Format

Send to

Choose Destination
Clinics (Sao Paulo). 2018;73:e325. doi: 10.6061/clinics/2018/e325. Epub 2018 Apr 26.

Impact of discharge medication counseling in the cardiology unit of a tertiary hospital in Brazil: A randomized controlled trial.

Author information

1
Departamento de Farmacia, Universidade Federal do Parana, Curitiba, PR, Brasil.
2
Instituto de Pesquisa de Medicamentos (iMed. Ulisboa), Faculdade de Farmacia, Universidade de Lisboa, Lisboa, Portugal.

Abstract

OBJECTIVES:

This study aimed to evaluate the impact of pharmacist-provided discharge counseling on mortality rate, hospital readmissions, emergency department visits, and medication adherence at 30 days post discharge.

METHODS:

This randomized controlled trial was approved by the local ethics committee and included patients aged 18 years or older admitted to the cardiology ward of a Brazilian tertiary hospital. The intervention group received a pharmacist-led medication counseling session at discharge and a telephone follow-up three and 15 days after discharge. The outcomes included the number of deaths, hospital readmissions, emergency department visits, and medication adherence. All outcomes were evaluated during a pharmacist-led ambulatory consultation performed 30 days after discharge.

RESULTS:

Of 133 patients, 104 were included in the analysis (51 and 53 in the intervention and control groups, respectively). The intervention group had a lower overall readmission rate, number of emergency department visits, and mortality rate, but the differences were not statistically significant (p>0.05). However, the intervention group had a significantly lower readmission rate related to heart disease (0% vs. 11.3%, p=0.027), despite the small sample size. Furthermore, medication counseling contributed significantly to improved medication adherence according to three different tools (p<0.05).

CONCLUSIONS:

Pharmacist-provided discharge medication counseling resulted in better medication adherence scores and a lower incidence of cardiovascular-associated hospital readmissions, thus representing a useful service for cardiology patients.

PMID:
29723341
PMCID:
PMC5902758
DOI:
10.6061/clinics/2018/e325
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online Icon for PubMed Central
Loading ...
Support Center