Drug-Related Emergency Department Visits in an Elderly Veteran Population
| Autor: | Donald Schreiber, Jennie L Yee, Noelle K Hasson |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Drug medicine.medical_specialty Pediatrics Drug-Related Side Effects and Adverse Reactions Substance-Related Disorders media_common.quotation_subject Population Drug Prescriptions Health care Ambulatory Care medicine Humans Pharmacology (medical) Treatment Failure education Veterans Affairs Aged Retrospective Studies Veterans media_common education.field_of_study business.industry Incidence (epidemiology) Public health Emergency department Middle Aged medicine.disease Hospitalization Pharmaceutical Preparations Emergency medicine Costs and Cost Analysis Patient Compliance Female Drug Overdose Emergency Service Hospital business Adverse drug reaction |
| Zdroj: | Annals of Pharmacotherapy. 39:1990-1995 |
| ISSN: | 1542-6270 1060-0280 |
| DOI: | 10.1345/aph.1e541 |
| Popis: | BACKGROUND Given that adverse drug events result in extensive costs and healthcare resource utilization, the goal is to better understand drug-related emergency department (ED) visits so that programs can be implemented to improve the quality of health care. OBJECTIVE To (1) determine the incidence of drug-related ED visits at a large, tertiary care, Veterans Affairs hospital; (2) identify causes of these drug-related ED visits; (3) determine patient outcomes, healthcare resource utilization, and costs associated with these visits; and (4) determine the proportion of adverse drug reaction (ADR)–related ED visits that were spontaneously reported to the hospital's ADR reporting program. METHODS We conducted a retrospective electronic chart review of all patients who visited the ED during the second week of each month in 2003. Causes for drug-related visits were identified. ADRs in this study included side effects, drug allergies, and drug–drug interactions (DDIs) and were assessed using the Naranjo probability scale. RESULTS A total of 2169 patients were included in the study. Drug-related visits accounted for 12.6% of all ED visits. The main causes of drug-related visits were ADRs and nonadherence, which accounted for 33% and 19% of drug-related visits, respectively. Only 11% of these ADRs were spontaneously reported to the hospital's ADR reporting program. Thirty-five percent of drug-related visits led to hospitalizations, which resulted in an average length of stay of 9.3 days. The institution's total cost of drug-related visits was approximately $1.5 million over 12 weeks. CONCLUSIONS Many ED visits are drug related and often result in hospitalization and increased healthcare resource utilization. Only a minimal number of the ADRs resulting in ED visits are spontaneously reported to hospital ADR reporting programs. |
| Databáze: | OpenAIRE |
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