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https://repositorio.ufba.br/handle/ri/17510
metadata.dc.type: | Artigo de Periódico |
Title: | Use of an indicator to evaluate physician adherence to prescription guidelines for the treatment of heart failure |
Other Titles: | Brazilian Journal of Pharmaceutical Sciences |
Authors: | Oliveira, Márcio Galvão Passos, Luiz Carlos Santos Júnior, Edval Gomes dos Barbosa, Andréa Cristina Costa Santos, Djanilson Barbosa |
metadata.dc.creator: | Oliveira, Márcio Galvão Passos, Luiz Carlos Santos Júnior, Edval Gomes dos Barbosa, Andréa Cristina Costa Santos, Djanilson Barbosa |
Abstract: | The aim of this study was to use indicators to evaluate physician adherence to prescription guidelines for heart failure treatment in a university hospital. This was a prospective cohort study conducted in a university hospital. The information collected at the time of patient admission, including therapeutic indication, absolute contra indications and intolerance, was utilised for the formulation of a guideline adherence indicator (GAI). This indicator was calculated as follows: (the number of patients who used the medication/the number of eligible patients) x 100. The percentage of eligible patients was calculated using the following formula: (the number of eligible patients/the total number patients) x 100. The GAI was applied to a population of 53 patients. Inhibitors of angiotensin-converting enzyme/angiotensin receptor blocker (ACE-I/ARB) combination therapy were used in the greatest percentage of eligible patients (92.4%) and demonstrated the largest GAI value (73.5%). The percentages of patients who were eligible for beta-blockers, spironolactone and digitalis treatments were 81.1%, 52.8% and 60.4%, respectively. The GAI values for the use of beta-blockers, spironolactone and digitalis were 60.4%, 57.1% and 56.2%, respectively. For the studied patient population, the GAI was consistent with the proportion of patients who were eligible to receive digitalis and spironolactone. |
Keywords: | Heart failure/treatment Health care Clinical medicine/practice guidelines Medicines/use Medicines/prescriptions |
metadata.dc.rights: | Acesso Aberto |
URI: | http://repositorio.ufba.br/ri/handle/ri/17510 |
Issue Date: | 2013 |
Appears in Collections: | Artigo Publicado em Periódico (ICS) |
Files in This Item:
File | Description | Size | Format | |
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Márcio Galvão Oliveira.pdf | 248,88 kB | Adobe PDF | View/Open |
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