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Abstract(s)
Introdução: Durante o internamento hospitalar a medicação crónica do doente pode ser interrompida e/ou substituída. A reconciliação da medicação na interface cuidados de saúde primários/cuidados de saúde secundários é fundamental para garantir a utilização efectiva e segura dos medicamentos, assim como a correcta utilização e adesão à terapêutica por parte do doente.
Objectivo: Quantificar e caracterizar as alterações à medicação crónica durante o internamento hospitalar.
Métodos: Realizou-se um estudo observacional do tipo descritivo nos Serviços de Cardiologia, Pneumologia e Gastrenterologia do Centro Hospitalar da Cova da Beira (CHCB). Durante o período de Outubro a Dezembro de 2010, os processos clínicos de até 50 doentes de cada serviço, seleccionados aleatoriamente entre os doentes internados por mais de 2 dias, com registo de medicação regular nos 3 meses anteriores foram revistos
Resultados: Verificou-se que antes do internamento hospitalar, 88,2% dos doentes fazia medicação no domicílio, sendo o grupo terapêutico mais usado o do Aparelho Cardiovascular com 66,7%. Constatou-se que todos os doentes, durante o internamento, sofreram pelo menos uma alteração (adição, suspensão ou substituição) em relação à medicação no domicílio, sendo que os fármacos mais usados (85,3%) pertenciam ao Aparelho Digestivo. As alterações à medicação sofridas durante o internamento deveram-se sobretudo à adição de novos fármacos (100% dos doentes), à sua suspensão (58,8% dos doentes) e à sua substituição (8,8%). Aquando da alta hospitalar em 85,3% dos pacientes foi mantida medicação, sendo que em 11,8% se manteve um, três, sete ou nove fármacos. Observou-se que nenhum fármaco foi substituído e que em 82,4% nenhum fármaco foi suspenso. Verificou-se que em 20,6% não houve adição de fármacos e que nos restantes foi adicionado 1 fármaco em 41,2% dos doentes.
Conclusões: Todos os doentes, durante o internamento, sofreram pelo menos uma alteração da medicação crónica, sobretudo devido a adição de fármacos. É necessário melhorar a informação terapêutica dos registos clínicos hospitalares e a troca de informação entre cuidados de saúde primários/cuidados de saúde secundários após as alterações à terapêutica crónica durante o internamento.
Introduction: During hospitalization the patient's chronic medication can be discontinued and/or replaced. The reconciliation of medication at the interface of primary health care / secondary care is crucial to ensuring the effective and safe medicines, as well as the correct use and adherence to therapy by the patient. Objective: To quantify and characterize the changes to chronic medication during hospitalization. Methods: A descriptive observational study was conducted in the Departments of Cardiology, Pneumology and Gastroenterology at the Centro Hospitalar Cova da Beira (CHCB). During the period October to December 2010, the medical records from each service randomly selected among patients hospitalized for more than two days, with regular medication record in the previous three months were reviewed. Results: We found that prior to hospitalization, 88,2% of patients were medicated, and the treatment group most used was the Cardiovascular System with 66,7%. It was found that all patients, while hospitalized, suffered at least one modification (addition, withdrawal or substitution) in relation to medication at home, and the drugs most used (85,3%) belonged to the Digestive System. The changes to medication occurred during hospitalization were due, primarily, to the addition of new drugs (100% of patients), the suspension (58,8% of patients) and its replacement (8,8%). At the time of hospital discharge in 85,3% of patients the medications was kept, while 11,8% remained taking one, three, seven or nine drugs. It was noted that no drug was replaced in 82,4% and that no drug was suspended. It was found that in 20,6% of patients there was no addition of drugs . Conclusion: All patients, while hospitalized, suffered at least one change of chronic medication, mainly due to addition of drugs. It is necessary to improve the therapeutic information for hospital medical records and information exchange between primary care/secondary care after changes to chronic therapy during hospitalization.
Introduction: During hospitalization the patient's chronic medication can be discontinued and/or replaced. The reconciliation of medication at the interface of primary health care / secondary care is crucial to ensuring the effective and safe medicines, as well as the correct use and adherence to therapy by the patient. Objective: To quantify and characterize the changes to chronic medication during hospitalization. Methods: A descriptive observational study was conducted in the Departments of Cardiology, Pneumology and Gastroenterology at the Centro Hospitalar Cova da Beira (CHCB). During the period October to December 2010, the medical records from each service randomly selected among patients hospitalized for more than two days, with regular medication record in the previous three months were reviewed. Results: We found that prior to hospitalization, 88,2% of patients were medicated, and the treatment group most used was the Cardiovascular System with 66,7%. It was found that all patients, while hospitalized, suffered at least one modification (addition, withdrawal or substitution) in relation to medication at home, and the drugs most used (85,3%) belonged to the Digestive System. The changes to medication occurred during hospitalization were due, primarily, to the addition of new drugs (100% of patients), the suspension (58,8% of patients) and its replacement (8,8%). At the time of hospital discharge in 85,3% of patients the medications was kept, while 11,8% remained taking one, three, seven or nine drugs. It was noted that no drug was replaced in 82,4% and that no drug was suspended. It was found that in 20,6% of patients there was no addition of drugs . Conclusion: All patients, while hospitalized, suffered at least one change of chronic medication, mainly due to addition of drugs. It is necessary to improve the therapeutic information for hospital medical records and information exchange between primary care/secondary care after changes to chronic therapy during hospitalization.
Description
Keywords
Medicação crónica - Internamento hospitalar Cuidados de saúde primários - Cuidados de saúde secundários - Medicação
Pedagogical Context
Citation
Publisher
Universidade da Beira Interior