Identification of pharmaceutical interventions in hospitalized elderly patients with renal impairment

Abstract

Objective: To describe pharmaceutical interventions in hospitalized elderly with impaired renal function, and perform differentiations possible types of interventions as the level of renal impairment patients. Methods: This is a transversal study, which deals with the pharmaceutical action results in a multidisciplinary team of attention to the hospitalized elderly. The study population consisted of individuals aged greater than 60 years, regardless of gender, attended by the pharmacist of the multidisciplinary team, with an emphasis on elderly care in the period from January to December 2014. Held data collection computerized electronic medical record, followed by bivariate analysis to identify possible differences between the interventions in patients with glomerular filtration rate below 60 mL / min (group 01), and that with a rate between 61 and 90ml / min (group 02). Results: Group 1 consisted of 53 patients, mean age 77.4 years, mean length of stay was 55.34 days. Group 2 consisted of 36 patients with a mean age of 67.3 years and mean hospital stay was 26.9 days. 233 FIs were performed, and 141 (60.5%) in group 1 and 92 (39.5%) in group 2 with an average 2.61 per patient FIs. Among IF made stands out health education to the patient and / or caregiver during hospitalization as the most frequent in both groups, 29.08% and 38.04% respectively, and a decrease in dose, present only in the group 1 with 18.43%. Medications insulin, omeprazole and tramadol were the most involved in interventions. It did not identify a statistical significance when considering the type of intervention group, which may be linked to the size of the sample under study. Conclusion: The study identifies that the FIs are actions constantly performed monitoring of elderly patients with kidney injury, and that a higher number of interventions in the group with lower glomerular filtration rate.