Publication: Evaluación del impacto de la implementación de un protocolo perioperatorio para pacientes con enfermedad de Parkinson en la reducción de la prescripción de medicación contraindicada
Loading...
Files
Official URL
Full text at PDC
Publication Date
2022-06-15
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Complutense de Madrid
Citations
Exportar
Abstract
Debido al progresivo incremento de la prevalencia de la enfermedad de Parkinson (EP) y otros parkinsonismos asociado al envejecimiento poblacional, es cada vez más frecuente encontrar pacientes ingresados con estas patologías. Según la evidencia disponible, las hospitalizaciones en estos pacientes son más frecuentes y prolongadas, e, independientemente del motivo de ingreso, asocian un mayor riesgo de complicaciones, como las infecciosas y las relacionadas con la inmovilización. Además, durante su estancia hospitalaria no son infrecuentes los errores de medicación, por irregularidades en la pauta habitual de tratamiento antiparkinsoniano o el empleo de fármacos antidopaminérgicos. Todos estos factores influyen en la mayor mortalidad asociada a sus hospitalizaciones. En particular, cuando estos pacientes ingresan para someterse a intervenciones quirúrgicas, el riesgo de complicaciones y de errores de medicación aumenta sustancialmente, por lo que es prioritario desarrollar estrategias que mejoren la seguridad en estos ingresos, que podrían repercutir en el estado clínico de los pacientes, su recuperación y la longitud de su estancia hospitalaria. En este sentido, se han publicado recomendaciones generales para su manejo farmacológico. En el Hospital General Universitario Gregorio Marañón (HGUGM) se desarrolló un protocolo detallado para garantizar el adecuado manejo farmacológico en el período perioperatorio, que se implementó en diciembre de 2015. Para su puesta en marcha se realizaron sesiones formativas en el hospital, y se desarrollaron varias herramientas complementarias, como una Hoja Informativa para pacientes y una Alerta farmacológica en el programa de prescripción electrónica, entre otras...
Due to the progressive increase in the prevalence of Parkinson's disease (PD) and other parkinsonisms associated with population ageing, it is increasingly common to have patients admitted with these pathologies. According to the available evidence, hospitalisations in these patients are more frequent and prolonged, and, regardless of the reason for admission, are associated with a higher risk of complications, such as infectious complications and those related to immobilisation. In addition, during their hospital stay, medication errors are not uncommon, due to irregularities in the usual antiparkinsonian treatment regimen or the use of antidopaminergic drugs. All these factors influence the higher mortality associated with their hospitalisations. Particularly, when these patients are admitted for surgery, the risk of complications and medication errors increases substantially, making it a priority to develop strategies to improve safety in these hospitalisations, which could have an impact on patients' clinical status, their recovery and the length of their hospital stay. In this regard, general recommendations for pharmacological management have been published. At the Hospital General Universitario Gregorio Marañón (HGUGM), a detailed protocol was developed to ensure appropriate pharmacological management in the perioperative period, which was implemented in December 2015. For its implementation, educational sessions were conducted at the hospital, and several complementary tools were developed, such as an Information Sheet for patients and a Pharmacological Alert in the electronic prescription programme, among others...
Due to the progressive increase in the prevalence of Parkinson's disease (PD) and other parkinsonisms associated with population ageing, it is increasingly common to have patients admitted with these pathologies. According to the available evidence, hospitalisations in these patients are more frequent and prolonged, and, regardless of the reason for admission, are associated with a higher risk of complications, such as infectious complications and those related to immobilisation. In addition, during their hospital stay, medication errors are not uncommon, due to irregularities in the usual antiparkinsonian treatment regimen or the use of antidopaminergic drugs. All these factors influence the higher mortality associated with their hospitalisations. Particularly, when these patients are admitted for surgery, the risk of complications and medication errors increases substantially, making it a priority to develop strategies to improve safety in these hospitalisations, which could have an impact on patients' clinical status, their recovery and the length of their hospital stay. In this regard, general recommendations for pharmacological management have been published. At the Hospital General Universitario Gregorio Marañón (HGUGM), a detailed protocol was developed to ensure appropriate pharmacological management in the perioperative period, which was implemented in December 2015. For its implementation, educational sessions were conducted at the hospital, and several complementary tools were developed, such as an Information Sheet for patients and a Pharmacological Alert in the electronic prescription programme, among others...
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 23-12-2021