Drug prescribing patterns in patients visiting the emergency medicine department at a tertiary care teaching hospital: a prospective study
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20160121Keywords:
Drug, Emergency medicine, Cardiovascular disorders, StrategiesAbstract
Background: Drug utilization studies seek to monitor, evaluate and suggest modifications in the prescribing practices with the aim of making the medical care rational and cost effective. A study of prescription patterns is an important tool to determine rational drug therapy and maximize utilization of resources.
Methods: This study was a prospective, cross sectional & observative study of patients (N=250) who attended the emergency medicine department of TMMC & RC, Moradabad, U.P., India.
Results: A total of 250 patients received 2004 drugs with the mean of 8.016±1.935/patient. The average stay of patients in the emergency medicine department was 3.025±1.010 days. Most common disorder was of cardiovascular system (N=65, 26%). Pantoperazole (N=180) was most common drug prescribed followed by ondansetron (N=148).
Conclusions: Maximum number of patient attended in emergency medicine department was of cardiovascular disorder followed by respiratory disorder. pantoperazole and ondansetron were the most commonly prescribed drugs. Polypharmacy was prevalent. The result of our study highlights the importance of strategies that have to be implemented to optimize medication use in emergency medicine department.
References
Ehijie FO, Enato, Chima IE. Evaluation of drug utilization patterns and patient care practices. West Afr J PharM. 2011;22(1):36-41.
Jimoh AO, Etuk EU, Sani Z, Shuaibu HA. The pattern of antibiotic use in a family medicine department of a tertiary hospital in Sokoto, north western Nigeria. J Clin Diag Res. 2011;5(3):566-9.
Teferra A, Zeruesenay D, Asfawossen GY. Prescribing pattern of drugs in medical wards of three hospitals in north-west Ethiopia. J Ethiopia Med Pract. 2002;4:8-1.
Erah PO, Olumide GO, Okhamafe AO. Prescribing practices in two health care facilities in Warri, Southern Nigeria: A comparative study. Trop J Pharm Res. 2003;2(1):175-82.
Rehana HS, Nagarani MA, Rehan MA. Study on the drug prescribing pattern and use of antimicrobial agents at tertiary care teaching hospital in eastern Nepal. Indian J Pharmacol. 1998;30:175-80.
Akhtar MS, Divya V, Pillai K, Kiran D, Roy MS, Najmi AK et al. Drug prescribing practices in pediatric department of a north Indian university teaching hospital. Asian J Pharm Clin Res. 2012;5:146-9.
David S. Textbook of emergency medicine. 1st edition. India: Lippincott Williams and Wilkins; 2011: 1155-1156.
Barot PA, Malhotra SD, Rana DA, Patel VJ, Patel KP. Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study. J Basic Clin Pharm. 2013;4:78-81.
Cheekavolu C, Pathapati RM, Babasaheb Laxmansingh K, Saginela SK, Makineedi VP, Siddalingappa et al. Evaluation of drug utilization patterns during initial treatment in the emergency room: A retro prospective pharmacoepidemiological study. ISRN Pharmacol. 2011;2011:261585.
Reaven GM. Insulin resistance, hyper-insulinaemia and hypertriglyceridaemia in the etiology and the clinical course of hypertension. Am J Med. 1991;90:7s-12s.
Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J. Harrison’s Principles of Internal Medicine. 18th edition .USA: McGraw-Hill Companies; 2012: 247.
Patanwala AE, Amini R, Hays DP, Rosen P. Antiemetic therapy for nausea and vomiting in the emergency department. J Emerg Med. 2010;39:330-6.
Jung R, MacLaren R. Proton-pump inhibitors for stress ulcer prophylaxis in critically ill patients. Ann Pharmacother. 2002;36:1929-37.
Daley RJ, Rebuck JA, Welage LS, Rogers FB. Prevention of stress ulceration: current trends in critical care. Crit Care Med. 2004;32:2008-13.
Lat I, Micek S, Janzen J, Cohen H, Olsen K, Haas C. Off-label medication use in adult critical care patients. J Crit Care. 2011;26:89-94.
Shankar RP, Partha P, Shenoy NK, Easow JM, Brahmadathan KN. Prescribing patterns of antibiotics and sensitivity patterns of common micro-organisms in the internal medicine ward of a tertiary hospital in Western Nepal: a prospective study. Ann Clin Microb Antimicrob. 2003;2:1-9.
Kaur S, Rajagopalan S, Kaur N, Shafiq N, Bhalla A, Pandhi P, Malhotra S. Drug utilization study in medical emergency unit of a tertiary care hospital in North India. Emerg Med Int. 2014; 2014:973578.
