Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Atenção à Saúde |
Texto Completo: | http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/3088 |
Resumo: | Drug interactions (DI) are a significant public health problem, and are associated with increased health care costs. The objective of this study was to evaluate the clinical occurrence of DI in patients with suspected adverse reactions in a hospital. We conducted a segment study with non-concurrent prospective follow-up of 31 medical records. In the analysis of the data was used the Micromedex® database and ICD-10 and ATC classifications. It was observed that 61.3% of patients were male with a mean age of 56±23.8 years. We analyzed 858 prescriptions andfound 1507 drug interactions. Of these, 35% were highly severe and 33% were moderately severe. From the overall DI, 53.0% were clinically observed – and 11.08% caused adverse reactions. To verify the association between the occurrence of DI and sex, age and number of drugs prescribed, it was used technical binary logistic regression and the odds ratio (OR) were calculated with confidence intervals of 95% (95% CI). By the analysis of the results, it was concluded that the amount of drugs, age and sex are directly associated with the occurrence of DI and knowing these variables can minimize damage and health risks. |
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Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, BrazilOcorrência clínica de interações medicamentosas em prescrições de pacientes com suspeita de reação adversa internados em um hospital no interior da Bahiaprescriçõesinterações de medicamentospacientes internadosPrescriptionsdrug interactionsinpatients.Drug interactions (DI) are a significant public health problem, and are associated with increased health care costs. The objective of this study was to evaluate the clinical occurrence of DI in patients with suspected adverse reactions in a hospital. We conducted a segment study with non-concurrent prospective follow-up of 31 medical records. In the analysis of the data was used the Micromedex® database and ICD-10 and ATC classifications. It was observed that 61.3% of patients were male with a mean age of 56±23.8 years. We analyzed 858 prescriptions andfound 1507 drug interactions. Of these, 35% were highly severe and 33% were moderately severe. From the overall DI, 53.0% were clinically observed – and 11.08% caused adverse reactions. To verify the association between the occurrence of DI and sex, age and number of drugs prescribed, it was used technical binary logistic regression and the odds ratio (OR) were calculated with confidence intervals of 95% (95% CI). By the analysis of the results, it was concluded that the amount of drugs, age and sex are directly associated with the occurrence of DI and knowing these variables can minimize damage and health risks. As interações medicamentosas constituem um dos graves problemas de saúde pública e estão relacionadas a internações hospitalares e aumento de gastos com médicos. O objetivo deste trabalho foi avaliar a ocorrência clínica de interações medicamentosas em pacientes com suspeita de reações adversas internados em um hospital. Realizou-se um estudo de segmento com acompanhamento prospectivo não concorrente de 31 prontuários. Para análise, foram utilizados o banco de dados Micromedex® e as classificações ATC e CID10. Observou-se que 61,3% dos pacientes eram do sexo masculino com média de idade de 56±23,8 anos. Foram analisadas 858 prescrições, sendo encontradas 1507 interações medicamentosas, das quais 35% de gravidade maior e 33% de gravidade moderada. Do total de interações medicamentosas, 53% puderam ser observadas clinicamente – dessas, 11,08% causaram reações adversas. Para verificar a associação entre ocorrência de interações medicamentosas e os fatores sexo, idade e número de medicamentos prescritos, foi utilizada técnica de regressão logística binária e calculado odds ratio, com intervalos de confiança de 95% (IC 95%). Pela análise dos resultados, pôde-se concluir que o número de medicamentos, a idade e o sexo estão diretamente associados à ocorrência de interações medicamentosas; conhecendo essas variáveis, podem-se minimizar os danos e riscos à saúde. Universidade Municipal de São Caetano do Sul - USCS2016-05-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo originalapplication/pdfhttp://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/308810.13037/ras.vol14n48.3088Journal of Health Care; Vol. 14 No. 48 (2016): Revista de Atenção à Saúde; 32-39Revista de Atenção à Saúde; v. 14 n. 48 (2016): Revista de Atenção à Saúde; 32-392359-4330reponame:Revista de Atenção à Saúdeinstname:Universidade Municipal de São Caetano do Sul (USCS)instacron:USCSporhttp://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/3088/pdfGonçalves, Suéllyn dos SantosRodrigues, Hosana Maria Santosde Jesus, Inocêncio SilvaCarneiro, Jose Ailton OliveiraLemos, Gisele da Silveirainfo:eu-repo/semantics/openAccess2017-02-13T13:26:40Zoai:ojs2.seer.uscs.edu.br:article/3088Revistahttps://seer.uscs.edu.br/index.php/revista_ciencias_saudePUBhttp://seer.uscs.edu.br/index.php/revista_ciencias_saude/oaieditoria.ras@online.uscs.edu.br || vera.basso@online.uscs.edu.br2359-43302359-4330opendoar:2017-02-13T13:26:40Revista de Atenção à Saúde - Universidade Municipal de São Caetano do Sul (USCS)false |
dc.title.none.fl_str_mv |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil Ocorrência clínica de interações medicamentosas em prescrições de pacientes com suspeita de reação adversa internados em um hospital no interior da Bahia |
title |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil |
spellingShingle |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil Gonçalves, Suéllyn dos Santos prescrições interações de medicamentos pacientes internados Prescriptions drug interactions inpatients. |
title_short |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil |
title_full |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil |
title_fullStr |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil |
title_full_unstemmed |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil |
title_sort |
Occurrence of clinical drug interactions in prescriptions of patients suspect of adverse reaction hospitalized in the countryside of the state of Bahia, Brazil |
author |
Gonçalves, Suéllyn dos Santos |
author_facet |
Gonçalves, Suéllyn dos Santos Rodrigues, Hosana Maria Santos de Jesus, Inocêncio Silva Carneiro, Jose Ailton Oliveira Lemos, Gisele da Silveira |
author_role |
author |
author2 |
Rodrigues, Hosana Maria Santos de Jesus, Inocêncio Silva Carneiro, Jose Ailton Oliveira Lemos, Gisele da Silveira |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gonçalves, Suéllyn dos Santos Rodrigues, Hosana Maria Santos de Jesus, Inocêncio Silva Carneiro, Jose Ailton Oliveira Lemos, Gisele da Silveira |
dc.subject.por.fl_str_mv |
prescrições interações de medicamentos pacientes internados Prescriptions drug interactions inpatients. |
topic |
prescrições interações de medicamentos pacientes internados Prescriptions drug interactions inpatients. |
description |
Drug interactions (DI) are a significant public health problem, and are associated with increased health care costs. The objective of this study was to evaluate the clinical occurrence of DI in patients with suspected adverse reactions in a hospital. We conducted a segment study with non-concurrent prospective follow-up of 31 medical records. In the analysis of the data was used the Micromedex® database and ICD-10 and ATC classifications. It was observed that 61.3% of patients were male with a mean age of 56±23.8 years. We analyzed 858 prescriptions andfound 1507 drug interactions. Of these, 35% were highly severe and 33% were moderately severe. From the overall DI, 53.0% were clinically observed – and 11.08% caused adverse reactions. To verify the association between the occurrence of DI and sex, age and number of drugs prescribed, it was used technical binary logistic regression and the odds ratio (OR) were calculated with confidence intervals of 95% (95% CI). By the analysis of the results, it was concluded that the amount of drugs, age and sex are directly associated with the occurrence of DI and knowing these variables can minimize damage and health risks. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-05-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo original |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/3088 10.13037/ras.vol14n48.3088 |
url |
http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/3088 |
identifier_str_mv |
10.13037/ras.vol14n48.3088 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/3088/pdf |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Municipal de São Caetano do Sul - USCS |
publisher.none.fl_str_mv |
Universidade Municipal de São Caetano do Sul - USCS |
dc.source.none.fl_str_mv |
Journal of Health Care; Vol. 14 No. 48 (2016): Revista de Atenção à Saúde; 32-39 Revista de Atenção à Saúde; v. 14 n. 48 (2016): Revista de Atenção à Saúde; 32-39 2359-4330 reponame:Revista de Atenção à Saúde instname:Universidade Municipal de São Caetano do Sul (USCS) instacron:USCS |
instname_str |
Universidade Municipal de São Caetano do Sul (USCS) |
instacron_str |
USCS |
institution |
USCS |
reponame_str |
Revista de Atenção à Saúde |
collection |
Revista de Atenção à Saúde |
repository.name.fl_str_mv |
Revista de Atenção à Saúde - Universidade Municipal de São Caetano do Sul (USCS) |
repository.mail.fl_str_mv |
editoria.ras@online.uscs.edu.br || vera.basso@online.uscs.edu.br |
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1798042261435449345 |