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Drug-related problems as reason for emergency department visit: 3 years of the FARM-URG registry

2023; Oxford University Press; Volume: 31; Issue: 4 Linguagem: Inglês

10.1093/ijpp/riad022

2042-7174

Jesús Ruiz Ramos, Jesús Ruiz Ramos, Rosario Santolaya Perrín, Ma Ángeles García Martín, Paloma Sempere Serrano, Margarita Prats Riera, Camil·la Valls Montal, María del Mar García Gutiérrez, Ana Such Díaz, Ana de Lorenzo Pinto, Beatriz Calderón Hernanz, N. Ramos, Montserrat Alonso Díez, Manuel Bonete Sánchez, Ana Gines Palomares, Nerea Castillo Fernández, Bárbara Úbeda Ruiz, Ana Arancón Pardo, Macarena García-Trevijano Cabet, A. Pérez, Manuel Busto Iglesias, Ana Juanes Borrego, Y Castellanos Clemente, María del Mar García Gutiérrez, Juan Manuel Real Campaña, Beatriz Somoza Fernández, Marina Fages Pérez, Ana Ayestarán Altuna, Josana Fierro Banzo, Gregorio Romero Candel, Ana Fernández Ruiz-Morón, María Muñoz-García, Antonia Balet Duat, Raquel López Martínez, Emili Vallvé Alcón, Gemma Garreta Fontelles, Marta Maialen Mediavilla García, Cristina Toro Blanch, Anna Fayet Pérez, A Dordà Benito, Marta Rodrı́guez, Ma Jose Company Albir, Celia Aparicio Rubio, María Cuenca Torres, C Caballero Requejo, Ana Suárez-Lledó, J Martínez Casanova, Jaime Barceló Vidal, Alicia Rodríguez Alarcón, Ma Rosario Ortíz Navarro, Cristina Calzón Blanco, G Morla Clavero, Javier Ramos Rodríguez,

Heart Failure Treatment and Management

Abstract Objectives Drug-related problems (DRPs) are a well-known cause of emergency department (ED) visits. The objective of the FARM-URG project was to assess the prevalence of DRPs using an annual cross-sectional registry. Herein we report results of the first 3 years, indicating the prevalence of DRPs, drugs involved, and patient characteristics. Methods A point-prevalence multicenter study was conducted across EDs of hospitals in Spain. A specified day and hour was assigned to collect data from all adult patients attending the ED due to DRPs during three consecutive years. Medical records were retrospectively reviewed, with data recorded in REDCap. Key findings Overall, 4752 patients were evaluated at 32 centres, of which 366 (7.7%) visited the ED due to DRPs, with a prevalence ranging from 0 to 16.7%. Antithrombotic drugs accounted for the highest number of DRPs, responsible for 96 (26.8%) episodes. Falls (n = 29; 8.0%) were the most frequent DRPs, followed by haemorrhage (n = 26; 7.12%). Furthermore, 198 (54.2%) reported DRPs were unrelated to medication errors, 80 (21.2%) were overdose errors, and 40 (11.0%) were attributed to poor treatment adherence. Of 366 DRPs-related visits, 54 (14.8%) were due to inappropriately prescribed drugs according to the STOPP-START criteria. Overall, 86 (23.5%) patients revisited the ED within 30 days of discharge, with 34 (9.4%) returning to the ED for new DRPs. Conclusions DRPs are frequently responsible for ED visits and are associated with a considerable percentage of post-discharge visits. The goal of the FARM-URG project is to periodically gather data to design and implement preventive measures.