Easton-Carter K L, Chapman C B, Brien J E
Faculty of Pharmacy, University of Sydney, New South Wales, Australia.
J Paediatr Child Health. 2003 Mar;39(2):124-9. doi: 10.1046/j.1440-1754.2003.00103.x.
To determine the frequency and characteristics of paediatric emergency department attendances associated with drug-related problems (DRP) at three Victorian hospitals.
All paediatric medical patients attending the emergency department of the Royal Children's Hospital, Geelong Hospital or Box Hill Hospital were considered for inclusion. The investigator and attending medical practitioners screened eligible patients. A multidisciplinary panel reviewed collated data. Causality, preventability and clinical significance classifications were established by the panel.
Combining data from the three hospitals, over 18 weeks of data collection, a total of 8601 patients met the eligibility criteria. Of these, 280 (3.3%, 95% CI 2.9-3.7%) were determined to have emergency department attendances associated with DRP. Of the 187 cases assessed for preventability, 51.3% were judged to be preventable.
Emergency department attendances are associated with DRP in paediatrics. Given that the need to prevent DRP in adults is recognized, it is now time to act to reduce the consequences of DRP in paediatrics.
确定维多利亚州三家医院与药物相关问题（DRP）相关的儿科急诊科就诊频率及特征。
纳入所有在皇家儿童医院、吉朗医院或博克斯希尔医院急诊科就诊的儿科内科患者。研究者和值班医生对符合条件的患者进行筛查。一个多学科小组对整理好的数据进行审查。该小组确定因果关系、可预防性和临床意义分类。
综合三家医院在18周数据收集期内的数据，共有8601名患者符合纳入标准。其中，280名（3.3%，95%可信区间2.9 - 3.7%）被确定为急诊科就诊与DRP相关。在评估的187例可预防性病例中，51.3%被判定为可预防。
儿科急诊科就诊与DRP相关。鉴于成人预防DRP的必要性已得到认可，现在是采取行动减少儿科DRP后果的时候了。
