COST ANALYSIS OF EMERGENCY VISITS DUE TO DRUG RELATED PROBLEMS

  • ELSA MATHEW Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamilnadu, India,
  • C. SAKTHI THAVA PRIYA Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamilnadu, India,
  • S. AKASH ADITYA Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamilnadu, India,
  • G. SASIKALA Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamilnadu, India
  • ASHLY ABRAHAM Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamilnadu, India
  • RAGHUPATHI V. Emergency Department, PSG Hospitals, Coimbatore, Tamilnadu, India

Abstract

Objective: To identify patients coming to Emergency Medicine Department (EMD) with drug related problems, classify the DRPs and calculate the direct cost spent for treating them.


Methods: This was a prospective observational study conducted in emergency medicine department. The patients coming to EMD with DRPs were classified according to Cipolle’s classification and the direct medical and non-medical costs were calculated.


Results: A total of around 107 patients identified with DRPs of which 99 patients were included in the study. In this study, 51% of the cases were due to ADR and 35% due to non-adherence and rest of the cases were due to overdose (10%), drug interaction (3%) and sub therapeutic dose (1%). Major portion for treatment was spent for direct medical cost in which cost for laboratory investigations have contributed the most, INR 10,93,992 (42%) followed by Health care professional cost INR 55,6814 (21%), Pharmacy cost INR 4,00,524.6 (15%), Admission cost INR 3,80,400 (15%). The direct non-medical cost includes cost for diet and travel which was found to be INR 1,68,443 and INR 71,947 respectively.


Conclusion: The drug related problems adds a significant economic burden on the patients which can be reduced by imparting knowledge about the proper use of medicines and by improving collaborative efforts of the patients, physicians, pharmacists and caregivers.

Keywords: Drug related problems (DRPs), Cost analysis, Direct cost

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MATHEW, E., C. S. THAVA PRIYA, S. A. ADITYA, G. SASIKALA, A. ABRAHAM, and R. V. “COST ANALYSIS OF EMERGENCY VISITS DUE TO DRUG RELATED PROBLEMS”. International Journal of Pharmacy and Pharmaceutical Sciences, Vol. 11, no. 8, July 2019, pp. 35-38, doi:10.22159/ijpps.2019v11i8.34016.
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