title: Medication non-adherence as a cause of hospital admissions.
abstract: OBJECTIVE
  1. To determine the profile of patients who are admitted to hospital as a result of non-adherence. 2. To obtain an estimate of the economic impact for the hospital.
  
  
  METHODS
  Observational and retrospective study that included patients who were admitted to hospital with a secondary diagnosis of «Personal history of non-compliance with chronic medication» according to International Classification of Diseases, during 2012.
  
  
  METHODS
  demographics; socioeconomic and clinical data; data related to the treatment; readmissions; hospital days; degree of adherence: ≤ 75% or severe non-adherence and > 75% or moderate non-adherence; type of non-adherence: non-persistence and noncompliance; hospitalization costs. Statistical analysis was performed.
  
  
  RESULTS
  Eighty-seven patients were admitted. These patients caused 104 episodes (16.3% were readmissions). 71.2% were men, and 51.5 (SD 17.8) years old. All patients had a chronic disease, adherence ≤ 75% (76%) and non-persistence (63.5%). Polypharmacy (47.1%) was not associated with non-adherence. Total stay was 1,527 days (mean stay was 14.7 (SD 14.0) days/episode): psychiatry 827 days (54.2%); cardiology 174 days (11.4%); critical unit 48 days (3.1%). Patients with a degree of adherence ≤ 75% had a mean stay/episode higher than those with a degree of adherence > 75%, without significant differences (p > 0.05, t-Student). Overall cost of hospitalization was Euros 594,230.8, with a mean cost/episode: Euros 5,713.6 (SD 5,039.5). Mean cost/episode for adherence ≤ 75% was higher than > 75%, Euros 6,275.8 (SD 5,526.2) vs Euros 3,895.6 (SD 2,371.3), (p < 0.05, t-Student).
  
  
  CONCLUSIONS
  The profile of this patient is fundamentally, a male psychiatric or chronic cardiac patient with a degree of adherence ≤ 75% due to abandoning domiciliary treatment. Admissions due to medication non-adherence are associated with an important depletion of economic resources in the hospital.
authors.affiliation: Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo.. miriamal_5@hotmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Alvarez Payero
authors.affiliation: Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo..
authors.forename: N
authors.initials: N
authors.lastname: Martínez López de Castro
authors.affiliation: Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo..
authors.forename: M
authors.initials: M
authors.lastname: Ucha Samartín
authors.affiliation: Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo..
authors.forename: A
authors.initials: A
authors.lastname: Martín Vila
authors.affiliation: Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo..
authors.forename: C
authors.initials: C
authors.lastname: Vázquez López
authors.affiliation: Servicio de Farmacia. Complejo Hospitalario Universitario de Vigo. Xerencia de Xestión Integrada de Vigo..
authors.forename: G
authors.initials: G
authors.lastname: Piñeiro Corrales
mesh_terms: D005260:Female; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016903:Drug Monitoring