CAUSES OF DRUG RELATED PROBLEMS AMONG CHRONIC KIDNEY DISEASE PATIENTS WITH DIABETIC MELLITUS AND/OR HYPERTENSION IN PRIVATE HOSPITAL, YEMEN
DOI:
https://doi.org/10.65693/irss.2022.v3i1.328Keywords:
Chronic kidney diseases Diabetic type 2 - Hypertension - Drug related problemsAbstract
Background. There is an alarming rise of chronic kidney disease prevalence globally associated with significant morbidity and mortality necessitating special attention as one of the major growing public health problems. Medication-related problems are common in hospitalized patients including chronic kidney disease and may lead to increase hospital stay and health care cost and augment the risk of morbidity and mortality.
Objective: to identify and evaluate drug-related problems (DRPs) and the associated risk factor with patient treated for chronic kidney disease (CKD) with Diabetes Mellitus and/or Hypertension .
Methodology: A retrospective observational study was conducted among the patients diagnosed with CKD and DM and/or HTN. Patient who admitted to one hospital in Sana'a (University Science and Technology Hospital) study was conducted for three months from [1/ Dec /2021 to 10/ Feb/ 2022]. Data regarding patient characteristics, medications, diagnosis, and laboratory results were collected through review of patients' medical charts. Data were analyzed by using Statistical Package for the Social Sciences (SPSS) version 21.0
Results: Out of 106 CKD with D.M and /or HTN, 86 (81.1%) of patients had DRPS, on
average at least two per patient. A total number of 233 drug related problems (DRPs) the causes of each DRP were identified the most common DRPS among patients were drug selection (n=140 (40%)), dose selection (n=80 (34.4%)), and treatment duration (n=13 (5.6%)). most common cause of drug selection is inappropriate drug selection (48.6%) and the most common causes of dose selection is dose too low (52.5%).
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