Epidemiological and pharmaco-epidemiological study of hospitalized women: a contribution to clinical pharmaceutical education

Abstract

Even today, little is reported in the scientific literature on the participation of pharmaceutical professionals in clinical practices and hospital routines, especially when it comes to women's health. In this sense, this study aimed to describe the clinical-epidemiological and pharmaco-epidemiological profile of a series of cases of women hospitalized in a referral hospital in northern Paraná. This is a series of clinical cases attended and discussed by the multidisciplinary team in women's health at the University Hospital of the State University of Londrina. Data were collected from medical records and during the multidisciplinary anamnesis from March to July 2021. 444 women were assisted, and 44 women were selected for analysis and discussion. Most were pregnant (77.3%), adults aged between 30 and 39 years, multiparous (94.1%), married (82.0%), unemployed (54.5%), with high school complete (43.2%), overweight or obese (54.5%), with an average of 4 multiple diagnoses, with a predominance of hypertension (31.8%) and diabetes (22.7%), and subject to polypharmacy and possible serious drug interactions (25.0%) involving antidepressant drugs and opioid analgesics. Among the most prescribed drugs in practice are Insulin (86.4%), Dipyrone (84.1%), Metoclopramide (70.5%), and Ferrous Sulfate (63.3%). In general, the importance of pharmaceutical care is concluded for contributing to the prevention and reduction of adverse drug reactions and for the identification of inappropriate combinations of prescribed drugs. Furthermore, multi-professional debates, routine procedures, previous investigations of medical records, and the conduct described in the scientific literature can assist in the teaching-learning process of clinical pharmacists.