Problemas de salud relacionados con los medicamentos en un servicio de urgencias hospitalario

Comorbidities, potentially dangerous and low therapeutic index medications: factors linked to emergency visits

“…With regard to medications used by patients who sought the emergency service due to MRM, 22 (28.2%) of the cases were associated with the use of a substance with a low therapeutic index. Among them, those most involved with morbidity were the insulins and wafarin (7) digoxin (3), carbamazepine and phenytoin (2) and valproic acid (1). It was verified that 38 cases (48.7%) were related to medications said to be potentially dangerous, with the most cited being the antiretroviral drugs (9), Warfarin and insulins (7) and the oral hypogycemic medications (5).…”

“…Medications are the most used alternative therapy in clinical practice, and represent a great advancement in the prevention and treatment of diseases 1 . However, the unnecessary or incorrect use of a drug may trigger or aggravate morbidities, compromising the user's quality of life, and even cause death 1 .…”

La refundación de la Atención Primaria

“…Estas cifras son consistentes con otros estudios que han valorado las visitas a los servicios de urgencias hospitalarios (SUH) [72][73][74][75][76] o los ingresos hospitalarios 77-83 debidos a o relacionados con PRM. Un estudio en un hospital de Barcelona (n = 1.800 pacientes) encontró que el 11,9% de sus ingresos médicos por urgencias se debían a PRM, bien por efectos adversos (50,2%), bien por fracaso terapéutico (42,5%) o intoxicación (3,3%).…”