Potential Drug-Drug Interactions in Critically Ill Medical Patients: A Cross-Sectional Study

Autor: Elham Hosseini, Lida Shojaei, Hassanali Karimpour, Foroud Shahbazi
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Pharmaceutical Care, Vol 6, Iss 3-4 (2019)
Druh dokumentu: article
ISSN: 2322-4630
2322-4509
Popis: Background: Drug interaction commonly occurred in critically ill patients and may increase hospital lengths of stay and total cost. The aim of the present study is to evaluate potential drug-drug interaction in critically ill patients. Methods: In this cross-sectional study, medical records of critically ill patients admitted to the 16-bed intensive-care units of a teaching hospital were assessed according to the Micromedex® drug interaction and drug interaction fact®. The identified drug-drug interactions were categorized by level of severity. The agreement between two resources was assessed. Results: Our survey found 915 and 564 paired DDIs according to the Micromedex® and drug interaction fact®, respectively, amongst 120 patients. The prevalence of potential DDIs (pDDIs) was 87.7% and 91.7% with drug interaction Fact® and Micromedex®, respectively. Approximately, 80% of recruited patients, had at least three pDDIs based on Micromedex®. A significant moderate agreement between two drug interaction compendia was reported. (kappa= 0.41, 95% CI: 0.167-0.649, p
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