Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia

Abate Wondesen Tsige,1 Berhan Begashaw Yikna,2 Birhanetensay Masresha Altaye2 1Clinical Pharmacy Unit, Department of Pharmacy, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia; 2Pharmacology and Toxicology Unit, Department of Pharmacy, College of Health Sciences, Debre Ber...

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Autores principales:	Tsige AW, Yikna BB, Altaye BM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	heart failure drug-related problem cipolle’s drp classification scheme ethiopia Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/52bad16ffdce4a46bf24ccc60db891ac
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spelling	oai:doaj.org-article:52bad16ffdce4a46bf24ccc60db891ac2021-11-09T18:40:35ZDrug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia1178-203Xhttps://doaj.org/article/52bad16ffdce4a46bf24ccc60db891ac2021-11-01T00:00:00Zhttps://www.dovepress.com/drug-related-problems-among-ambulatory-heart-failure-patients-on-follo-peer-reviewed-fulltext-article-TCRMhttps://doaj.org/toc/1178-203XAbate Wondesen Tsige,1 Berhan Begashaw Yikna,2 Birhanetensay Masresha Altaye2 1Clinical Pharmacy Unit, Department of Pharmacy, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia; 2Pharmacology and Toxicology Unit, Department of Pharmacy, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Abate Wondesen Tsige Tel +251 921126837Fax +251 116812065Email Abatewondesen@dbu.edu.etPurpose: The purpose of this study was to assess drug-related problems (DRPs) among ambulatory heart failure (HF) patients attending at medical referral clinic of Debre Berhan Comprehensive Specialized Hospital, Ethiopia.Materials and Methods: A hospital-based cross-sectional study was conducted among 344 HF patients. Drug-related problems were classified using modified Cipolle’s DRP classification schemes and drug–drug interactions were assessed using Micromedex, up-to-date, and drug.com drug–drug interaction checkers. The data was entered into Epidata version 4.2.0 and analyzed using SPSS version 25.0 statistical software. Descriptive statistics were used to summarize patients’ characteristics. Univariable and multivariable binary logistic regression analysis was performed to identify associated factors with dependent variables. P < 0.05 was considered statistically significant.Results: The mean age of the study participants was 53.38 ± 18.84 years and nearly half (45%) were in the age group of 31– 60 years. Drug-related problems were found in 80.8% of HF patients. A total of 416 DRPs were identified. Adverse drug reaction (35.58%) was the top DRPs identified followed by the need for additional drug therapy (30.53%) and ineffective drug therapy (26.9%), respectively. Diuretics (45%), beta-blockers (BBs) (12.42%), and angiotensin-converting enzyme inhibitors (ACEIs) (10%) were the commonly used drug classes by study participants. The presence of comorbidity (p ˂ 0.001) and level of education of study participants (p = 0.03) had a significant association with the occurrence of DRPs.Conclusion: The prevalence of DRPs among ambulatory HF patients was high. The presence of comorbidity and the educational level of study participants had a significant association with the occurrence of DRPs. Checking potential drug–drug interactions before starting a new therapy, monitoring adverse drug reactions, ensuring sustainable availability of medications, and regular education programs are recommended to minimize DRPs.Keywords: heart failure, drug-related problem, Cipolle’s DRP classification scheme, EthiopiaTsige AWYikna BBAltaye BMDove Medical Pressarticleheart failuredrug-related problemcipolle’s drp classification schemeethiopiaTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 17, Pp 1165-1175 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	heart failure drug-related problem cipolle’s drp classification scheme ethiopia Therapeutics. Pharmacology RM1-950
spellingShingle	heart failure drug-related problem cipolle’s drp classification scheme ethiopia Therapeutics. Pharmacology RM1-950 Tsige AW Yikna BB Altaye BM Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia
description	Abate Wondesen Tsige,1 Berhan Begashaw Yikna,2 Birhanetensay Masresha Altaye2 1Clinical Pharmacy Unit, Department of Pharmacy, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia; 2Pharmacology and Toxicology Unit, Department of Pharmacy, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Abate Wondesen Tsige Tel +251 921126837Fax +251 116812065Email Abatewondesen@dbu.edu.etPurpose: The purpose of this study was to assess drug-related problems (DRPs) among ambulatory heart failure (HF) patients attending at medical referral clinic of Debre Berhan Comprehensive Specialized Hospital, Ethiopia.Materials and Methods: A hospital-based cross-sectional study was conducted among 344 HF patients. Drug-related problems were classified using modified Cipolle’s DRP classification schemes and drug–drug interactions were assessed using Micromedex, up-to-date, and drug.com drug–drug interaction checkers. The data was entered into Epidata version 4.2.0 and analyzed using SPSS version 25.0 statistical software. Descriptive statistics were used to summarize patients’ characteristics. Univariable and multivariable binary logistic regression analysis was performed to identify associated factors with dependent variables. P < 0.05 was considered statistically significant.Results: The mean age of the study participants was 53.38 ± 18.84 years and nearly half (45%) were in the age group of 31– 60 years. Drug-related problems were found in 80.8% of HF patients. A total of 416 DRPs were identified. Adverse drug reaction (35.58%) was the top DRPs identified followed by the need for additional drug therapy (30.53%) and ineffective drug therapy (26.9%), respectively. Diuretics (45%), beta-blockers (BBs) (12.42%), and angiotensin-converting enzyme inhibitors (ACEIs) (10%) were the commonly used drug classes by study participants. The presence of comorbidity (p ˂ 0.001) and level of education of study participants (p = 0.03) had a significant association with the occurrence of DRPs.Conclusion: The prevalence of DRPs among ambulatory HF patients was high. The presence of comorbidity and the educational level of study participants had a significant association with the occurrence of DRPs. Checking potential drug–drug interactions before starting a new therapy, monitoring adverse drug reactions, ensuring sustainable availability of medications, and regular education programs are recommended to minimize DRPs.Keywords: heart failure, drug-related problem, Cipolle’s DRP classification scheme, Ethiopia
format	article
author	Tsige AW Yikna BB Altaye BM
author_facet	Tsige AW Yikna BB Altaye BM
author_sort	Tsige AW
title	Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia
title_short	Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia
title_full	Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia
title_fullStr	Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia
title_full_unstemmed	Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia
title_sort	drug-related problems among ambulatory heart failure patients on follow-up at debre berhan comprehensive specialized hospital, ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/52bad16ffdce4a46bf24ccc60db891ac
work_keys_str_mv	AT tsigeaw drugrelatedproblemsamongambulatoryheartfailurepatientsonfollowupatdebreberhancomprehensivespecializedhospitalethiopia AT yiknabb drugrelatedproblemsamongambulatoryheartfailurepatientsonfollowupatdebreberhancomprehensivespecializedhospitalethiopia AT altayebm drugrelatedproblemsamongambulatoryheartfailurepatientsonfollowupatdebreberhancomprehensivespecializedhospitalethiopia
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Drug-Related Problems Among Ambulatory Heart Failure Patients on Follow-Up at Debre Berhan Comprehensive Specialized Hospital, Ethiopia

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