 10-26]. After medication reconciliation, 93% of patients required adjustments to their medication list. After patient examination, 89% of patients required a drug therapy recommendation, with a median of three interventions per patient. Various medication classes were intervened on, most frequently antipsychotics, anti-seizure medications, antihypertensives, anticoagulants, neuromodulators, and antidepressants. Conclusion: This is the first study to evaluate pharmacist contributions at a consultative telemedicine PIRC that focuses on providing care for patients with a primary neurologic injury. PREVAIL pharmacists have a crucial role in the multidisciplinary team. Future research is required to determine the pharmacist's impact on clinical outcomes. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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