2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia
| Format: | General Document |
|---|
| _version_ | 1860798078695505920 |
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| building | INTELEK Repository |
| collection | Online Access |
| collectionurl | https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 |
| copyright | Copyright©PWB2025 |
| country | Malaysia |
| date | 2022-06-29 |
| format | General Document |
| id | 15827 |
| institution | UniSZA |
| internalnotes | Sila masukkan subject wajib Dissertations, Academic. Terima kasih... |
| originalfilename | FACTORS ASSOCIATED WITH DRUG-RELATED EMERGENCY DEPARTMENT VISIT AT HOSPITAL UNIVERSITI SAINS MALAYSIA (MASTER_2015).pdf |
| person | Abubakar Ibrahim Jatau |
| recordtype | oai_dc |
| resourceurl | https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15827 |
| sourcemedia | Server storage Scanned document |
| spelling | 15827 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15827 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 General Document Malaysia Library Staff (Top Management) Library Staff (Management) Library Staff (Support) Terengganu Faculty of Health Sciences English application/pdf 1.5 Abubakar Ibrahim Jatau Server storage Scanned document Universiti Sultan Zainal Abidin UniSZA Private Access UNIVERSITI SULTAN ZAINAL ABIDIN SAMBox 2.3.4; modified using iTextSharp™ 5.5.10 ©2000-2016 iText Group NV (AGPL-version) 146 Copyright©PWB2025 FACTORS ASSOCIATED WITH DRUG-RELATED EMERGENCY DEPARTMENT VISIT AT HOSPITAL UNIVERSITI SAINS MALAYSIA (MASTER_2015).pdf 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia 2022-06-29 Hospital emergency services—Malaysia The use of drugs in the management of illness has been associated with a number of injuries termed as an adverse drug event (ADE). Drug-related emergency department (ED) visit is an unplanned visit to the ED where the chief complaint is related to an ADE. Little is known about the prevalence and factors associated with drug-related ED visit in Malaysia. The objective was to determine the prevalence, preventability, severity and outcome of ED visit as well as the factors associated with the visit. A cross sectional and a case control studies were conducted on patients visiting the ED of Hospital Universiti Sains Malaysia. The ED physician determined whether the visit was related to drug or otherwise. Consented patients were interviewed. Descriptive analysis, chi square goodness of fit, Pearson chi square, and independent t-test were used as appropriate. Multiple logistic regression was conducted to determine factors associated with drug-related ED visit. In the cross-sectional study, 434 patients were interviewed over a six-week period. 133 (30.6%) were determined as drug-related ED visits; 55.6% were considered preventable, 11.3% possibly preventable and 33.1% not preventable. The severity was determined as mild in 1.5%, moderate 67.7% and severe 30.8%. The most common ADE reported were: medication non-adherence (47.4%) and adverse drug reaction (32.3%). The frequently implicated drugs have been antidiabetics (23.3%) antihypertensive (21.1%), antibiotics (9.8%) and anti asthmatics (8.3%). Ninety three patients (69.9%) were admitted to the ED for observation, 25 (18.8%) were discharged immediately after consultation and 15 (11.3%) were admitted to the hospital ward. In the case-control study, there were 144 cases and 288 controls. Factors associated with drug-related ED visit were: female [adjusted (OR) 1.7 (95%CI 1.03,2.71)], currently on medication [OR 3.4 (95%CI 1.87, 6.05)], concurrent comorbidity [OR 2.3 (95%CI 1.28, 4.10)], drug allergy [OR 5.4 (95%CI 2.30, 12.48)], recent hospital admission [OR 2.9 (95%CI 1.23, 4.10)], previously consulted multiple prescribers [OR 0.4 (95%CI 0.26, 0.76)], and selected chronic illnesses. The prevalence of drug-related ED visit was high and more than half of the events were considered as preventable. Preventive measures should therefore be targeted towards the risk factors identified. Dissertations, Academic Sila masukkan subject wajib Dissertations, Academic. Terima kasih... Drug-Related Emergency Department Visit Adverse Drug Reactions in Emergency Care Medication Errors And Hospital Admissions Thesis |
| spellingShingle | 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia |
| state | Terengganu |
| subject | Hospital emergency services—Malaysia Dissertations, Academic |
| summary | The use of drugs in the management of illness has been associated with a number of injuries termed as an adverse drug event (ADE). Drug-related emergency department (ED) visit is an unplanned visit to the ED where the chief complaint is related to an ADE. Little is known about the prevalence and factors associated with drug-related ED visit in Malaysia. The objective was to determine the prevalence, preventability, severity and outcome of ED visit as well as the factors associated with the visit. A cross sectional and a case control studies were conducted on patients visiting the ED of Hospital Universiti Sains Malaysia. The ED physician determined whether the visit was related to drug or otherwise. Consented patients were interviewed. Descriptive analysis, chi square goodness of fit, Pearson chi square, and independent t-test were used as appropriate. Multiple logistic regression was conducted to determine factors associated with drug-related ED visit. In the cross-sectional study, 434 patients were interviewed over a six-week period. 133 (30.6%) were determined as drug-related ED visits; 55.6% were considered preventable, 11.3% possibly preventable and 33.1% not preventable. The severity was determined as mild in 1.5%, moderate 67.7% and severe 30.8%. The most common ADE reported were: medication non-adherence (47.4%) and adverse drug reaction (32.3%). The frequently implicated drugs have been antidiabetics (23.3%) antihypertensive (21.1%), antibiotics (9.8%) and anti asthmatics (8.3%). Ninety three patients (69.9%) were admitted to the ED for observation, 25 (18.8%) were discharged immediately after consultation and 15 (11.3%) were admitted to the hospital ward. In the case-control study, there were 144 cases and 288 controls. Factors associated with drug-related ED visit were: female [adjusted (OR) 1.7 (95%CI 1.03,2.71)], currently on medication [OR 3.4 (95%CI 1.87, 6.05)], concurrent comorbidity [OR 2.3 (95%CI 1.28, 4.10)], drug allergy [OR 5.4 (95%CI 2.30, 12.48)], recent hospital admission [OR 2.9 (95%CI 1.23, 4.10)], previously consulted multiple prescribers [OR 0.4 (95%CI 0.26, 0.76)], and selected chronic illnesses. The prevalence of drug-related ED visit was high and more than half of the events were considered as preventable. Preventive measures should therefore be targeted towards the risk factors identified. |
| title | 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia |
| title_full | 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia |
| title_fullStr | 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia |
| title_full_unstemmed | 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia |
| title_short | 2015_Factors Associated with Drug-Related Emergency Department Visit at Hospital Universiti Sains Malaysia |
| title_sort | 2015_factors associated with drug-related emergency department visit at hospital universiti sains malaysia |