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- W2891189192 abstract "To estimate the prevalence of medication-related problems in patients treated in continuous care units and to identify the therapeutic areas in which these problems were more concentrated.Observational descriptive prospective study. Review of clinical histories and outpatient treatment by a hospital pharmacist. Communicating medication-related problems detected to the responsible doctor. Analysis of the therapeutic areas in which the problems were most concentrated.85 patients were reviewed, and 368 potential medication-related problems were identified. The areas with the most prevalent medication- related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication.Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.Objetivo: Estimar la prevalencia de problemas relacionados con la medicación en los pacientes atendidos en la consulta de la unidad de continuidad asistencial e identificar las áreas terapéuticas donde se concentran.Método: Estudio observacional descriptivo y prospectivo. Revisión de la historia clínica y el tratamiento domiciliario por un farmacéutico hospitalario y comunicación al médico de los problemas relacionados con la medicación detectados. Análisis de las áreas terapéuticas donde se concentran.Resultados: Se revisaron 85 pacientes, identificando 368 potenciales problemas relacionados con la medicación. Las áreas más prevalentes fueron el uso crónico de hipnóticos, la analgesia subóptima, el tratamiento antidepresivo optimizable, estatinas en mayores de 75 años en prevención primaria y con dosis altas en prevención secundaria, pacientes con insuficiencia cardiaca sin inhibidores de la enzima convertidora de angiotensina e inhibidores de la bomba de protones sin indicación.Conclusiones: Se deberían realizar intervenciones formativas y desarrollar asistencias informáticas que ayuden a evitar los problemas más prevalentes relacionados con la medicación." @default.
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- W2891189192 date "2018-09-01" @default.
- W2891189192 modified "2023-09-23" @default.
- W2891189192 title "Prevalence of medication-related problems in complex chronic patients and opportunities for improvement." @default.
- W2891189192 doi "https://doi.org/10.7399/fh.10899" @default.
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