Drug therapy monitoring of elderly patients in a teaching hospital
Objective: To describe the actions taken and achievements of a drug therapy monitoring service of patients in opioid use in a teaching hospital. Methods: Cross-sectional study conducted from August 2012 to July 2014. An analysis of the medical records and pharmaceutical reports, considering: age, gender, reason and length of hospital stay, opioid analgesic in use, pain measurement by the time of the pharmaceutical interview, and interventions performed. The odds ratio (OR) was calculated considering the occurrence of interventions in groups with or without pain. Results: A total of 152 patients with average age of 75 years. There were Identified 245 pharmaceutical reports, with 212 records of pain measurement. The drugs used by the patients were tramadol (137; 55.9%), codeine (41; 16.7%), morphine (64; 26.1%) and fentanyl (3; 1.2%). There were identified 99 (46.7%) reports of no pain by the patients, and 113 (53.3%) reports of mild, moderate, or severe pain. 128 interventions were performed, especially interventions with nursing staff for pain measurement (77; 60.1%). An OR = 6.692 (95% CI 3.582 to 12.502) was identified. Conclusions: There was a higher prevalence of tramadol use. A significant percentage of patients, including those using strong opioids, reported the presence of pain, which indicates the need to implement strategies for better effectiveness of drug therapy. The OR indicates a greater chance of pharmaceutical interventions to be performed in patients with pain.
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