Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients

Background and aim: During the Coronavirus 2019 (COVID-19) crisis, there has been a huge demand for medications and unprecedented utilization of intensive care unit (ICU) services that subsequently and profoundly impacted the quality of medical care provided to COVID-19 patients. This study aimed to...

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Main Authors: Abdulrahman Alwhaibi, Abdulmohsin Alrwaished, Shoug Majed Binobydaan, Sawsan Alawwad, Syed Wajid, Salmeen Bablghaith, Sultan Alghadeer, Mohammed N Al Arifi
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Saudi Pharmaceutical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1319016421001377
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author Abdulrahman Alwhaibi
Abdulmohsin Alrwaished
Shoug Majed Binobydaan
Sawsan Alawwad
Syed Wajid
Salmeen Bablghaith
Sultan Alghadeer
Mohammed N Al Arifi
author_facet Abdulrahman Alwhaibi
Abdulmohsin Alrwaished
Shoug Majed Binobydaan
Sawsan Alawwad
Syed Wajid
Salmeen Bablghaith
Sultan Alghadeer
Mohammed N Al Arifi
author_sort Abdulrahman Alwhaibi
collection DOAJ
description Background and aim: During the Coronavirus 2019 (COVID-19) crisis, there has been a huge demand for medications and unprecedented utilization of intensive care unit (ICU) services that subsequently and profoundly impacted the quality of medical care provided to COVID-19 patients. This study aimed to shed light on the role of pharmacists on the health care provided to critically ill COVID-19 patients. Methods: A retrospective study, was conducted in Diriyah hospital in Riyadh, Saudi Arabia on all COVID-19 patients admitted to the ICU between June 27th and August 15th, 2020 until patients were transferred to the medical ward, discharged, or deceased. All medication related interventions performed by pharmacists have been documented electronically, collected and subsequently categorized and analyzed. Results: The mean age of patients was 58.8 years (±12.98 SD), with age of >64 years in approximately 37%. Four hundred and seventy interventions (470) were made by pharmacists of which 32%, 11.7%, 4%, 2.6%, 2.1% were due to error in dosing regimens, drug duplication, missing drug information, drugs requiring prior authorization, and missing critical information, respectively; while 40.6% were due to medication shortage of which 40.3% were substituted with alternative medications. Based on the analysis of drugs involved in interventions, medication groups that were mainly associated with interventions included antibiotics (16.8%), electrolytes/minerals (11.7%) and vitamins (9.4%). Conclusion: During health crises such as COVID-19 pandemic, the role of pharmacists in the ICU services becomes extremely crucial for providing better patients’ outcomes. Further studies should be conducted to follow up these findings in the context of COVID-19 pandemic.
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spelling doaj.art-53704eb1cd984562aba8ed169cc4a3e72022-12-21T23:31:47ZengElsevierSaudi Pharmaceutical Journal1319-01642021-09-0129910501055Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patientsAbdulrahman Alwhaibi0Abdulmohsin Alrwaished1Shoug Majed Binobydaan2Sawsan Alawwad3Syed Wajid4Salmeen Bablghaith5Sultan Alghadeer6Mohammed N Al Arifi7Department of Clinical Pharmacy, College of Pharmacy – King Saud University, Riyadh, Saudi Arabia; Corresponding author.Pharmacy Department, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi ArabiaDepartment of Sales, SAJA Pharmaceutical Company, Riyadh, Saudi ArabiaPharmacy Department, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy – King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy – King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy – King Saud University, Riyadh, Saudi Arabia; Research center, Department of Basic Sciences, Prince Sultan Bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy – King Saud University, Riyadh, Saudi ArabiaBackground and aim: During the Coronavirus 2019 (COVID-19) crisis, there has been a huge demand for medications and unprecedented utilization of intensive care unit (ICU) services that subsequently and profoundly impacted the quality of medical care provided to COVID-19 patients. This study aimed to shed light on the role of pharmacists on the health care provided to critically ill COVID-19 patients. Methods: A retrospective study, was conducted in Diriyah hospital in Riyadh, Saudi Arabia on all COVID-19 patients admitted to the ICU between June 27th and August 15th, 2020 until patients were transferred to the medical ward, discharged, or deceased. All medication related interventions performed by pharmacists have been documented electronically, collected and subsequently categorized and analyzed. Results: The mean age of patients was 58.8 years (±12.98 SD), with age of >64 years in approximately 37%. Four hundred and seventy interventions (470) were made by pharmacists of which 32%, 11.7%, 4%, 2.6%, 2.1% were due to error in dosing regimens, drug duplication, missing drug information, drugs requiring prior authorization, and missing critical information, respectively; while 40.6% were due to medication shortage of which 40.3% were substituted with alternative medications. Based on the analysis of drugs involved in interventions, medication groups that were mainly associated with interventions included antibiotics (16.8%), electrolytes/minerals (11.7%) and vitamins (9.4%). Conclusion: During health crises such as COVID-19 pandemic, the role of pharmacists in the ICU services becomes extremely crucial for providing better patients’ outcomes. Further studies should be conducted to follow up these findings in the context of COVID-19 pandemic.http://www.sciencedirect.com/science/article/pii/S1319016421001377COVID-19ICU patientsPharmacistInterventions
spellingShingle Abdulrahman Alwhaibi
Abdulmohsin Alrwaished
Shoug Majed Binobydaan
Sawsan Alawwad
Syed Wajid
Salmeen Bablghaith
Sultan Alghadeer
Mohammed N Al Arifi
Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients
Saudi Pharmaceutical Journal
COVID-19
ICU patients
Pharmacist
Interventions
title Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients
title_full Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients
title_fullStr Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients
title_full_unstemmed Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients
title_short Role of pharmacist during COVID-19 pandemic: A retrospective study focused on critically ill COVID-19 patients
title_sort role of pharmacist during covid 19 pandemic a retrospective study focused on critically ill covid 19 patients
topic COVID-19
ICU patients
Pharmacist
Interventions
url http://www.sciencedirect.com/science/article/pii/S1319016421001377
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