Aldardeer Namareq, Benslimane Nabila, Khalifa Mohamed
King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Centre for Health Informatics, Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.
Stud Health Technol Inform. 2017;238:169-172.
Adverse drug events could require a patient to visit the emergency department, many of these visits lead to hospital admissions. A retrospective study, October 2015 to March 2016, examined the severity and factors contributing to medications related emergency visits leading to admissions at King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. Out of 698 reviewed patients, 92 were medications related admissions. Adverse drug reactions were the primary cause (46.7%), drug prescribing (30.4%), compliance (14.1%), and drug dosing (8.7%). The majority of cases were of moderate severity (82.6%). Most medications involved in emergency admissions were antihypertensive (18.4%), chemotherapy (17.4%), anticoagulant (15.2%), and anti-diabetics (12%). Emergency admissions secondary to medication could be minimized whenever the causes of problems are identified. Motivating physicians to apply shared decision making strategy during prescribing and involving pharmacists in emergency and ambulatory care setting is highly important and to educate patients and support healthcare providers in making best medications related decisions.
药物不良事件可能会导致患者前往急诊科就诊，其中许多就诊会导致住院。一项2015年10月至2016年3月的回顾性研究，调查了沙特阿拉伯吉达法赫德国王专科医院和研究中心因药物相关急诊就诊导致住院的严重程度及相关因素。在698名接受审查的患者中，有92名是因药物相关而住院。药物不良反应是主要原因（46.7%），其次是药物处方（30.4%）、依从性（14.1%）和药物剂量（8.7%）。大多数病例为中度严重程度（82.6%）。急诊住院涉及的大多数药物为抗高血压药（18.4%）、化疗药物（17.4%）、抗凝剂（15.2%）和抗糖尿病药（12%）。一旦确定问题原因，因药物导致的急诊住院情况可降至最低。激励医生在开处方时应用共同决策策略，并让药剂师参与急诊和门诊护理，这非常重要，同时要教育患者并支持医疗保健提供者做出最佳的药物相关决策。
