PATTERN OF CARDIOVASCULAR DRUGS USE IN OUTPATIENTS IN A TERTIARY CARE HOSPITAL

PATTERN OF CARDIOVASCULAR DRUGS USE IN OUTPATIENTS IN A TERTIARY CARE HOSPITAL
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三级护理医院门诊患者心血管药物使用模式

DOI:
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发表时间:
2012
期刊:
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影响因子:
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通讯作者:
A. Khan
A. Khan
中科院分区:
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文献类型:
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作者:
A. Khan

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目的:本研究的目的是评估印度Kanchipuram区三级医院门诊患者心血管药物的处方模式。方法:对心内科门诊患者的心血管处方进行前瞻性研究。从2010年8月至2011年3月,在Sri Ramasamy纪念(SRM)医学院医院和研究中心共收集了215份处方。根据WHO基本药物标准目录对处方进行合理性评价。使用预定参数对处方进行批判性分析。结果:共收集处方215张,重复用药120张。结果显示,所有处方的单剂量制剂均符合WHO基本药物目录的要求,而处方的固定剂量复方制剂仍存在问题。一种多药模式是显而易见的,因为每个病人都有超过5至9种药物。结论:运动和干预应集中在患者有三个以上的诊断心血管疾病,以尽量减少老年患者的多药治疗。
Objective: The objective of the present study was to assess the prescribing pattern of cardiovascular drugs in outpatients in a tertiary care hospital of Kanchipuram district, India. Methods: A prospective study of cardiovascular prescriptions of outpatients of cardiology department was carried out. A total of 215 prescriptions were collected for the study in Sri Ramasamy Memorial (SRM) Medical College Hospital and Research Centre from August 2010 to March 2011. The prescriptions were evaluated for rationality based on WHO model list of essential medicines. The prescriptions were critically analyzed using predetermined parameters. Results: Out of 215 prescriptions collected, 120 drugs were found to be repeatedly prescribed. The results revealed that all single dose formulations prescribed were rationally in accordance with WHO essential drug list whereas fixed dose combinations prescribed remain questionable. A pattern of polypharmacy was clearly evident as each patient was prescribed with more than 5 to 9 drugs. Conclusion: Campaign and intervention should be focused on patients with more than three diagnostic cardiovascular conditions in order to minimize polypharmacy in elderly patients.