Resultados negativos asociados con la medicación en un servicio de urgencias hospitalario

Abstract

The prevalence of NRM in those who attended the emergency department, the high percentage of avoidability and the cost imposed on the Health Service seem to sufficiently argue a case for the consideration that NRM as a problem which requires the implementation of prevention programmes based on drug-treatment monitoring.

Adverse drug events in patients admitted to an emergency department: an analysis of direct costs

“…In comparison with other international studies, the costs per case and LOS are about average . However, the calculated hospital costs for Germany are higher in this study than some previous estimates.…”

La refundación de la Atención Primaria

“…En todo caso es importante señalar que los problemas relacionados con 67 pacientes polimedicados (n = 155) un PRM (60% relacionados con la para identificar (y solucionar) PRM seguridad) en un CS. Barcelona 76 (n = 562) para identificar visitas evitables: 83,9% e ingresos por RNM (Asturias) medicamentos (PRM) no siempre suponen la presencia de daño (reacciones adversas a medicamentos [RAM]) y no siempre implican un uso inadecuado de los medicamentos (las RAM pueden producirse en el uso adecuado del fármaco).…”

“…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%).…”

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

“…For sample calculation, national and international studies that had observed the frequency of seeking the hospital emergency service due to medication-related morbidities were considered 6,7,12,18 . Considering the mean number of frequencies of 24.73%, an acceptable error of 9.5% and confidence interval of 95%, the minimum sample size was 78 patients with suspected medication-related morbidity.…”

“…MRMs have frequently been the cause of persons seeking emergency services. Studies have pointed out rates ranging from approximately 17 to 40% [6][7][8][9] . The morbidities related to the need for and safety of medications are the most cited in cases that lead to admission to hospital 10 .…”