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[Health related problems as cause of visits to hospital emergency departments]
M Isabel Baena Parejo1, M José Faus Dáder, Rosario Marín Iglesias
1Hospital Universitario San Cecilio de Granada, Universidad de Granada, Granada, Spain. i.baena@vodafone.es
Background And Objective:
Medication-related problems (MRPs) are health problems resulting from patient pharmacotherapy failure that interfere with the expected outcome in the patient's health status. The aim of this study was to discover the health problems associated with the appearance of MRPs.
Patients And Method:
Patient interviews, together with the assessment of medical records were the sources of information used in the assessment and identification of MRPs. A validated questionnaire was used for the interviews; in order to classify the health problems found, the ICD-9 was used.
Results:
2,556 patients were interviewed over a period of one year at a hospital emergency department. 2,261 of these cases were valid. Osteoarticular diseases, poorly defined signs and symptoms of illness, injuries and intoxications were the disorders most commonly associated with the appearance of MRPs. MRPs of necessity and effectiveness had a similar profile. MRPs of safety were more commonly associated with poorly defined signs and symptoms of illness, injuries and intoxications, as well as nervous, digestive and blood problems.
Conclusions:
Most frequent medication related health problems causing visits to hospital emergency departments were osteoarticular disorders, followed by poorly defined signs and symptoms of illness. Differences were observed in the diagnoses between the different dimensions and types of MRP.
Insights
Medication-related problems (MRPs) frequently lead to emergency department visits, often linked to osteoarticular diseases or undefined symptoms. Understanding these health issues is crucial for improving patient pharmacotherapy outcomes.
Area of Science:
- Pharmacotherapy
- Clinical Pharmacy
- Patient Safety
Background:
- Medication-related problems (MRPs) arise from pharmacotherapy failures impacting patient health outcomes.
- Identifying specific health problems associated with MRPs is essential for clinical intervention.
Purpose of the Study:
- To investigate the spectrum of health problems linked to medication-related problems.
- To analyze the association between different types of MRPs and specific diagnoses.
Main Methods:
- Utilized patient interviews and medical record assessments to identify MRPs.
- Employed a validated questionnaire for patient interviews.
- Classified identified health problems using the International Classification of Diseases, 9th Revision (ICD-9).
Main Results:
- Over a year, 2,261 valid cases were analyzed from emergency department visits.
- Osteoarticular diseases, undefined signs/symptoms, injuries, and intoxications were most frequently associated with MRPs.
- Safety-related MRPs were commonly linked to undefined symptoms, injuries, intoxications, and nervous, digestive, or blood disorders.
Conclusions:
- Osteoarticular disorders and poorly defined symptoms are the primary medication-related health problems leading to emergency visits.
- Distinct diagnostic patterns emerged across different dimensions and types of medication-related problems.
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