Dataset Information

Risk assessment of patient factors and medications for drug-related problems from a prospective longitudinal study of newborns admitted to a neonatal intensive care unit in Brazil.

ABSTRACT:

Objective

To identify patient factors and medications associated with the occurrence of drug-related problems (DRPs) in neonates admitted to neonatal intensive care units (NICUs).

Design

Prospective, longitudinal study.

Setting

NICU of a teaching hospital in Brazil.

Participants

Data were collected from the records of the clinical pharmacy service of all neonates admitted between April 2014 and January 2017, excluding neonates with length of stay in the NICU <24?hours or without prescribed drugs.

Primary outcome measures

Occurrence of one or more DRP (conditions interfering in the patient's pharmacotherapy with potential undesired clinical outcomes).

Results

The study observed 600 neonates who had a median length of stay in the NICU of 13 days (range 2-278 days). DRPs were identified in most neonates (60.5%). In a multivariate logistic regression model, the factors independently associated with DRP were gestational age (adjusted OR (AOR) 0.85, 95% CI 0.81 to 0.89), 5?min Apgar <7 (AOR 1.74, 95%?CI 1.00 to 3.13), neurological disease (AOR 2.49, 95%?CI 1.09 to 5.69), renal disease (AOR 5.75, 95%?CI 1.85 to 17.8) and cardiac disease (AOR 2.36, 95%?CI 1.31 to 4.24). The medications with greater risk for DRP were amphotericin B (AOR 4.80), meropenem (AOR 4.09), alprostadil (AOR 3.38), vancomycin (AOR 3.34), ciprofloxacin (AOR 3.03), gentamicin (AOR 2.43), cefepime (AOR 1.88), amikacin (AOR 1.82) and omeprazole (AOR 1.66). These medicines represented one-third of all prescribed drugs.

Conclusions

Gestational age, 5?min Apgar <7,?and neurological, cardiac and renal diseases are risk factors for DRP in NICUs. Alprostadil, omeprazole and several anti-infectives were associated with greater risk of DRP.

SUBMITTER: Leopoldino RD

PROVIDER: S-EPMC6624048 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Publications

Risk assessment of patient factors and medications for drug-related problems from a prospective longitudinal study of newborns admitted to a neonatal intensive care unit in Brazil.

Leopoldino Ramon D RD Santos Marco T MT Costa Tatiana X TX Martins Rand R RR Oliveira António G AG

BMJ open 20190710 7

<h4>Objective</h4>To identify patient factors and medications associated with the occurrence of drug-related problems (DRPs) in neonates admitted to neonatal intensive care units (NICUs).<h4>Design</h4>Prospective, longitudinal study.<h4>Setting</h4>NICU of a teaching hospital in Brazil.<h4>Participants</h4>Data were collected from the records of the clinical pharmacy service of all neonates admitted between April 2014 and January 2017, excluding neonates with length of stay in the NICU <24 hour ...[more]

PMID: 31296505

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Dataset Information

Risk assessment of patient factors and medications for drug-related problems from a prospective longitudinal study of newborns admitted to a neonatal intensive care unit in Brazil.

Objective

Design

Setting

Participants

Primary outcome measures

Results

Conclusions

Publications

Risk assessment of patient factors and medications for drug-related problems from a prospective longitudinal study of newborns admitted to a neonatal intensive care unit in Brazil.

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