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Alvarez Payero M, Martínez López de Castro N, Ucha Samartín M, et al. Medication non-adherence as a cause of hospital admissions. Farm Hosp. 2014;38(4):328-33doi: 10.7399/fh.2014.38.4.7660.
Alvarez Payero, M., Martínez López de Castro, N., Ucha Samartín, M., Martín Vila, A., Vázquez López, C., & Piñeiro Corrales, G. (2014). Medication non-adherence as a cause of hospital admissions. Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria, 38(4), 328-33. https://doi.org/10.7399/fh.2014.38.4.7660
Alvarez Payero, M, et al. "Medication non-adherence as a cause of hospital admissions." Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria vol. 38,4 (2014): 328-33. doi: https://doi.org/10.7399/fh.2014.38.4.7660
Alvarez Payero M, Martínez López de Castro N, Ucha Samartín M, Martín Vila A, Vázquez López C, Piñeiro Corrales G. Medication non-adherence as a cause of hospital admissions. Farm Hosp. 2014 Jul 01;38(4):328-33. doi: 10.7399/fh.2014.38.4.7660. PMID: 25137166.
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Farm Hosp. 2014 Jul 01;38(4):328-33. doi: 10.7399/fh.2014.38.4.7660.

Medication non-adherence as a cause of hospital admissions.

Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria

M Alvarez Payero, N Martínez López de Castro, M Ucha Samartín, A Martín Vila, C Vázquez López, G Piñeiro Corrales

Affiliations

  1. Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo.. [email protected].
  2. Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo..

PMID: 25137166 DOI: 10.7399/fh.2014.38.4.7660

Abstract

OBJECTIVES: 1. To determine the profile of patients who are admitted to hospital as a result of non-adherence. 2. To obtain an estimate of the economic impact for the hospital.

METHODS: Observational and retrospective study that included patients who were admitted to hospital with a secondary diagnosis of «Personal history of non-compliance with chronic medication» according to International Classification of Diseases, during 2012.

DATA COLLECTED: demographics; socioeconomic and clinical data; data related to the treatment; readmissions; hospital days; degree of adherence: ≤ 75% or severe non-adherence and > 75% or moderate non-adherence; type of non-adherence: non-persistence and noncompliance; hospitalization costs. Statistical analysis was performed.

RESULTS: Eighty-seven patients were admitted. These patients caused 104 episodes (16.3% were readmissions). 71.2% were men, and 51.5 (SD 17.8) years old. All patients had a chronic disease, adherence ≤ 75% (76%) and non-persistence (63.5%). Polypharmacy (47.1%) was not associated with non-adherence. Total stay was 1,527 days (mean stay was 14.7 (SD 14.0) days/episode): psychiatry 827 days (54.2%); cardiology 174 days (11.4%); critical unit 48 days (3.1%). Patients with a degree of adherence ≤ 75% had a mean stay/episode higher than those with a degree of adherence > 75%, without significant differences (p > 0.05, t-Student). Overall cost of hospitalization was Euros 594,230.8, with a mean cost/episode: Euros 5,713.6 (SD 5,039.5). Mean cost/episode for adherence ≤ 75% was higher than > 75%, Euros 6,275.8 (SD 5,526.2) vs Euros 3,895.6 (SD 2,371.3), (p < 0.05, t-Student).

CONCLUSIONS: The profile of this patient is fundamentally, a male psychiatric or chronic cardiac patient with a degree of adherence ≤ 75% due to abandoning domiciliary treatment. Admissions due to medication non-adherence are associated with an important depletion of economic resources in the hospital.

Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

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