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Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study

Received: 28 June 2021    Accepted: 28 July 2021    Published: 4 August 2021
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Abstract

Background: Medication related problem is defined as: ‘an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. Drug related problems are of a major concern in health care because of increased cost, morbidity and mortality. cardiovascular diseases are a group of disorders of the heart and blood vessels. Objective: To discover characterization of medication related problems and contributing factors among cardiovascular patients in the medical ward of Mettu Karl Referral Hospital. Methods: A facility based prospective observational study design was carried from April 07 /2021 to June 09/2021. Data was collected through employing check list and semi-structured questioner. Data was entered and descriptive statistical analysis was done using statistical packages for social sciences 25.0 version statistical software. Both bi-variable and multivariable analysis performed to determine the association between outcome and predictors variables. A p-value of less than 0.05 was considered significant. Results: The overall rate of medication related problems among cardiovascular patients in medical ward was 53 (58.2%). The patient’s age group was in line of 36-59 years 49 (53.8%). Unnecessary drug therapy 15 (28.3%) were the mostly identified type of drug therapy problem followed by dosage too high 11 (20.8%). ACEIs 229 (17.1%) was commonly prescribed medication and potassium sparing 19 (2.2%) was least prescribed drugs. Age ≥ 60 years (AOR: 2.76; 95%CI: 1.342-3.945; P=0.004), rural area residents (AOR: 2.76; 95%CI: 1.014-2.758; P=0.003), length of hospital stay >7 days (AO R: 4.75; 95%CI: 2.986-11.723; P=0.007), number of medication >5 (AOR: 3.632-17.893; 95%CI: 2.986-11.723; P=0.001) were associated factor significantly causes medication related problems. Conclusion and Recommendation: The prevalence of medication related problems amid cardiovascular patients in medical ward was high. Less than half of patients were found to have co-morbidities and were had have social substance users. Hospitals and ministry of Health should have to establish pharmaceutical care services for better patient care.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 7, Issue 3)
DOI 10.11648/j.ijcts.20210703.11
Page(s) 34-40
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Medication Related Problems, Associated Factors, Cardiovascular Disease, Medical Ward, Mettu Karl Referral Hospital, Ethiopia

References
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  • APA Style

    Gudisa Bereda, Gemechis Bereda. (2021). Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study. International Journal of Cardiovascular and Thoracic Surgery, 7(3), 34-40. https://doi.org/10.11648/j.ijcts.20210703.11

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    ACS Style

    Gudisa Bereda; Gemechis Bereda. Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study. Int. J. Cardiovasc. Thorac. Surg. 2021, 7(3), 34-40. doi: 10.11648/j.ijcts.20210703.11

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    AMA Style

    Gudisa Bereda, Gemechis Bereda. Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study. Int J Cardiovasc Thorac Surg. 2021;7(3):34-40. doi: 10.11648/j.ijcts.20210703.11

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  • @article{10.11648/j.ijcts.20210703.11,
      author = {Gudisa Bereda and Gemechis Bereda},
      title = {Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {7},
      number = {3},
      pages = {34-40},
      doi = {10.11648/j.ijcts.20210703.11},
      url = {https://doi.org/10.11648/j.ijcts.20210703.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20210703.11},
      abstract = {Background: Medication related problem is defined as: ‘an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. Drug related problems are of a major concern in health care because of increased cost, morbidity and mortality. cardiovascular diseases are a group of disorders of the heart and blood vessels. Objective: To discover characterization of medication related problems and contributing factors among cardiovascular patients in the medical ward of Mettu Karl Referral Hospital. Methods: A facility based prospective observational study design was carried from April 07 /2021 to June 09/2021. Data was collected through employing check list and semi-structured questioner. Data was entered and descriptive statistical analysis was done using statistical packages for social sciences 25.0 version statistical software. Both bi-variable and multivariable analysis performed to determine the association between outcome and predictors variables. A p-value of less than 0.05 was considered significant. Results: The overall rate of medication related problems among cardiovascular patients in medical ward was 53 (58.2%). The patient’s age group was in line of 36-59 years 49 (53.8%). Unnecessary drug therapy 15 (28.3%) were the mostly identified type of drug therapy problem followed by dosage too high 11 (20.8%). ACEIs 229 (17.1%) was commonly prescribed medication and potassium sparing 19 (2.2%) was least prescribed drugs. Age ≥ 60 years (AOR: 2.76; 95%CI: 1.342-3.945; P=0.004), rural area residents (AOR: 2.76; 95%CI: 1.014-2.758; P=0.003), length of hospital stay >7 days (AO R: 4.75; 95%CI: 2.986-11.723; P=0.007), number of medication >5 (AOR: 3.632-17.893; 95%CI: 2.986-11.723; P=0.001) were associated factor significantly causes medication related problems. Conclusion and Recommendation: The prevalence of medication related problems amid cardiovascular patients in medical ward was high. Less than half of patients were found to have co-morbidities and were had have social substance users. Hospitals and ministry of Health should have to establish pharmaceutical care services for better patient care.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study
    AU  - Gudisa Bereda
    AU  - Gemechis Bereda
    Y1  - 2021/08/04
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcts.20210703.11
    DO  - 10.11648/j.ijcts.20210703.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 34
    EP  - 40
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20210703.11
    AB  - Background: Medication related problem is defined as: ‘an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. Drug related problems are of a major concern in health care because of increased cost, morbidity and mortality. cardiovascular diseases are a group of disorders of the heart and blood vessels. Objective: To discover characterization of medication related problems and contributing factors among cardiovascular patients in the medical ward of Mettu Karl Referral Hospital. Methods: A facility based prospective observational study design was carried from April 07 /2021 to June 09/2021. Data was collected through employing check list and semi-structured questioner. Data was entered and descriptive statistical analysis was done using statistical packages for social sciences 25.0 version statistical software. Both bi-variable and multivariable analysis performed to determine the association between outcome and predictors variables. A p-value of less than 0.05 was considered significant. Results: The overall rate of medication related problems among cardiovascular patients in medical ward was 53 (58.2%). The patient’s age group was in line of 36-59 years 49 (53.8%). Unnecessary drug therapy 15 (28.3%) were the mostly identified type of drug therapy problem followed by dosage too high 11 (20.8%). ACEIs 229 (17.1%) was commonly prescribed medication and potassium sparing 19 (2.2%) was least prescribed drugs. Age ≥ 60 years (AOR: 2.76; 95%CI: 1.342-3.945; P=0.004), rural area residents (AOR: 2.76; 95%CI: 1.014-2.758; P=0.003), length of hospital stay >7 days (AO R: 4.75; 95%CI: 2.986-11.723; P=0.007), number of medication >5 (AOR: 3.632-17.893; 95%CI: 2.986-11.723; P=0.001) were associated factor significantly causes medication related problems. Conclusion and Recommendation: The prevalence of medication related problems amid cardiovascular patients in medical ward was high. Less than half of patients were found to have co-morbidities and were had have social substance users. Hospitals and ministry of Health should have to establish pharmaceutical care services for better patient care.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • SWAN Diagnostic Pharmaceutical Importer, Addis Ababa, Ethiopia

  • Awash Bank, Addis Ababa, Ethiopia

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