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• W2015087103 abstract "To systemise the pharmaceutical care provided to patients with chronic diseases. To evaluate the pharmacist's participation in the drug treatment plan, studying their intervention in the reconciliation of the patient's habitual treatment and the detection and resolution of drug-related problems. A multicentre study based on the comparison of 2 cohorts: one with the intervention of the pharmacist and one without. Inclusion criteria were as follows: patients over the age of 70 with chronic cardiovascular conditions being treated with more than 6 drugs. They were selected between 24–48 hours from admittance; a control patient was chosen for each patient in the intervention group. The pharmaceutical intervention consisted of medication reconciliation on admittance, drug treatment monitoring and reconciliation on discharge. Drug-related problems, their seriousness, the pharmaceutical intervention, the degree of resolution, and the clinical outcomes on discharge were all recorded. A total of 24 hospitals participated, with a total of 356 patients: 180 in the intervention cohort and 176 in the control one. A total of 602 drug-related problems were identified: 66.9% belonging to the intervention group and 33% to the control group. Interventions were made in 359 (89%) patients belonging to the intervention group, 66% were resolved after the pharmaceutical intervention, producing a total or partial improvement in the patient in 36.3% of cases. Pharmaceutical care has been systematised, providing an instrument that enables all the hospitals to work in a standardised manner. The active participation of the pharmacist in the healthcare team contributes to preventing and resolving drug-related problems. Sistematizar la atención farmacéutica al paciente con una enfermedad crónica. Evaluar la participación del farmacéutico en el plan farmacoterapéutico mediante el estudio de su intervención en la conciliación del tratamiento habitual del paciente y en la detección y resolución de problemas relacionados con los medicamentos. Estudio multicéntrico basado en la comparación de dos cohortes, una con intervención del farmacéutico y la otra no. Los criterios de inclusión fueron: pacientes mayores de 70 años con enfermedad cardiovascular crónica y tratamiento con más de 6 fármacos. Se seleccionaban a las 24–48 h de su ingreso; por cada paciente del grupo intervención se seleccionaba uno de control. La intervención farmacéutica consistía en la conciliación del tratamiento en el momento del ingreso, el seguimiento farmacoterapéutico y la conciliación en el momento del alta. Se registraban los problemas relacionados con los medicamentos, su gravedad, la intervención farmacéutica, el grado de resolución y los resultados clínicos en el momento del alta. Han participado 24 hospitales con un total de 356 pacientes: 180 de la cohorte de intervención y 176 de la de control. Se ha identificado un total de 602 problemas relacionados con los medicamentos, el 66,9% perteneciente al grupo de intervención y el 33% al de control. Se ha intervenido en 359 (89%) de ellos pertenecientes al grupo intervención; un 66% se resolvió tras la intervención farmacéutica, que en el 36,3% de los casos produjo una mejoría total o parcial en el paciente. Se ha sistematizado la atención farmacéutica y se ha proporcionado un instrumento que permite trabajar de forma homogénea en todos los hospitales. La participación activa del farmacéutico en el equipo de salud contribuye a prevenir y resolver problemas relacionados con los medicamentos." @default.
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• W2015087103 date "2008-01-01" @default.
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• W2015087103 title "The Participation of the Pharmacist in the Design and Follow-up of the Drug Treatment Plan for Patients With a Cardiovascular Condition" @default.
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• W2015087103 doi "https://doi.org/10.1016/s2173-5085(08)70036-4" @default.
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