Medication-induced hospitalization and clinical pharmacists role regarding, at an al-Basra teaching hospital in Iraq

Muhannad Salah Hamza Alradhi; Yasameen Mohammed Abbas Alghadir; Samar Sami Alawee; Mustafa Abdulmohsin Mustafa; Mohammed Falah Fenjan

doi:10.53730/ijhs.v6nS4.11448

Authors

Muhannad Salah Hamza Alradhi
muhannad.alradhi@gmail.com
Iraqi Ministry of health, Basrah Health Directorate, Basrah-Iraq
Yasameen Mohammed Abbas Alghadir Iraqi Ministry of health, Basrah Health Directorate, Basrah-Iraq
Samar Sami Alawee Iraqi Ministry of health, Al Basrah teaching hospital, Basrah-Iraq
Mustafa Abdulmohsin Mustafa Iraqi Ministry of health, Al Basrah teaching hospital, Basrah-Iraq
Mohammed Falah Fenjan Iraqi Ministry of health, Al Basrah teaching hospital, Basrah-Iraq

Keywords:

drug related hospitalization, adverse drug events, drug therapeutic failure, clinical pharmacist, drugs, patient compliance, prescription errors

Abstract

Study objective: Our objective is to determine the proportion of medication-related problems that lead to patient admission, such as drug interactions, side effects, and drug abuse. The study also aims to evaluate the significance of the clinical pharmacist's contribution to patient care and follow-up regarding the appropriate use of safe and effective treatments. Methods: This study was conducted at al Basra Teaching Hospital. All 115 patients with drug-related hospitalization (DRH) who were admitted between May 1 and June 30, 2022, were included in the study. The patients' ages ranged from 35-75 years, with a median of 52 ±3.5 years. Hospitalized patients’ due to drug-related reasons are as follows: Approximately 32% of cases are antibiotics, 20% are cardio-logical cases, 7.8% are diabetic cases, 13% are monoclonal antibody therapies, 7.8% are NSAIDs, and 19% are other cases. One of three clinical pharmacists with residency training and the attending emergency physician assessed each enrolled patient for the existence or absence of an adverse drug event resulting in hospitalization. Clinical pharmacists collected data on the patient's medication usage, medical history, previous allergies and intolerances, and the complaint they were presenting with.

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References

Al-Arifi, M., et al., Emergency department visits and admissions due to drug related problems at Riyadh military hospital (RMH), Saudi Arabia. Saudi Pharmaceutical Journal, 2014. 22(1): p. 17-25.

Carter, B.L. and D.K. Helling, Ambulatory care pharmacy services: the incomplete agenda. Annals of Pharmacotherapy, 1992. 26(5): p. 701-708.

Dewi, P. S., Ratini, N. N., & Trisnawati, N. L. P. (2022). Effect of x-ray tube voltage variation to value of contrast to noise ratio (CNR) on computed tomography (CT) Scan at RSUD Bali Mandara. International Journal of Physical Sciences and Engineering, 6(2), 82–90. https://doi.org/10.53730/ijpse.v6n2.9656

Graabæk, T., et al., Pharmacist-led medication review in an acute admissions unit: a systematic procedure description. European Journal of Hospital Pharmacy, 2015. 22(4): p. 202-206.

Hallas, J., et al., Drug related admissions to a cardiology department; frequency and avoidability. Journal of internal medicine, 1990. 228(4): p. 379-384.

Hallas, J., et al., Drug related hospital admissions: the role of definitions and intensity of data collection, and the possibility of prevention. Journal of internal medicine, 1990. 228(2): p. 83-90.

Hallas, J., et al., Drug-related admissions to a department of medical gastroenterology: the role of self-medicated and prescribed drugs. Scandinavian journal of gastroenterology, 1991. 26(2): p. 174-180.

Ho, P.M., et al., Multifaceted intervention to improve medication adherence and secondary prevention measures after acute coronary syndrome hospital discharge: a randomized clinical trial. JAMA internal medicine, 2014. 174(2): p. 186-193.

Hohl, C.M., et al., Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Annals of emergency medicine, 2010. 55(6): p. 493-502. e4.

Jatau, A.I., et al., Prevalence of drug-related emergency department visits at a teaching hospital in Malaysia. Drugs-real world outcomes, 2015. 2(4): p. 387-395.

Majumdar, S.R., H.L. Lipton, and S.B. Soumerai, Evaluating and improving physician prescribing. Pharmacoepidemiology, 2005. 4: p. 419-438.

Montamat, S.C. and B. Cusack, Overcoming problems with polypharmacy and drug misuse in the elderly. Clinics in geriatric medicine, 1992. 8(1): p. 143-158.

Pemayun, C. I. B., & Martini, I. A. O. (2021). Implementation motivation, work discipline in work productivity of employees in the hospital. International Research Journal of Management, IT and Social Sciences, 8(6), 630-638. https://doi.org/10.21744/irjmis.v8n6.1961

Repp, K.L., et al., Drug-related problems and hospital admissions in cardiac transplant recipients. Annals of Pharmacotherapy, 2012. 46(10): p. 1299-1307.

Schnipper, J.L., et al., Role of pharmacist counseling in preventing adverse drug events after hospitalization. Archives of internal medicine, 2006. 166(5): p. 565-571.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938

Thevelin, S., et al., Development of a standardized chart review method to identify drug‐related hospital admissions in older people. British journal of clinical pharmacology, 2018. 84(11): p. 2600-2614.

Thikra Etihad, M.M.A., Randomized clinical trial (RCT) of a clinical pharmacist intervention to reduce drug misuse and improve inappropriate prescribing in hospitalized patients in province of Al Basra. International Journal of Health Sciences / https://doi.org/10.53730/ijhs.v6nS2.8388, 2022. 6(SSN 2550-6978 E-ISSN 2550-696X): p. 12845–12852.