RESUMO
Background The concept of pharmaceutical care (PC) specifically refers to the pharmacist being able to identify, prevent and resolve negative outcomes associated with medication (NOM). According to the Third Consensus of Granada, these are patient health-related outcomes not consistent with pharmacotherapy objectives, and are associated with the proper or erroneous use of medicines. In this way, pharmacists might provide the pharmacist to provide the correct use of medicines to patients who are attended at home. Objective This study aimed to detect, classify and quantify NOM, according to the Third Consensus of Granada, in patients treated at home, who were assisted by the Home Assistance Programme of the University Hospital of University of Paulo, Brazil. Method A descriptive, observational and cross-sectional study was conducted. The pharmacotherapy plan was filled during the interview with the patient or caregiver. Results The study included 87 patients with a mean age of 66 years old, adults (89%), children (11%), female (58%) and retired (62%). A total of 62% patients presented NOM, with an average of 1.13 NOM per patient. The NOM included untreated health problems (20.6%), effects from unnecessary medicines (9.1%), non-quantitative ineffectiveness (34.5%), quantitative ineffectiveness (3.4%), non-quantitative safety problems (11.4%) and quantitative safety problems (3.4%). Patients with the following characteristics were more prevalent than expected in the NOM effectiveness group: those aged between 65 and 74 years (p=0.0199), those with a low education level (p=0.0266), those with increased comorbidity (p=0.0461), those using medicine for the digestive tract and (..) (AU)
Introducción Para utilizar el concepto de de Atención Farmacéutica (AF) en su más amplio significado, el farmacéutico debe haber podido identificar, prevenir y resolver los resultados negativos asociados a la medicación (RNM). Según el Tercer Consenso de Granada, estos RNM están relacionados con los resultados en la salud del paciente no adecuados al objetivo de la farmacoterapia y asociados al uso o fallo en el uso de medicamentos. Así pues, el farmacéutico puede facilitar el uso correcto de los medicamentos a los pacientes en régimen domiciliario. Objetivo El objetivo de este estudio es detectar, clasificar y cuantificar los RNM, según el Tercer Consenso de Granada, en pacientes tratados en régimen domiciliario que fueron atendidos a través del Programa de Asistencia Domiciliaria del Hospital Universitario de São Paulo en Brasil. Método Estudio descriptivo y observacional de corte transversal. La planificación del tratamiento farmacológico se completó durante la entrevista con el paciente o el cuidador. Resultados El estudio contó con 87 pacientes con una edad media de 66 años, del cual el 89% eran adultos, el 11% niños, el 58% mujeres y el 62% jubilados. El sesenta y dos por ciento de los pacientes presentó RNM, con una media de 1,13 RNM por paciente. La prevalencia de RNM fue: problemas de salud no tratados (20,62%), efecto de medicamentos innecesarios (9,1%), ineficacia no cuantitativa (34,5%), ineficacia cuantitativa (3,4%), problemas de salud no cuantitativos (11,4%) y problemas de salud cuantitativos (3,4%). La probabilidad de ocurrencia de RNM de eficacia aumentaba en pacientes con: edades de entre 65 y 74 años (p = 0,0199), nivel de educación bajo (p = 0,0266), más comorbilidades (p = 0,0461), uso de medicamentos para el (..) (AU)
Assuntos
Humanos , Serviço de Farmácia Hospitalar/organização & administração , Preparações Farmacêuticas/efeitos adversos , Tratamento Farmacológico/efeitos adversos , Assistência Farmacêutica , Serviços Hospitalares de Assistência Domiciliar/organização & administraçãoRESUMO
BACKGROUND: The concept of pharmaceutical care (PC) specifically refers to the pharmacist being able to identify, prevent and resolve negative outcomes associated with medication (NOM). According to the Third Consensus of Granada, these are patient health-related outcomes not consistent with pharmacotherapy objectives, and are associated with the proper or erroneous use of medicines. In this way, pharmacists might provide the pharmacist to provide the correct use of medicines to patients who are attended at home. OBJECTIVE: This study aimed to detect, classify and quantify NOM, according to the Third Consensus of Granada, in patients treated at home, who were assisted by the Home Assistance Programme of the University Hospital of University of Paulo, Brazil. METHOD: A descriptive, observational and cross-sectional study was conducted. The pharmacotherapy plan was filled during the interview with the patient or caregiver. RESULTS: The study included 87 patients with a mean age of 66 years old, adults (89%), children (11%), female (58%) and retired (62%). A total of 62% patients presented NOM, with an average of 1.13 NOM per patient. The NOM included untreated health problems (20.6%), effects from unnecessary medicines (9.1%), non-quantitative ineffectiveness (34.5%), quantitative ineffectiveness (3.4%), non-quantitative safety problems (11.4%) and quantitative safety problems (3.4%). Patients with the following characteristics were more prevalent than expected in the NOM effectiveness group: those aged between 65 and 74 years (p=0.0199), those with a low education level (p=0.0266), those with increased comorbidity (p=0.0461), those using medicine for the digestive tract and metabolism (p=0.0475) and those using medicine for blood and blood-forming organs (p=0.0466). For the NOM necessity group, patients with endocrine, nutritional and metabolic diseases (p=0.0587) were in greater numbers than expected; and for the NOM safety group, only patients aged over 74 years (p=0.01809) were in greater numbers. CONCLUSION: For this population, it was concluded that there were several factors related to the occurrence of NOM: age, education, number of comorbidities, use of medicines for the digestive tract and the metabolism and medicines for blood and blood-forming organs. The use of the Third Consensus of Granada classification was very important for the recognition and measurement of NOM.
