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The incidence of drug‐related problems as a cause of hospital admissions in children
Author(s) -
Easton Kylie L,
Brien Joanne E,
Parsons Barry J,
Starr Michael
Publication year - 1998
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1998.tb126802.x
Subject(s) - medicine , incidence (geometry) , pediatrics , population , prospective cohort study , epidemiology , emergency medicine , surgery , physics , environmental health , optics
Objectives To determine the incidence of hospital admissions for drug‐related problems (DRPs) among children, and to examine cases for causality, preventability and clinical severity. Design Prospective assessment involving review of case notes and parent interview to determine if an admission was associated with a DRP. Patients and setting All patients admitted to a large university‐affiliated paediatric hospital in Melbourne, Victoria, for medical reasons (ie, not surgical, trauma or oncology patients) during 56 consecutive days from 24 June to 19 August 1996 for which a DRP could be identified. Patients whose parents or guardians could not communicate adequately in English were excluded. Main outcome measures The incidence, type, causality, preventability and clinical severity of DRPs associated with admission. Results Of 1682 eligible patients admitted to the Royal Children's Hospital during the study period, 58 admissions (3.4%) were associated with DRPs. Non‐compliance was implicated in 50%. Causality was ranked as “definite” (34.5%), “possible” (56.9%) and “doubtful” (8.6%). Two‐thirds of admissions associated with DRPs were Conclusions The incidence of DRPs as a cause of hospital admission in this study falls within the range of incidences published for the Australian adult population (range, 2.4%‐22%). In contrast to findings among Australian adults, a high proportion of admissions for DRPs in this study were associated with non‐compliance. The high percentage of preventable admissions indicates that further study is necessary to characterise risk factors within this population and to test prevention strategies deemed preventable. Although no patients died from DRPs, four were admitted to the intensive care unit.