Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions

Objective: To characterize patients with insulin-dependent Diabetes Mellitus (DM) accompanied by a PF service in a teaching hospital, as well as to identify the occurrence of hospital readmissions and associated factors. Methods: This is a cross-sectional study carried out in a general teaching hos...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jessica S. Malta, Josiane M. Costa, Carla J. Machado, Maria A. Martins
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/ced6e59966f948f98aadcf524f788cdf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ced6e59966f948f98aadcf524f788cdf
record_format	dspace
spelling	oai:doaj.org-article:ced6e59966f948f98aadcf524f788cdf2021-11-28T02:45:58ZCharacterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions10.30968/rbfhss.2019.101.03822179-59242316-7750https://doaj.org/article/ced6e59966f948f98aadcf524f788cdf2020-03-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/382https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To characterize patients with insulin-dependent Diabetes Mellitus (DM) accompanied by a PF service in a teaching hospital, as well as to identify the occurrence of hospital readmissions and associated factors. Methods: This is a cross-sectional study carried out in a general teaching hospital, being included patients above 18 years old, of both genders, with type 1 or 2 DM diagnosis were admitted from April 2015 to April 2016, accompanied by the Pharmaceutical Follow-up Service of the hospital, who used insulin during hospitalization and received indication for using this drug in the hospital discharge prescription. Data were collected through consultation in electronic medical records and telephone contact after the hospital discharge. Data were recorded in a Microsoft Excel spreadsheet, with the patients subdivided into groups with and without readmission, followed by univariate analysis of associated factors by means of proportion comparison and logistic model with penalized likelihood. Results: Patients who were re-admitted had higher blood sugar values, fewer pharmaceutical interventions regarding insulin use, and longer average hospitalization time. The analysis of the association between variables and readmission did not present statistical significance. Conclusions: The study points out to weaknesses related to the offer of care to the patients under study, such as weaknesses in the coverage for offering actions related to health education in the periods before and after hospital discharge, difficulty in accessing the specialist physician and non-achievement of blood sugar measurement by some patients. There was no association between any of the analyzed variables and hospital readmission. Jessica S. MaltaJosiane M. CostaCarla J. MachadoMaria A. MartinsSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 10, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Jessica S. Malta Josiane M. Costa Carla J. Machado Maria A. Martins Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
description	Objective: To characterize patients with insulin-dependent Diabetes Mellitus (DM) accompanied by a PF service in a teaching hospital, as well as to identify the occurrence of hospital readmissions and associated factors. Methods: This is a cross-sectional study carried out in a general teaching hospital, being included patients above 18 years old, of both genders, with type 1 or 2 DM diagnosis were admitted from April 2015 to April 2016, accompanied by the Pharmaceutical Follow-up Service of the hospital, who used insulin during hospitalization and received indication for using this drug in the hospital discharge prescription. Data were collected through consultation in electronic medical records and telephone contact after the hospital discharge. Data were recorded in a Microsoft Excel spreadsheet, with the patients subdivided into groups with and without readmission, followed by univariate analysis of associated factors by means of proportion comparison and logistic model with penalized likelihood. Results: Patients who were re-admitted had higher blood sugar values, fewer pharmaceutical interventions regarding insulin use, and longer average hospitalization time. The analysis of the association between variables and readmission did not present statistical significance. Conclusions: The study points out to weaknesses related to the offer of care to the patients under study, such as weaknesses in the coverage for offering actions related to health education in the periods before and after hospital discharge, difficulty in accessing the specialist physician and non-achievement of blood sugar measurement by some patients. There was no association between any of the analyzed variables and hospital readmission.
format	article
author	Jessica S. Malta Josiane M. Costa Carla J. Machado Maria A. Martins
author_facet	Jessica S. Malta Josiane M. Costa Carla J. Machado Maria A. Martins
author_sort	Jessica S. Malta
title	Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
title_short	Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
title_full	Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
title_fullStr	Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
title_full_unstemmed	Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
title_sort	characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/ced6e59966f948f98aadcf524f788cdf
work_keys_str_mv	AT jessicasmalta characterizationofpatientsusinginsulininapharmacotherapeuticserviceandidentificationofhospitalreadmissions AT josianemcosta characterizationofpatientsusinginsulininapharmacotherapeuticserviceandidentificationofhospitalreadmissions AT carlajmachado characterizationofpatientsusinginsulininapharmacotherapeuticserviceandidentificationofhospitalreadmissions AT mariaamartins characterizationofpatientsusinginsulininapharmacotherapeuticserviceandidentificationofhospitalreadmissions
_version_	1718408466628870144

Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions

Ejemplares similares