药物不良反应和药物不良事件对患者住院率和再住院率的影响

Festina Balidemaj
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引用次数: 0

摘要

背景:不良反应和不良事件有可能导致患者住院和/或再次住院。根据McDonnell和Jacobs的研究,一次不良反应或不良反应可导致患者平均住院6.1天。这可能会导致工作日的损失,更长的恢复时间,甚至经济影响。方法:对提取的相关文献进行全面评估,深入分析不良反应和不良事件对患者住院和再住院水平的影响,以及报告制度等策略是否有助于降低其总体发生率。结果:由于adr和ADEs的住院/再住院程度与年龄、地点等因素有关,数据分为儿童人群、普通成人人群和老年人群。在数据可用的情况下,还在每个类别中指定了位置。结论:ADR及ade相关住院和再入院率与年龄组相关,以老年人风险最高。然而,这些比率并不取决于一个国家是发达国家还是发展中国家。此外,医疗保健提供者可以使用一些策略来降低这些比率,例如提供药物审查和随访。
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Effects of Adverse Drug Reactions and Adverse Drug Events in Hospital Admission Rates and Re-Hospitalization of Patients
Abstract Background: ADRs and ADEs have a great potential to hospitalize and/or re-hospitalize patients. According to McDonnell and Jacobs, one ADR or ADE could lead a patient to a hospital length of stay of an average of 6.1 days. This can lead to lost days of work, a longer recovery time and even economic implications. Methods: A thorough evaluation of the relevant extracted literature has been analyzed thoroughly in order to find out how ADRs and ADEs impact the levels of hospitalization and re-hospitalization of patients and whether strategies, such as reporting systems, can aide in decreasing their overall occurrence. Results: As the level of hospital admissions/re-hospitalizations due to ADRs and ADEs depends on different factors, such as age and location, the data is separated in the following categories: pediatric population, general adult populations and geriatric population. Where data were available, location has been specified within each category as well. Conclusion: ADR and ADE-related hospital admission and readmission rates are age-group related, elderly being at the highest risk. However, these rates are not dependent on whether a country is developed or developing. Also, there are strategies that can be utilized by healthcare providers in order to decrease these rates in the future, such as to provide medication reviews and follow-ups.
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