药剂师在后神经重症监护虚拟诊所 (PREVAIL) 的影响
Grace M Conroy1, Danielle M Marut1, Joao A Gomes2
1Department of Pharmacy, Cleveland Clinic, Cleveland, OH, USA.
Journal of pharmacy practice
|December 13, 2024
概括
神经重症监护后虚拟诊所 (PREVAIL) 的药剂师为神经重症监护患者做出了重大药物调整和建议. 这种远程医疗方法解决了传统重症监护后康复的差距,突出了药剂师的重要作用.
科学领域:
- 神经临界护理是指神经临界护理.
- 远程医疗远程医疗
- 临床药房 临床药房
背景情况:
- 传统的重症监护后康复诊所 (PIRCs) 通常不包括神经临床护理患者.
- 后神经重症监护虚拟诊所 (PREVAIL) 于2020年成立,为患有初级神经损伤的患者提供基于远程医疗的咨询护理,这些患者有后重症监护综合征的风险.
- 在PREVAIL诊所内,重症监护药剂师在药物调和和药物治疗建议方面发挥着作用.
研究的目的:
- 描述药剂师在基于远程医疗的新型后神经重症监护虚拟诊所 (PREVAIL) 的干预和作用.
- 评估药剂师在管理神经临床护理患者的贡献,这些患者有患重症监护后综合征的风险.
主要方法:
- 从2020年12月到2022年1月在PREVAIL诊所看到的患者的回顾性观察性审查.
- 药剂师进行药物调和,并为所有患者提供药物治疗建议.
- 收集的数据包括患者诊断,ICU住院细节和药剂师干预.
主要成果:
- 包括52名患者,常见的诊断包括脑内出血,和急性缺血性中风.
- 93%的患者在和解后需要调整药物清单,89%的患者接受了药物治疗建议 (平均每患者3次干预).
- 干预经常涉及抗精神病药物,抗药物,抗高血压药物,抗凝固药,神经调节剂和抗抑郁药.
结论:
- 这项研究是首次评估远程医疗PIRC中药剂师的贡献,重点是神经临床护理患者.
- 在PREVAIL模型中,药剂师是多学科团队的组成成员.
- 需要进一步的研究来确定药剂师干预对临床结果的影响.
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