Open AccessScreening of prescriptions in geriatric population in a tertiary care teaching hospital in north India
Author(s) -
Neha Sharma,
Uma Advani,
Rahul Parakh,
Alka Bansal,
Rajeev R Sinha
Publication year - 2013
Publication title -
the journal of phytopharmacology
Language(s) - English
Resource type - Journals
ISSN - 2320-480X
DOI - 10.31254/phyto.2013.2506
Subject(s) - medicine , medical prescription , polypharmacy , geriatrics , population , pharmacy , family medicine , pediatrics , emergency medicine , psychiatry , pharmacology , environmental health
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.