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| Format: | Artículo científico |
| Language: | en |
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Sociedad Española de Farmacia Hospitalaria
2014
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| Online Access: | https://www.redalyc.org/articulo.oa?id=365961312014 |
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Table of Contents:
- Medication non- adherence as a cause of hospital admissions M. Álvarez Payero N. Martínez López de Castro M. Ucha Samartín A. Martín Vila C. Vázquez López G. Piñeiro Corrales Medicina Costs Adherence Persistence Hospitalization Domiciliary medication Objectives: 1. To determine the profile of patients who are admitted to hospital as a result of non-adherence. 2. To obtain an estimate of the economic impact for the hospital. Methods: Observational and retrospective study that included patients who were admitted to hospital with a secondary diagnosis of «Personal history of non-compliance with chronic medication» according to International Classification of Diseases, during 2012. Data collected: demographics; socioeconomic and clinical data; data related to the treatment; readmissions; hospital days; degree of adherence: ≤ 75% or severe non-adherence and > 75% or moderate non-adherence; type of non-adherence: non-persistence and noncompliance; hospitalization costs. Statistical analysis was performed. Results: Eighty-seven patients were admitted. These patients caused 104 episodes (16.3% were readmissions). 71.2% were men, and 51.5 (SD 17.8) years old. All patients had a chronic disease, adherence ≤ 75% (76%) and non-persistence (63.5%). Polypharmacy (47.1%) was not associated with non-adherence. Total stay was 1,527 days (mean stay was 14.7 (SD 14.0) days/episode): psychiatry 827 days (54.2%); cardiology 174 days (11.4%); critical unit 48 days (3.1%). Patients with a degree of adherence ≤ 75% had a mean stay/episode higher than those with a degree of adherence > 75%, without significant differences (p > 0.05, t-Student). Overall cost of hospitalization was € 594,230.8, with a mean cost/episode: € 5,713.6 (SD 5,039.5). Mean cost/episode for adherence ≤ 75% was higher than > 75%, € 6,275.8 (SD 5,526.2) vs € 3,895.6 (SD 2,371.3), (p < 0.05, t-Student). Conclusions: The profile of this patient is fundamentally, a male psychiatric or chronic cardiac patient with a degree of adherence ≤ 75% due to abandoning domiciliary treatment. Admissions due to medication non-adherence are associated with an important depletion of economic resources in the hospital. 2014 artículo científico 1130-6343 https://www.redalyc.org/articulo.oa?id=365961312014 en http://www.redalyc.org/revista.oa?id=3659 Farmacia Hospitalaria application/pdf Sociedad Española de Farmacia Hospitalaria Farmacia Hospitalaria (España) Num.4 Vol.38