Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia

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collectionurl https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072
date 2016-03-13 13:36:46
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id 11229
institution UniSZA
originalfilename 5435-01-FH02-FSK-16-07637.pdf
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spelling 11229 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=11229 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal application/pdf 6 1.6 Adobe Acrobat Pro DC 20 Paper Capture Plug-in AMIT 2016-03-13 13:36:46 5435-01-FH02-FSK-16-07637.pdf UniSZA Private Access Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia International Journal of Life Sciences and Review Background: Medication non-adherence is a growing burden to health care system in Malaysia. Aim: The aim of the study was to determine the prevalence, severity, outcome and factors associated with emergency department (ED) visit due to medication non-adherence at a teaching hospital in Malaysia. Methods: A cross-sectional study design was conducted on patients at the ED of Hospital UniversitiSains Malaysia over a period of six weeks from December 2014 to January 2015. Data was collected using patient interview and review of patient’s medical records. Statistical analysis: Descriptive statistics and multiple logistic regression. Results: Out of the 434 patients on ED visit, 63 (14.5%) [95%CI, 11.0%, 18.0%] were related to medication non-adherence, out of which, 53 (84.1%) experienced severe outcome of the ED visit, 48 (76.2%) were admitted to the ED observation ward, 10 (15.9%) to the hospital ward and 5 (7.9%) were discharged immediately after they have consulted with the ED-physician. Factors associated with the ED visit due to medication non-adherence were: cardiovascular disorder [OR: 7.5 (95%CI 5.3, 11.0)], tuberculosis [OR: 5.5 (95% CI 2.8, 10.6)], asthma [OR: 2.6 (95%CI, 1.7, 4.4)], diabetes mellitus (type II) [OR: 0.2 (95%CI, 0.1, 0.4)], central nervous system disorder [OR: 3.8 (95%CI, 2.2, 5.6)] and consulting multiple prescribers [OR: 0.4 (95%CI, 0.2, 0.8)]. Conclusions: Medication non-adherence is a significant contributor to ED visit especially among patients with chronic illnesses in Malaysia. More intervention measures should be focused on people with chronic diseases. 2 2 23-28
spellingShingle Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia
summary Background: Medication non-adherence is a growing burden to health care system in Malaysia. Aim: The aim of the study was to determine the prevalence, severity, outcome and factors associated with emergency department (ED) visit due to medication non-adherence at a teaching hospital in Malaysia. Methods: A cross-sectional study design was conducted on patients at the ED of Hospital UniversitiSains Malaysia over a period of six weeks from December 2014 to January 2015. Data was collected using patient interview and review of patient’s medical records. Statistical analysis: Descriptive statistics and multiple logistic regression. Results: Out of the 434 patients on ED visit, 63 (14.5%) [95%CI, 11.0%, 18.0%] were related to medication non-adherence, out of which, 53 (84.1%) experienced severe outcome of the ED visit, 48 (76.2%) were admitted to the ED observation ward, 10 (15.9%) to the hospital ward and 5 (7.9%) were discharged immediately after they have consulted with the ED-physician. Factors associated with the ED visit due to medication non-adherence were: cardiovascular disorder [OR: 7.5 (95%CI 5.3, 11.0)], tuberculosis [OR: 5.5 (95% CI 2.8, 10.6)], asthma [OR: 2.6 (95%CI, 1.7, 4.4)], diabetes mellitus (type II) [OR: 0.2 (95%CI, 0.1, 0.4)], central nervous system disorder [OR: 3.8 (95%CI, 2.2, 5.6)] and consulting multiple prescribers [OR: 0.4 (95%CI, 0.2, 0.8)]. Conclusions: Medication non-adherence is a significant contributor to ED visit especially among patients with chronic illnesses in Malaysia. More intervention measures should be focused on people with chronic diseases.
title Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia
title_full Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia
title_fullStr Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia
title_full_unstemmed Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia
title_short Emergency Department Visit Due To Medication Non-Adherence At A Teaching Hospital In Malaysia
title_sort emergency department visit due to medication non-adherence at a teaching hospital in malaysia