成年人与药物相关的短期再入院的风险因素 - 范围审查
N Schönenberger1,2, C Meyer-Massetti3,4
1Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. nicole.schoenenberger@insel.ch.
识别与药物相关的再入院风险因素对于患者安全和医疗保健经济至关重要. 本综述强调了多药学,处方问题和坚持问题作为30天再入院的关键预测因素.
科学领域:
- 药物经济学 药物经济学
- 患者安全 患者安全
- 内部医学 内部医学
背景情况:
- 与药物相关的问题经常导致重入医院,影响患者,护理人员和医疗保健系统.
- 鉴于医疗保健资源有限,优先考虑高风险患者的干预措施至关重要.
- 本范围审查侧重于一般内科患者,以确定与药物相关的再接收风险因素.
研究的目的:
- 为了确定与因药物相关问题的30天再入院相关的风险因素.
- 为患有与药物有关的再入院风险最高的患者提供有针对性的干预信息.
主要方法:
- 在Medline,Embase和CINAHL数据库中进行了全面的文献搜索,截至2022年5月17日.
- 包括报告30天药物相关再入院风险因素的同行评审研究;不包括评论和非同行评审文章.
- 进行了逆向引用搜索,并分析了类型和频率的确定的风险因素.
主要成果:
- 在最终分析中包括了50篇文章,确定了五个风险因素类别:患者特征,药物组,药物治疗问题,不良药物反应和再接收诊断.
- 发现的最常见的危险因素是多药性,处方问题 (处方不足,药物选择不足) 和坚持问题.
- 抗血栓剂,胰岛素,阿片类止痛药和利尿药是与30天再入院最相关的药物组,通常是药物不良反应.
结论:
- 这些发现有助于护理团队优先考虑患者的干预措施,以减少与药物相关的再入院,提高患者的安全.
- 可预防的与药物相关的再入院往往源于处方问题和/或遵守问题.
- 建议进行进一步的研究,以探索常见的与毒品有关的因素的替代社会参数及其预测价值.
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