Clinical And Economic Impacts Of Clinical Pharmacy Education On Improvement Of Antibiotics Usage Among Patients With Chronic Kidney Disease (Ckd) In Haji Adam Malik Hospital
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Date
2013-10
Authors
Nasution, Azizah
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Chronic kidney disease (CKD) remains a global issue due to its increasing
prevalence, high treatment cost, low treatment rate, and poor outcomes associated
with the complexity of its treatment. This study evaluated the clinical and economic
impacts of clinical pharmacy education (CPE) on infection management among
patients with chronic kidney disease (CKD) in Haji Adam Malik (HAM) Hospital,
Indonesia. A quasi-experimental economic evaluation comparing CPE impact on
six-month CKD drug-related problems (DRPs), hospital length of stay (LOS), and
mortality was conducted based on the payer perspective. The experimental group
(n=63) received care by health care providers that were given CPE on DRPs and
dose adjustment. The control group (n=80) was based on the historical cohort of
patients that received care before the CPE. Measures of clinical outcome applied in
this study was reduction in occurrence of DRPs, LOS, and death as well as increase
number of lives saved /100 patients treated. Age of the patients in control and
experimental groups were 47.08±13.80 and 49.44±13.09 years, respectively.
Description
Keywords
Improvement Of Antibiotics Usage , Chronic Kidney Disease (Ckd)