A STUDY ON PRESCRIBING PATTERN IN GERIATRIC PATIENTS
Objective: The objective of this study was to study the prescribing pattern in geriatric patients.
Methods: A prospective study was carried out for a period of 4 years with one of the objectives to study the prescribing pattern in geriatric patients (≥65 years). The information was collected, from patients admitted to various departments of tertiary care hospital and old-age home at Chitradurga. Sociodemographic, economic, and clinical diagnosis and medication details were collected from medical records in a pre-structured case record form. The medications were classified based on Anatomical Therapeutic Chemical classification system.
Results: A total number of 526 geriatric patients were enrolled during the study period. Young older patients (75.29%) and male subjects (55.89%) were predominant. Multiple morbidity conditions were more in the present study. Among the diseases diagnosed, circulatory system (I00-I99) affecting was more 41.83%. Prescriptions found with a sum total of 3228 formulations with 357 active drugs. About 56.27% of patients received ≥6 medications (polymedication) and an average of 6.14 drugs per prescription. Usage of parenterals (53.06%) was more among dosage forms. Prescriptions with alimentary tract, metabolism (A) (26.96%), and general anti-infective (J) (19.08%) class of drugs were common. Among individual drugs, pantoprazole (A02BC02), paracetamol (N02BE01), and ceftriaxone (J01DD04) were found more frequent in prescriptions.
Conclusion: The study concludes the need of intellect prescribing practice, to install more rational therapy among geriatric patients.
2. Helena G. Drug utilization studies. Arq Med 2008;22:69-74.
3. World Health Organization. Introduction to Drug Utilization Research. Geneva: World Health Organization; 2003.
4. United Nations Population Division (UN). World Population Prospects: The 2010 revision. New York: United Nations; 2011.
5. McLean AJ, Le Couteur DG. Aging biology and geriatric clinical pharmacology. Pharmacol Rev 2004;56:163-84.
6. Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci 2017;5:3264-7.
7. WHO. International Statistical Classification of Diseases and Related Health Problems. 10th revision: WHO; 2014.
8. WHO Collaborating Centre for Drug Statistics Methodology. Guidelines for ATC classification and DDD assignment.16th ed. Oslo: WHO; 2012, 2013.
9. Anjum MS, Jacob C, Benchamin A, Rodrigues PA. A prospective study on geriatric prescribing pattern and medication adherence in a tertiary care hospital. Asian J Pharm Clin Res 2017;10:220-5.
10. Singh NG. To assess the drug utilization pattern and to analyze pharmacoeconomics for geriatrics in-patient in medicine department of tertiary care teaching hospital. Int J Pharm Pharm Sci 2017;09:276-82.
11. Jhaveri BN, Patel TK, Barvaliya MJ, Tripathi CB. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother 2014;5:15-20.
12. Nayaka SR, Rajeshwari B, Venkatadri TV. Drug utilization pattern in geriatric inpatients of medicine department in a tertiary care teaching hospital. Int J Basic Clin Pharmacol 2015;4:568-73.
13. Sultan H, Sayegh K, Mohammad A, Hussain S, Sumaily J, Agarwal M, et al. Prescribing pattern of drugs in the geriatric patients in Jazan province, KSA. Pharm Pharmacol Int J 2015;2:00013.
14. Prakash G, Yalavarthi K, Sharan EJ, Justin J, Krishna MS. A prospective study on medication prescribing pattern for geriatric patients in a tertiary care teaching hospital. Asian J Biomed Pharm Sci 2016;6:23-7.
15. Chowta MN, Adhikari PM, Raj S, Laxman M, Kariappa A, George J, et al. Evaluation of appropriateness of prescription and poly pharmacy in the geriatric population: A cross-sectional study at a comprehensive geriatric clinic in a tertiary care hospital. Int J Pharm Pharm Sci 2016;08:119-23.
16. Shah RB, Gajjar BM, Desai SV. Drug utilization pattern among geriatric patients assessed with the anatomical therapeutic chemical classification defined daily dose system in a rural tertiary care teaching hospital. Int J Nutr Pharmacol Neurol Dis 2012;02:258-65.
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