Abstract
Background: Medication related problem is defined as: ‘an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. Drug related problems are of a major concern in health care because of increased cost, morbidity and mortality. cardiovascular diseases are a group of disorders of the heart and blood vessels. Objective: To discover characterization of medication related problems and contributing factors among cardiovascular patients in the medical ward of Mettu Karl Referral Hospital. Methods: A facility based prospective observational study design was carried from April 07 /2021 to June 09/2021. Data was collected through employing check list and semi-structured questioner. Data was entered and descriptive statistical analysis was done using statistical packages for social sciences 25.0 version statistical software. Both bi-variable and multivariable analysis performed to determine the association between outcome and predictors variables. A p-value of less than 0.05 was considered significant. Results: The overall rate of medication related problems among cardiovascular patients in medical ward was 53 (58.2%). The patient’s age group was in line of 36-59 years 49 (53.8%). Unnecessary drug therapy 15 (28.3%) were the mostly identified type of drug therapy problem followed by dosage too high 11 (20.8%). ACEIs 229 (17.1%) was commonly prescribed medication and potassium sparing 19 (2.2%) was least prescribed drugs. Age ≥ 60 years (AOR: 2.76; 95%CI: 1.342-3.945; P=0.004), rural area residents (AOR: 2.76; 95%CI: 1.014-2.758; P=0.003), length of hospital stay >7 days (AO R: 4.75; 95%CI: 2.986-11.723; P=0.007), number of medication >5 (AOR: 3.632-17.893; 95%CI: 2.986-11.723; P=0.001) were associated factor significantly causes medication related problems. Conclusion and Recommendation: The prevalence of medication related problems amid cardiovascular patients in medical ward was high. Less than half of patients were found to have co-morbidities and were had have social substance users. Hospitals and ministry of Health should have to establish pharmaceutical care services for better patient care.
Highlights
Drug therapy problem is any undesirable event or circumstance experienced by a patient that involves or is suspected to involve drug therapy and that interferes with achieving the desired goals of therapy
35 Gudisa Bereda and Gemechis Bereda: Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study practically impossible for any health care professional to be updated in all aspects
Cardiovascular diseases are a group of disorders of the heart and blood vessels
Summary
Drug therapy problem is any undesirable event or circumstance experienced by a patient that involves or is suspected to involve drug therapy and that interferes with achieving the desired goals of therapy. Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study practically impossible for any health care professional to be updated in all aspects. Cardiovascular diseases account for 7-10% of all adult medical admissions in African hospitals, heart failure contributing to 3-7% [4]. Most of patients with cardiovascular disease can be treated and managed by proper follow and check up in an outpatient department, though these CVDs accounts for 7-10% of all adult medical admissions in African hospitals [6]. According to the World Health Organization, 278% of all cardiovascular death occurs in those countries Emerging countries, including those from Latin America [7]. About 80% of cardiovascular and diabetes deaths are expected to occur in the emerging world [8]
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