Kartläggning av olämpliga beredningsformer hos patienter med perkutan gastrostomi : Behov av läkemedelsgenomgång efter PEG-insättning

Sammanfattning: Background and Objective: Providing proper medication management of oral pharmaceutical dosage forms for patients with Percutaneous endoscopic gastrostomy (PEG) is a challenge, therefore this study was conducted to identify the need for pharmaceutical reviews in the context of PEG insertion and the need for medication review. The objective of this study was to identify patients who are on inappropriate medication for PEG insertion and what these medications are, by mapping the medication taken by patients before and after PEG insertion.  Method: A quantitative study with analysis of retrospective data. The project included 99 patients who had undergone a PEG surgery between 2017 and 2021, at one of the hospitals in Gävleborg.The study was conducted using data from Cyklop, a program that Region Gävleborg can use to produce statistics for health care. The statistical measures used to describe the data were mean, percent, 95% confidence interval and standard deviation. Setting: The hospital in Gävle.  Main outcome measures: The number of patients who remained on potentially inappropriate medications after the PEG insertion and the number of patients who received a changed medication list after the insertion. Results:  A total of 99 patients undergoing PEG surgery were included. The majority of the patients 56% (n = 55) remained on potentially inappropriate drugs after PEG, 27,3% (n = 27) of which had remained partially on inappropriate drugs and had some prescription changes after PEG.23.2% of the patients did not remain on potentially inappropriate drugs after PEG surgery because they received a modified medication list. Conclusions: The majority of patients were on inappropriate drugs after PEG. This demonstrates a problem that should be addressed within Region Gävleborg. The fact that a large proportion of patients were identified as being on inappropriate medication after PEG indicates the need for pharmacist reviews of medication as well as educational efforts for health care staff in the Region.