评估遵守国家压力预防指导方针:一个横截面分析
Shaden S Alhujilan1, Mustafa S Saeed2, Abdullah Abdulaziz Alalwan3
1College of Pharmacy, Qassim University, Qassim, Saudi Arabia.
概括
过度使用压力预防 (SUP) 是常见的,只有54%的患者符合条件. 遵守国家SUP指南需要改进,以减少与抗药物相关的不良影响和成本.
科学领域:
- 药物经济学 药物经济学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 临床指南建议高风险患者进行压力预防 (SUP),包括患有凝血病,置换疗法或机械通风的患者.
- 尽管有好处,但SUP过度使用与严重的不良影响有关.
研究的目的:
- 评估遵守国家压力预防指南 (SUP).
- 在沙特阿拉伯的一家三级医院评估SUP的使用情况.
主要方法:
- 一项横截面研究分析了2020年1月至12月在法哈德国王专科医院的电子健康记录.
- 包括已成年患者 (≥18岁) 处方 SUP.
- 描述性分析评估了遵循指南以及与SUP使用相关的因素.
主要成果:
- 纳入了424名患者,54%符合SUP的标准.
- 内部医学和外科病房的SUP处方率最高 (34.2%和30.4%).
- SUP启动的常见原因包括同时使用多种药物 (例如抗凝剂,NSAID) 或在老年人或有胃肠道出血史的人群中使用NSAID/皮质类固醇.
结论:
- 过度使用抗药物 (AUD) 强调需要加强对SUP指南的遵守.
- 提高合规性可以控制成本,防止不必要的不良影响.
- 需要有针对性的干预措施,以确保适当的SUP处方.
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