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. 2024 Jul 17:16:75-88.
doi: 10.2147/DHPS.S455990. eCollection 2024.

Medication-Related Hospital Admission Among Patients Admitted to the Emergency Ward at the University of Gondar, North West Ethiopia: A Cross Sectional Study

Saron Naji Gebremariam  1 , Faisel Dula Sema  1 , Abdisa Gemedi Jara  1 , Gizework Alemnew Mekonnen  1
Affiliations

Medication-Related Hospital Admission Among Patients Admitted to the Emergency Ward at the University of Gondar, North West Ethiopia: A Cross Sectional Study

Saron Naji Gebremariam et al. Drug Healthc Patient Saf. .

Abstract

Background: Medication-related hospital admission (MRHA) is hospitalization due to drug-related problems. MRHAs have been reported to be on the rise in recent decades.

Objective: This study was aimed at determining the prevalence, patterns, and predictors of MRHA among patients visiting the emergency ward of the University of Gondar comprehensive specialized hospital, Ethiopia.

Methods: A cross-sectional study was conducted from June 1, 2022, to August 30, 2022 G.C. in the emergency ward at the University of Gondar Comprehensive Specialized Hospital. The AT-HARM 10 tool was used to collect data from participants who fulfilled the inclusion criteria. Data was entered into EpiData Manager 4.6.0.0 and was exported to Statistical Package for Social Sciences (SPSS) version 24 for analysis. Descriptive statistics were presented using frequency and percentage. Binary logistic regression was applied to identify factors associated with MRHAs with a 95% confidence level, and significance was declared at a p-value <0.05.

Results: The prevalence of MRHAs was 30.5% (95% CI = 27.7-36.4%). More than half (64.52%) of MRHAs were definitely preventable. The majority of MRHAs (48.39%) were severe. Non-compliance (41.12%), followed by untreated indication (26.61%) and adverse drug reaction (12.09%) were the most frequent causes of MRHAs. Renal impairment (AOR = 2.703, 95% CI: 1.29 to 5.663), chronic disease (AOR = 10.95, 95% CI: 4.691 to 25.559), history of traditional medication use (AOR = 2.089, 95% CI: 1.162 to 3.755), and history of hospitalization (AOR = 4.001, 95% CI: 1.98 to 8.089) were significantly associated with MRHAs.

Conclusion: MRHAs were substantially prevalent. Most of the MRHAs were definitely preventable. Renal impairment, chronic disease, history of traditional medication use, and history of hospitalization were predictors of MRHAs. At the university hospital, health care providers should strive to prevent and manage MRHAs appropriately.

Keywords: Gondar; admission; medication.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Patient’s history of diagnosis before they were admitted to the emergency ward at UoGCSH, from June 1, 2022 to August 30, 2022G.C.
Figure 2
Figure 2
Medications used by patients before admission to the emergency ward at UoGCSH, from June 1, 2022 to August 30, 2022G.C.
Figure 3
Figure 3
The DRP categories among patients with MRHA admitted to the emergency ward of UoGCSH from June 1, 2022 to August 30, 2022G.C.
Figure 4
Figure 4
Lists of medications that patients were taking associated with DRP categories at the emergency ward of UoGCSH from June 1, 2022 to August 30, 2022G.C.
See this image and copyright information in PMC

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