Acompanhamento Farmacoterapêutico Em Unidade De Internação Pós-Transplante: Descrição E Análise.

Oliveira, Francisco Roberto Pereira de; Magalhães, Vanessa Pinto; Cavalcante, Rafaela Michele de Andrade; Martins, Bruna Cristina Cardoso; Guedes, Marjorie Moreira; Fonteles, Marta Maria de França; Silva, Lisandra Juvêncio da

doi:10.5216/ref.v16i0.45958

Cited by 4 publications

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“…In 2019, Oliveira et al 25 also showed that problems related to "necessary medication not prescribed" are most prevalent (26.2%), followed by underdosing (14.3%) and overdose (13.4%). Such studies corroborate the values obtained by this study, in which the most prevalent DPR were "necessary medication not prescribed" (20.11%, n = 73), followed by inadequate infusion time and dilution (13.50%, n = 49) and overdose (12.95%, n = 47).…”

Section: Discussionmentioning

confidence: 99%

Economic Impact of Pharmaceutical Recommendations Carried Out in a Liver Transplant Unit of a University Hospital

Nascimento,

Oliveira,

Neto

et al. 2024

BJT

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Introduction: Advances in medicine have provided the possibility of organs and tissues transplantation for therapeutic purposes. Transplant patients, in addition to immunosuppressive therapy, mostly undergo treatment for other comorbidities, and this polypharmacy makes the role of the pharmacist extremely important to ensure patient safety and adherence. Through pharmaceutical recommendations, the professional can reduce morbidity and mortality and thus reduce healthcare costs. Methods: This is an observational, retrospective descriptive study, carried out from January 2021 to December 2022, aiming to analyze the economic impact of pharmaceutical recommendations made in a liver transplant unit of an university hospital. Data collection took place from May to August 2023 through the institution’s clinical pharmacy database. The economic impact was classified as effectiveness increased (EI), cost reduction (RC), and avoided risk (AR) calculated through a methodology developed and adapted to the study’s reality. Medication acquisition costs were verified through the hospital’s own system, and the values were adjusted according to inflation in June 2023. Results: A total of363 pharmaceutical recommendations (PR) were conducted, of which the EI represented 64% (n = 231), followed by RC (20%, n = 72) and risk avoided (16%, n = 60). The total resulting value corrected by the Índice Nacional de Preços ao Consumidor Amplo (IPCA) was R$ 179,223.31, with the AE at R$ 140,414.04 and the RC at R$ 38,809.27. Conclusion: The importance of the clinical pharmacist in the multidisciplinary team is evident through the improvement of patient monitoring and health condition management. Through this study, we can perceive that the PR presented had a considerable financial impact, and, through the optimization of pharmacotherapy for transplant patients, an increase in therapeutic EI was obtained. The importance of developing further studies showing the impact of the quality of care provided by the pharmacy’s performance is clear, to further highlight the importance of this field for healthcare assistance.

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Section: Discussionmentioning

confidence: 99%

Economic Impact of Pharmaceutical Recommendations Carried Out in a Liver Transplant Unit of a University Hospital

Nascimento,

Oliveira,

Neto

et al. 2024

BJT

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“…The fundamental principles of clinical pharmacist are the prescriptions evaluation, medicine dosages, form of administration, storage of medications, adherence and rational use of medications, and adverse reactions with medications and/or foods (Nicoletti & Ito, 2018). This service should be performed with the collaboration of the patient and by other health professionals, being continuous and documented, in order to improve the patient's quality of life (Oliveira et al, 2019;Costa & Klock, 2019).…”

Section: Introductionmentioning

confidence: 99%

The importance of pharmacotherapeutic follow-up in patients with heart failure

Chimada

Silva

Otênio

et al. 2020

RSD

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Heart failure is a chronic disease that compromises the patient's quality of life, due to its symptoms, such as: tiredness/fatigue, exercise intolerance, orthopnea, paroxysmal nocturnal dyspnea. The aim of the present study was to intervene and assist in the treatment of Heart Failure patient with pharmacological and non-pharmacological approaches in order to improve the quality of life and patient compliance regarding the existing disease. Pharmaceutical consultations were carried out over a seven-month period with a patient that suffers from Heart Failure, resident of Umuarama-PR, treated at home. The SOAP method was adopted for the registration of consultations for later analysis, and the measurement of blood pressure was performed by the patient, using the HBPM method. For the analysis of interactions, the Micromedex database and the patient’s package leaflet were used.The patient had a significant decrease in his BP with the follow-up; however, he showed resistance to going to the doctor. After some guidance, the patient agreed to go to the consultation and he was diagnosed with Renal Failure and Prostatic Hyperplasia. It is concluded that pharmaceutical care can be an effective alternative in obtaining better clinical results and helps to improve the patient's quality of life, since it can provide awareness of their health status and the need for the correct use of medications, making the most effective and safe treatment.

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Impacto Econômico das Recomendações Farmacêuticas Realizadas em uma Unidade de Transplante Hepático de um Hospital Universitário

Nascimento,

Oliveira,

Neto

et al. 2024

BJT

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Introdução: Os avanços na medicina proporcionaram a possibilidade do transplante de órgãos e tecidos para fins terapêuticos. Os pacientes transplantados, além da terapia imunossupressora, fazem, em sua maioria, tratamento para outras comorbidade e essa polifarmácia faz com que o papel do farmacêutico seja de extrema importância para garantir a segurança e a adesão do paciente. Por meio das recomendações farmacêuticas (RF), o profissional consegue reduzir a morbimortalidade e o tempo de internação, assim como os custos de saúde. Métodos: Trata-se de estudo observacional, descritivo retrospectivo, realizado no período de janeiro de 2021 a dezembro de 2022, que tem por objetivo analisar o impacto econômico das recomendações farmacêuticas realizadas em uma unidade de transplante hepático de um hospital universitário. A coleta de dados ocorreu no período de maio a agosto de 2023 com auxílio do banco de dados da farmácia clínica da instituição. O impacto econômico foi classificado como aumento de efetividade (AE), redução de custo (RC) e risco evitado (RE), calculados por uma metodologia desenvolvida e adaptada à realidade do estudo. Os custos relacionados à aquisição dos medicamentos foram verificados mediante o sistema próprio do hospital e os valores foram ajustados de acordo com a inflação de junho de 2023. Resultados: Foram realizadas 363 RF, das quais o AE representou 64% (n = 231), seguido por RC (20%, n = 72) e RE (16%, n = 60). O valor total resultante corrigido pelo Índice Nacional de Preços ao Consumidor Amplo (IPCA) foi de R$ 179.223,31, sendo o valor do RE de R$ 140.414,04 e da RC de R$ 38.809,27. Conclusão: A importância do farmacêutico clínico na equipe multidisciplinar é evidente por meio da melhoria do acompanhamento dos pacientes, da monitorização e da gestão da condição de saúde. Por intermédio deste estudo podemos perceber que as RF apresentadas obtiveram impacto financeiro considerável e obteve-se, pela otimização da farmacoterapia dos pacientes transplantados, uma AE terapêutica. Percebe-se, ainda, a importância de se desenvolverem mais estudos que mostrem o impacto da qualidade assistencial proporcionada pela atuação da farmácia clínica, para que seja possível destacar a importância dessa seara para a assistência em saúde.

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Acompanhamento Farmacoterapêutico Em Unidade De Internação Pós-Transplante: Descrição E Análise.

Cited by 4 publications

References 0 publications

Economic Impact of Pharmaceutical Recommendations Carried Out in a Liver Transplant Unit of a University Hospital

Economic Impact of Pharmaceutical Recommendations Carried Out in a Liver Transplant Unit of a University Hospital

The importance of pharmacotherapeutic follow-up in patients with heart failure

Impacto Econômico das Recomendações Farmacêuticas Realizadas em uma Unidade de Transplante Hepático de um Hospital Universitário

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