Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina

Objectives: This study aimed to analyze the profile of pharmaceutical clinical interventions performed concurrently with the medical prescription evaluation service. Methods: This is a cross-sectional, prospective and observational study conducted at the General Intensive Care Unit of a public h...

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Autores principales:	Danielle Dias, Luiz Paulo de Lemos Wiese, Eduardo Manoel Pereira, Fernando Miano Fernandes
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2019
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/eb4e43e7e992481db467cba77f525eff
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spelling	oai:doaj.org-article:eb4e43e7e992481db467cba77f525eff2021-11-28T02:46:47ZEvaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina10.30968/rbfhss.2018.093.0052179-59242316-7750https://doaj.org/article/eb4e43e7e992481db467cba77f525eff2019-10-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/326https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objectives: This study aimed to analyze the profile of pharmaceutical clinical interventions performed concurrently with the medical prescription evaluation service. Methods: This is a cross-sectional, prospective and observational study conducted at the General Intensive Care Unit of a public hospital in Santa Catarina, Brazil, with 8 beds in full occupation. The study included 54 patients hospitalized from February to July 2017. Included in the study were medical prescriptions and pharmaceutical interventions recorded in the electronic medical record of patients of both genders of any race, origin, age and pathology. Medical prescriptions and pharmaceutical interventions that did not belong to the hospitalization unit studied and the study period were excluded from the study. Results: A total of 499 medical prescriptions belonging to 54 patients (48%), male patients (68%), hypertensive patients (27%), diabetic patients (22%) and polytrauma patients (13%) were analyzed. Of the prescriptions analyzed, 91.1% had a need for pharmaceutical intervention with a total of 64.2% acceptance. The main drug-related problems were drug interaction (40%), potential adverse effect (28%) and need for dose adjustment (13%). The classes of drugs that most needed intervention were analgesics (23%), cardiovascular (14%) and antimicrobials (13%). Conclusions: In assessing clinical pharmaceutical interventions as a benefit in addition to critical care in the Intensive Care Unit we emphasize the percentage of acceptance of pharmaceutical interventions (64%), mostly those involving increased risk for adverse effects and drug interactions, thus contributing to the prevention of complications. Danielle DiasLuiz Paulo de Lemos WieseEduardo Manoel PereiraFernando Miano FernandesSociedade 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 9, Iss 3 (2019)
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 Danielle Dias Luiz Paulo de Lemos Wiese Eduardo Manoel Pereira Fernando Miano Fernandes Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina
description	Objectives: This study aimed to analyze the profile of pharmaceutical clinical interventions performed concurrently with the medical prescription evaluation service. Methods: This is a cross-sectional, prospective and observational study conducted at the General Intensive Care Unit of a public hospital in Santa Catarina, Brazil, with 8 beds in full occupation. The study included 54 patients hospitalized from February to July 2017. Included in the study were medical prescriptions and pharmaceutical interventions recorded in the electronic medical record of patients of both genders of any race, origin, age and pathology. Medical prescriptions and pharmaceutical interventions that did not belong to the hospitalization unit studied and the study period were excluded from the study. Results: A total of 499 medical prescriptions belonging to 54 patients (48%), male patients (68%), hypertensive patients (27%), diabetic patients (22%) and polytrauma patients (13%) were analyzed. Of the prescriptions analyzed, 91.1% had a need for pharmaceutical intervention with a total of 64.2% acceptance. The main drug-related problems were drug interaction (40%), potential adverse effect (28%) and need for dose adjustment (13%). The classes of drugs that most needed intervention were analgesics (23%), cardiovascular (14%) and antimicrobials (13%). Conclusions: In assessing clinical pharmaceutical interventions as a benefit in addition to critical care in the Intensive Care Unit we emphasize the percentage of acceptance of pharmaceutical interventions (64%), mostly those involving increased risk for adverse effects and drug interactions, thus contributing to the prevention of complications.
format	article
author	Danielle Dias Luiz Paulo de Lemos Wiese Eduardo Manoel Pereira Fernando Miano Fernandes
author_facet	Danielle Dias Luiz Paulo de Lemos Wiese Eduardo Manoel Pereira Fernando Miano Fernandes
author_sort	Danielle Dias
title	Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina
title_short	Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina
title_full	Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina
title_fullStr	Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina
title_full_unstemmed	Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina
title_sort	evaluation of pharmaceutical clinical interventions in the icu of a public hospital of santa catarina
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2019
url	https://doaj.org/article/eb4e43e7e992481db467cba77f525eff
work_keys_str_mv	AT danielledias evaluationofpharmaceuticalclinicalinterventionsintheicuofapublichospitalofsantacatarina AT luizpaulodelemoswiese evaluationofpharmaceuticalclinicalinterventionsintheicuofapublichospitalofsantacatarina AT eduardomanoelpereira evaluationofpharmaceuticalclinicalinterventionsintheicuofapublichospitalofsantacatarina AT fernandomianofernandes evaluationofpharmaceuticalclinicalinterventionsintheicuofapublichospitalofsantacatarina
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Evaluation of pharmaceutical clinical interventions in the ICU of a public hospital of Santa Catarina

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