与急诊室访问相关的不良药物事件
Jesús Ruiz Ramos1, Rosario Santolaya Perrín2, María Ángeles García Martín3
1Hospital Santa Cruz y San Pablo, Barcelona, España.
概括
药物不良事件 (ADEs) 经常导致急诊室的访问. 严重的多药性增加了患者在出院后30天内返回急诊室的风险.
科学领域:
- 药物监督 药物监督 药物监督
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物不良事件 (ADEs) 是急诊室 (ED) 访问的重要原因之一.
- 了解ADEs的患病率和风险因素对于改善患者的治疗结果和减少医疗保健负担至关重要.
研究的目的:
- 通过使用多中心横截面注册表,评估导致ED访问的ADEs的流行率.
- 为了确定与新的紧急访问相关的因素,在释放后的30天内.
主要方法:
- 在西班牙医院急诊室进行了一项为期5年的多中心横截面研究.
- 从患者普查中收集数据,并使用多变量逻辑回归模型来评估30天再入院的风险因素.
主要成果:
- 在10,678名患者中,7.35%因ADEs而咨询,患病率因中心而异 (0%14.3%).
- 抗血栓药物是最常见的 (25.9%),出血事件和混乱是常见的ADEs.
- 23.5%的可评估患者在30天内返回ED;长期处方>10种药物是一个显著的风险因素 (OR,1.65).
结论:
- ADE是紧急诊所访问的常见原因,并为大量的出院后重新访问做出了贡献.
- 严重的多药性 (>10种药物) 被确定为急诊诊次数增加的关键风险因素,在出院后30天内.
关键词:
不良影响不良影响一个脆弱的老人.抗凝固剂是一种抗凝固剂.抗凝剂是一种抗凝剂.药物治疗是药物治疗.有负面影响的效果.年长的老人.波利法马西亚 (Polyfarmacia) 是一个药品制造商.多种药房 多种药房药物疗法 药物疗法更多相关视频
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