Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?

An intervention study of 3 months was performed at a third-level university hospital to investigate if drug adjustment interventions towards chronic kidney disease (CKD) patients are still needed. Patients with a glomerular filtration rate < 60 mL/min/1.73 m2 and a prescribed medication that ne...

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Autores principales: Gómez Lobón, Ana, Delgado Sánches, Olga, Modamio, Pilar, Álvarez Arroyo, Laura, Campoamor Ladín, Francisco, Mariño, Eduardo L.
Formato: Articulo Comunicacion
Lenguaje:Inglés
Publicado: 2012
Materias:
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/18148
http://www.latamjpharm.org/resumenes/31/2/LAJOP_31_2_2_8.pdf
Aporte de:
id I19-R120-10915-18148
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Farmacia
Farmacología
chronic kidney disease; cockcroft-Gault; drug dosage; medication error; modification of diet in renal disease; pharmaceutical care
Errores de Medicación
spellingShingle Farmacia
Farmacología
chronic kidney disease; cockcroft-Gault; drug dosage; medication error; modification of diet in renal disease; pharmaceutical care
Errores de Medicación
Gómez Lobón, Ana
Delgado Sánches, Olga
Modamio, Pilar
Álvarez Arroyo, Laura
Campoamor Ladín, Francisco
Mariño, Eduardo L.
Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?
topic_facet Farmacia
Farmacología
chronic kidney disease; cockcroft-Gault; drug dosage; medication error; modification of diet in renal disease; pharmaceutical care
Errores de Medicación
description An intervention study of 3 months was performed at a third-level university hospital to investigate if drug adjustment interventions towards chronic kidney disease (CKD) patients are still needed. Patients with a glomerular filtration rate < 60 mL/min/1.73 m2 and a prescribed medication that needed an adjustment for CKD were selected. Demographic and clinical data, prescription information, non-adjusted medication, interventions, and acceptance of recommendation were registered. A total of 706 patients were included (77.5 % stage 3 of CKD, 13.2 % stage 4 and 7.2 % stage 5), 281 (8.5 %) of 3,315 prescriptions were considered non-adjusted (52.3 % stage 3, 28.8 % stage 4 and 18.9 % stage 5) and were intervened: 220 (78.3 %) dose reduction, 32 (11.4 %) contraindicated, 21 (7.5 %) follow up, and 8 (2.8 %) dose increment. Fifty per cent of the interventions were accepted. Antibiotics became in 45 % of the interventions. Intervention and education about the important of drug adjustment in CKD is still needed to improve safety on these patients.
format Articulo
Comunicacion
author Gómez Lobón, Ana
Delgado Sánches, Olga
Modamio, Pilar
Álvarez Arroyo, Laura
Campoamor Ladín, Francisco
Mariño, Eduardo L.
author_facet Gómez Lobón, Ana
Delgado Sánches, Olga
Modamio, Pilar
Álvarez Arroyo, Laura
Campoamor Ladín, Francisco
Mariño, Eduardo L.
author_sort Gómez Lobón, Ana
title Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?
title_short Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?
title_full Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?
title_fullStr Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?
title_full_unstemmed Drug Prescribing in Patients with Impaired Renal Function: are Interventions Still Needed to Improve Patient Safety?
title_sort drug prescribing in patients with impaired renal function: are interventions still needed to improve patient safety?
publishDate 2012
url http://sedici.unlp.edu.ar/handle/10915/18148
http://www.latamjpharm.org/resumenes/31/2/LAJOP_31_2_2_8.pdf
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