Evaluation of Drug Utilization Patterns during Initial Treatment in the Emergency Room: A Retroprospective Pharmacoepidemiological Study
Author(s) -
Chakrapani Cheekavolu,
Rama Mohan Pathapati,
Kudagi Babasaheb Laxmansingh,
Satish Kumar Saginela,
Veera Prasad Makineedi,
Siddalingappa,
Amitabh Kumar
Publication year - 2011
Publication title -
isrn pharmacology
Language(s) - English
Resource type - Journals
eISSN - 2090-5173
pISSN - 2090-5165
DOI - 10.5402/2011/261585
Subject(s) - medical prescription , polypharmacy , medicine , drug , emergency medicine , medical record , medical emergency , intensive care medicine , pharmacology
Background . We assessed the prescribing trends, average number of drugs per prescription, and cost per prescription during the initial contact of the patient with the physician in emergency room. Methods . This retro-prospective study was conducted over a period of six months. Medical records of two hundred patients were reviewed for prescribing patterns. Results . 52 different types of drugs (996 drugs) were prescribed in total 200 prescriptions during the mean time spent in emergency room of 2.8 ± 1.4 hours. The average number of drugs per prescription was 4.2 ± 1.2. 95% of drugs were prescribed by trade name. Average drugs cost per prescription was 784 ± 134 rupees (17USD). Conclusion . Polypharmacy remains the main form of irrational prescribing. Prescribing patterns of drugs were knowledge based rather than WHO criteria for rational use of drugs.
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