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American Journal of Health-System Pharmacy, Vol. 62, Issue 18, 1883-1889
Copyright © 2005 by American Society of Health-System Pharmacists
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Report

Risk of adverse drug events by patient destination after hospital discharge

Darren M. Triller, Steven L. Clause and Robert A. Hamilton

DARREN M. TRILLER, PHARM.D., is Assistant Professor of Pharmacy Practice, Albany College of Pharmacy (ACP), Albany, NY. STEVEN L. CLAUSE, PHARM.D., is Director of Pharmacy, Kwajalein Hospital, Kwajalein Atoll, Marshall Islands. ROBERT A. HAMILTON, PHARM.D., is Professor of Pharmacy Practice, ACP.

Address correspondence to Dr. Triller at Albany College of Pharmacy, 106 New Scotland Avenue, Albany, NY 12208.


Purpose. The prevalence of risk factors for adverse drug events (ADEs) in patients discharged from the hospital to various care settings was studied.

Methods. Data on patient risk characteristics for ADEs were collected for hospital discharges for 2000. Differences in the prevalence of 10 risk characteristics among home health care (HHC), self-care (SC), and long-term-care (LTC) patients at the point of discharge were determined.

Results. Data for 4250 discharges were analyzed. The three groups differed significantly in the distribution of risk characteristics. HHC patients had the highest prevalence of heart failure, cardiovascular medication use, and polypharmacy, and LTC patients had the highest prevalence of hypoalbuminemia, cognitive impairment, and psychiatric drug use.

Conclusion. The risk of ADEs in patients discharged to HHC appeared to be comparable to or higher than that in patients discharged to LTC.

Index terms: Ambulatory care; Cardiac drugs; Cognition disorders; Drugs, adverse reactions; Health care; Heart failure; Hypoproteinemia; Long-term-care facilities; Psychotherapeutic agents; Rational therapy; Reports

 





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