A influência das discrepâncias medicamentosas no tempo de 16 internação hospitalar na clínica médica de um hospital público

Abstract

Medication discrepancies (MD) can occur during transitions of care, where patients generally receive new medications or adjustments to the treatment. The present study aims to examine the association between medication discrepancies at hospital admission and the length of hospital stay. This is a retrospective cohort study conducted at a public hospital. Patients with the Best Possible Medication History (BPMH) collected within 2014 - 2017 were included. MDs were identified by comparing all drugs prescribed at the time of hospital admission with those listed in the patient's BPMH. Participants were divided into exposed and not exposed to at least one type of discrepancy, and the length of hospital stay was the outcome. A total of 225 individuals were analyzed, of which 144 (64%) were exposed to at least one type of MD. The omission type discrepancy was the most common, 124 individuals were exposed. Those who were exposed to discrepancies remained in the hospital for an average of 23.5 days (SD = 36.5). Those who did not have any MD had an average length of stay of 19.7 days (SD = 47.4). The presence of drug discrepancies at hospital admission was associated with an increase in the length of stay in the medical clinic.