Conciliación de medicación al alta hospitalaria: colaboración entre farmacéuticos de atención primaria y atención especializada

Resumo

Objective: quantify the detection and intervention on the drug-related problems (DRP) detected in hospital discharge. Material and methods: cross section from 03/8/17 to 04/27/2017 of patients discharged from the Urology, Digestive and Vascular Surgery services of the selected health centres with primary care pharmacist. The study was conducted in a Estructura Organizativa de Gestión Integrada de Vigo (healthcare system with Primary Care and Specialized Care in the same management system). The following data was collected: demographic data, comorbidity index, DRP detected and classification of drugs, interventions and acceptance percentage, as well as the number of readmissions and visits to the emergency department 30 days after hospital discharge. The statistical analysis was carried out with the SPSS program. Results:145 patients were included (71.7% men/average age 63 years old) and 207 DRPs were detected in 95 patients. Prescribing errors (32%) were the most common cause of DRP and more interventions were carried out with drugs that belong to alimentary tract and metabolism (22%). 62% of intervention proposals were accepted. 21.4% of patients visit emergency department on those 30 days and 7.6% of patients readmit. A statistically significant relation was found between length of hospital stay and the number of drugs that the patient takes before the reconciliation (p< 0,005). There was also a relation between the age of the patients and the visits to emergency department 30 days after hospital discharge (p=0,043). Conclusions:PRMs were detected in a large number of patients and more than 60% of the intervention proposals were accepted. Prescription errors were the most frequent and group A was de group of drugs with more DRPs.