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Crit Care Resusc. 2013 Jun;15(2):147-51.

Inappropriate continuation of stress ulcer prophylaxis beyond the intensive care setting.

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  • 1Alfred Hospital, Melbourne, VIC, Australia.

Abstract

OBJECTIVE:

To determine how frequently stress ulcer prophylaxis (SUP) medications prescribed in the intensive care unit are inappropriately continued on the ward and on hospital discharge.

DESIGN:

Retrospective cohort study; chart review.

SETTING:

Two Australian ICUs: one tertiary centre and one metropolitan centre.

PARTICIPANTS:

We included 387 adult, non-pregnant patients who were admitted to the ICU between 1 February 2011 and 31 March 2011 and who survived to hospital discharge.

MAIN OUTCOME MEASURES:

Rate of unnecessary continuation of ICU-prescribed SUP medications on the ward and on discharge from hospital.

RESULTS:

While in the ICU, 329 of the 387 patients (85%) were prescribed SUP medications. Of the 233 patients who had not been taking acid-suppressive medications before admission to the ICU, 190 were prescribed SUP medications in the ICU. Of these 190 patients, most (63%) had their SUP continued in the ward without any obvious indication, and many (39%) had their SUP medications inappropriately continued on discharge from hospital.

CONCLUSIONS:

SUP medications commenced in ICU are frequently continued unnecessarily, both in the wards and hospital discharge.

PMID:
23961576
[PubMed - indexed for MEDLINE]
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