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Predictores de Prescrição Inadequada de Inibidores da Bomba de Protões num Serviço de Medicina Interna
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Advisor(s)
Abstract(s)
Introdução: Os inibidores da bomba de protões (IBPs) são utilizados no tratamento da patologia gastrointestinal e prevenção da hemorragia digestiva alta, frequentemente de forma inadequada nos doentes hospitalizados.
Métodos: Realizou-se um estudo transversal entre 15 de Marçoe 15 de Maio de 2015 para avaliar o padrão de prescrição de IBPs num Serviço de Medicina Interna, relativamente às indicações e aos custos.
Resultados: Foram incluídas 585 admissões, idade média de 75 anos. Dos casos, 163 já eram medicados com IBP pré-admissão, metade sem indicação. Dos episódios, 372 receberam um IBP na admissão/durante o internamento, mas apenas 63 casos tinham indicação para tal, pelo que 83% tinham sido medicados de forma inapropriada. Os predictores de prescrição inadequada de IBP foram o sexo feminino, idade ≥ 75 anos e
estar medicado com IBP pré-admissão. Conclusão: Custos totais, directamente relacionados aos IBPs, ascenderam aos €1079,96, em média €2,72 por episódio. A terapêutica com IBPs deve ser revista para reduzir prescrições inadequadas e custos.
Introduction: Proton pump inhibitors (PPIs) are used in the treatment of gastrointestinal pathology and prevention of upper gastrointestinal bleeding. They are frequently misused in hospitalized patients. Methods: We conducted an observational cross-sectional study between 15th March and 15th May 2015 to evaluate the prescription pattern of PPIs in an Internal Medicine ward regarding indications and costs. Results: Five hundred and eighty five admissions were includedwith an average age of 75 years. One hundred and sixtythree cases were medicated with a PPI prior to admission, half of them without indication. Three hundred seventy-two cases were prescribed a PPI on admission/during hospital stay but only 63 cases had a proper indication meaning that 83% were inadequately medicated. Predictors of inadequate PPI prescription were female sex, age ≥ 75 years and being medicated with a PPI prior to admission. Conclusion: Total cost s, directly related to PPIs were set at €1079.96, on average €2.72 per episode. Therapy with PPIs should be reviewed to decrease inadequate prescriptions and costs.
Introduction: Proton pump inhibitors (PPIs) are used in the treatment of gastrointestinal pathology and prevention of upper gastrointestinal bleeding. They are frequently misused in hospitalized patients. Methods: We conducted an observational cross-sectional study between 15th March and 15th May 2015 to evaluate the prescription pattern of PPIs in an Internal Medicine ward regarding indications and costs. Results: Five hundred and eighty five admissions were includedwith an average age of 75 years. One hundred and sixtythree cases were medicated with a PPI prior to admission, half of them without indication. Three hundred seventy-two cases were prescribed a PPI on admission/during hospital stay but only 63 cases had a proper indication meaning that 83% were inadequately medicated. Predictors of inadequate PPI prescription were female sex, age ≥ 75 years and being medicated with a PPI prior to admission. Conclusion: Total cost s, directly related to PPIs were set at €1079.96, on average €2.72 per episode. Therapy with PPIs should be reviewed to decrease inadequate prescriptions and costs.
Description
Keywords
Hospital Departments Inibidores da Bomba de Protões de uso terapêutico Madeira Island Portugal Medicina Interna prescrição Inapropriada
Citation
http://revista.spmi.pt
Publisher
SPMI- Sociedade Portuguesa de Medicina Interna- http://revista.spmi.pt