Hypertension Clinical Trial
Official title:
Pharmacological Interactions Between Antihypertensive Regimens and Drugs Prescribed in the Emergency Department of the HGZ 51
Verified date | March 2022 |
Source | Instituto Mexicano del Seguro Social |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
Drug interactions (IFF) are events that occur when multiple drugs are administered at the same time to an individual. People with arterial hypertension generally require therapeutic regimens based on 2 or more drugs for their adequate control, which makes them patients with polypharmacy. When these patients require urgent medical attention, there is a risk that IFFs will occur between their base treatment and the drugs that are prescribed to solve the added condition. Objective. To determine the frequency of pharmacological interactions between antihypertensive regimens and drugs used in the emergency service of Hospital General de Zona No 51 (HGZ 51). Material and methods: Observational, descriptive, and prospective study. The participants will be eligible patients with systemic arterial hypertension treated in the emergency room of HGZ 51 in Gómez Palacio, Durango. Support systems will be used for clinical decision, to identify potential IFFs and to be able to classify them according to their mechanism (pharmacokinetics and pharmacodynamics) and severity. A descriptive statistical analysis will be carried out in the SPSS program using measures of frequency, dispersion and central tendency.
Status | Completed |
Enrollment | 53 |
Est. completion date | February 28, 2022 |
Est. primary completion date | December 31, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Diagnosis of arterial hypertension confirmed that they are hospitalized in the emergency department of HGZ 51. - Pharmacological treatment already established to control hypertension. - Accept to participate and sign the informed consent. - Prescription and / or administration of additional drugs to your antihypertensive treatment during your hospital stay in the emergency department. Exclusion Criteria: - That they do not know or do not provide complete information on their basic antihypertensive treatment. Elimination criteria - Survey with incomplete pharmacotherapeutic history data. |
Country | Name | City | State |
---|---|---|---|
Mexico | Instituto Méxicano del Seguro Social HGZ No.51 | Gomez Palacio | Durango |
Lead Sponsor | Collaborator |
---|---|
Instituto Mexicano del Seguro Social |
Mexico,
Amariles P, Giraldo NA, Faus MJ. [Clinical relevance of drug interactions]. Med Clin (Barc). 2007 Jun 2;129(1):27-35. Review. Spanish. — View Citation
Horn JR, Hansten PD, Chan LN. Proposal for a new tool to evaluate drug interaction cases. Ann Pharmacother. 2007 Apr;41(4):674-80. Epub 2007 Mar 27. — View Citation
Iniesta-Navalón C, Urbieta-Sanz E, Gascón-Cánovas JJ. [Analysis of the drug interactions associated to domiciliary drug therapy in elderly hospitalized patients]. Rev Clin Esp. 2011 Jul-Aug;211(7):344-51. doi: 10.1016/j.rce.2011.04.005. Epub 2011 Jun 2. Spanish. — View Citation
Morales-Olivas FJ, Estañ L. [Antihypertensive drug-drug interactions]. Med Clin (Barc). 2005 May 28;124(20):782-9. Review. Spanish. — View Citation
Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, de Simone G, Dominiczak A, Kahan T, Mahfoud F, Redon J, Ruilope L, Zanchetti A, Kerins M, Kjeldsen SE, Kreutz R, Laurent S, Lip GYH, McManus R, Narkiewicz K, Ruschitzka F, Schmieder RE, Shlyakhto E, Tsioufis C, Aboyans V, Desormais I; ESC Scientific Document Group . 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018 Sep 1;39(33):3021-3104. doi: 10.1093/eurheartj/ehy339. Erratum in: Eur Heart J. 2019 Feb 1;40(5):475. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of theoretical IFFs detected | Potential for the prescription of a drug associated with other active ingredients to generate a risk of drug interaction.
Number of theoretical IFFs detected by support systems for clinical decision |
Duration of hospitalization (15 days) | |
Primary | Frequency of IFF by pharmacological mechanism | Number of interactions detected by support systems for clinical decision classified according to the pharmacological mechanism into pharmacokinetics or pharmacodynamics.
The interactions of absorption, distribution, metabolism and excretion will be considered pharmacokinetic. Interactions by synergy (addition, potentiation), antagonism, hypersensitization and desensitization will be considered pharmacodynamic. |
Duration of hospitalization (15 days) | |
Primary | Degree severity of drug interaction detected | Classification of IFFs according to the theoretical severity provided by the support systems for clinical decision.
Minors (without clinical condition) Moderate (may cause deterioration of clinical status) Major (can be life-threatening or cause permanent damage) Contraindicated (should not be used simultaneously) |
Duration of hospitalization (15 days) | |
Secondary | Control of hypertension according to blood pressure figures at admission | According to the provisions of the 2018 ESC/ESH Guide on the diagnosis and treatment of arterial hypertension, blood pressure figures are considered to be control at admission to the emergency room of:
Systolic blood pressure (SBP) <140 mmHg Diastolic blood pressure (DBP) <90 mmHg |
upon admission (2 horas) | |
Secondary | Control of hypertension according to blood pressure figures during hospitalization | According to the provisions of the 2018 ESC/ESH Guide on the diagnosis and treatment of arterial hypertension, blood pressure figures are considered to be control during hospitalization to the emergency room of:
SBP <140 mmHg DBP <90 mmHg |
Duration of hospitalization (15 days) | |
Secondary | Control of hypertension according to blood pressure figures at discharge | In accordance with the provisions of the 2018 ESC/ESH Guide on the diagnosis and treatment of arterial hypertension, blood pressure figures are considered controlled upon discharge from hospitalization in the emergency department of:
SBP <140 mmHg DBP <90 mmHg |
At the time of discharge (2-15 days) |
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