Screening of prescriptions in geriatric population in a tertiary care teaching hospital in north India
Screening of prescriptions in geriatric population in a tertiary care teaching hospital in north India
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印度北部一家三级护理教学医院老年人群处方筛查
DOI：
10.31254/phyto.2013.2506
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
R. Sinha
中科院分区：
文献类型：
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作者：
N. Sharma;U. Advani;Rahul Parakh;A. Bansal;R. Sinha
我们的研究的目的是评估模式的处方处方和成本分析的老年患者参加医学门诊部NIMS医学院和医院，斋浦尔。在获得机构伦理委员会的许可后，记录了参加斋浦尔NIMS医学院和医院药物门诊部的235名老年患者的处方，并在获得患者的书面知情同意书后，根据解剖学治疗化学分类（ATC）和WHO核心指标评估了人口统计学特征、常用处方药物。在235例患者中，130例（55.31%）为男性，105例（44.68%）为女性，大多数患者的年龄组为男性81-85岁，女性65-70岁。最多的患者患有心血管疾病（n=196），其次是呼吸系统疾病（n=172）和肌肉骨骼疾病（n=153）。89例患者（38%）患有三种共病。平均每张处方的药物数量为5.51（1296/235）。WHO EML中的药物为546种，而NLEM中的药物为779种。处方中使用通用名的占31.94%，少于使用商品名的占68.05%。每张处方的平均费用为每天18.75印度卢比。作为固定剂量复方制剂处方的药物为324种。作用于心血管系统的药物（n=356）是我们研究中最常用的药物，其次是抗生素（n=127）和支气管扩张剂（n=126）。因此，不合理处方和多药在老年人中普遍存在。
The objective of our study was to assess the pattern of prescribing prescriptions and cost analysis among the geriatric patients attending the Medicine Outpatient Department of NIMS Medical College and Hospital, Jaipur. After taking permission from the Institutional Ethical Committee, prescriptions of 235 geriatric patients attending the medicine outpatient department of NIMS Medical College and Hospital, Jaipur, were noted and demographic profile, commonly prescribed drugs as per Anatomical Therapeutic Chemical Classification (ATC) and WHO core indicators were assessed after taking written informed consent from the patients. Out of 235 patients, 130(55.31%) were males and 105(44.68%) were females and most of the patients were in the age group of 81-85 for males 65-70 for females. Maximum number of patients were having cardiovascular diseases (n=196) followed by respiratory disorders (n=172) and musculoskeletal diseases (n=153). 89 patients (38%) were having three comorbid conditions. Average number of drugs per prescription was 5.51(1296/235). Drugs on WHO EML were 546 while on NLEM was779. Drugs prescribed by generic names were 31.94%, is less than that prescribed by their brand names 68.05%. Average cost per prescription was INR 18.75 per day. Drugs prescribed as fixed dose combinations were 324. Drugs acting on cardiovascular system (n=356) were the most commonly used drugs in our study followed by antibiotics (n=127) and bronchodilators (n=126). Thus irrational prescribing and polypharmacy were prevalent among elderly.