Changements de medications agissant sur le systeme cardiovasculaire en cours d'hospitalisation. [Changes in medications acting on the cardiovascular system during hospitalization]

Details

Serval ID
serval:BIB_68F4B6FDA8B6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Changements de medications agissant sur le systeme cardiovasculaire en cours d'hospitalisation. [Changes in medications acting on the cardiovascular system during hospitalization]
Journal
Schweizerische Rundschau fur Medizin Praxis
Author(s)
Katz  E., Guelpa  G., Nicod  P., Brunner  H. R., Waeber  B.
ISSN
1013-2058 (Print)
Publication state
Published
Issued date
09/2000
Volume
89
Number
38
Pages
1506-11
Notes
English Abstract
Journal Article --- Old month value: Sep 21
Abstract
The present study was conducted to assess the extent to which the treatment of patients who take one or more cardiovascular drugs regularly is changed during hospitalisation and over the course of the subsequent two months after release from hospital. In order to elucidate the question more exactly, data was collected on 107 patient after a hospital stay on the internal medicine ward of a university hospital and on 107 patients who had been hospitalised in two non-university hospitals. The average number of changes in medication in patients in the university setting was 2.7 and in patients in the non-university setting it was 2.2. The treatment of patients who were hospitalised for cardiovascular complications was switched more often than that of patients whose circulation was stable at admission. Over the course of the subsequent two months after release, the attending general practitioners (GP) switched the medication at a much lower frequency than the hospitals had done. Within one specific drug class there was no more frequent changes in medication during the hospital stay as afterwards. A drug was discontinued in 107 patients in the university setting and in 124 cases in the two non-university hospitals. The same drug was prescribed again by the treating GP in 30 and 40 patients, respectively, after release. The results of the study show that treatment with drugs that have an effect on the patient's understanding of his illness with regard to its severity may be likely to cause doubts about the effectiveness of the drug and whether the therapeutic decisions that were made by the doctors for medical or other reasons were correct. Therefore, it makes more sense to avoid unnecessary changes in medication whenever possible and only then in unavoidable cases with a clear medical indication.
Keywords
Adult Aged Aged, 80 and over Cardiovascular Agents/*administration & dosage/adverse effects Cardiovascular Diseases/*drug therapy Drug Utilization Family Practice Female Follow-Up Studies *Hospitalization Hospitals, University Humans Male Middle Aged *Patient Care Team Switzerland
Pubmed
Create date
25/01/2008 15:00
Last modification date
20/08/2019 15:24
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