Hospitalisation Resulting from Medicine-Related Problems in Adult Patients with Cardiovascular Diseases and Diabetes in the United Kingdom and Saudi Arabia
| Autor: | Abdullah Al Hamid, Zoe Aslanpour, Maisoon Ghaleb, Hisham Aljadhey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Health Toxicology and Mutagenesis lcsh:Medicine Comorbidity 0302 clinical medicine Risk Factors Insulin Medicine 030212 general & internal medicine Aged 80 and over adverse drug reactions diabetes 030503 health policy & services Medical record Middle Aged cardiovascular diseases prevalence medicine-related problems hospitalisation treatment effectiveness polypharmacy Hospitalization Female 0305 other medical science Adult medicine.medical_specialty Drug-Related Side Effects and Adverse Reactions Saudi Arabia Article 03 medical and health sciences Diabetes mellitus Diabetes Mellitus Humans Medical prescription Intensive care medicine Antihypertensive Agents Aged Retrospective Studies Polypharmacy Adult patients business.industry lcsh:R Public Health Environmental and Occupational Health Retrospective cohort study medicine.disease United Kingdom Pharmaceutical care business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 13, Iss 5, p 479 (2016) International Journal of Environmental Research and Public Health; Volume 13; Issue 5; Pages: 479 International Journal of Environmental Research and Public Health |
| ISSN: | 1660-4601 |
| Popis: | Cardiovascular diseases (CVDs) and diabetes (DM) are two interrelated conditions that have a heavy morbidity and mortality burden worldwide. Patients with the two conditions usually take multiple medicines and thus are more susceptible to medicine-related problems (MRPs). MRPs can occur at any stage of the treatment process and in many cases can lead to unplanned hospitalisations. The aim of the study was to determine the prevalence of hospitalisation resulting from MRPs in adult patients with CVDs and/or DM and to identify the main causes, risk factors, and medicine classes involved. A retrospective study included 300 adult patients from two hospitals, one in the United Kingdom and one in Saudi Arabia. To identify MRPs, medical records were reviewed for demographic data, clinical data, laboratory assay, and prescription records. A total of 197 (65.7%) patients had MRPs, of which less than 10% were severe. The main problems were lack of treatment effectiveness and adverse drug reactions. Moreover, polypharmacy and patient non-adherence were the main risk factors contributing to MRPs. The main medicine classes associated with MRPs were insulin and antihypertensive medicines. Further research should address the pharmaceutical care processes employed in treating CVDs and DM, and to empower patients/healthcare providers in tackling MRPs. |
| Databáze: | OpenAIRE |
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