Study of Prescribing Patterns of Drugs in Coronary Artery Disease in a Tertiary Care Hospital: A Prospective and Observational Study
Corresponding Author(s) : Shravani Karnekanti
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 9 No. 3 (2021): 2021 Volume - 9 Issue - 3
Aims and objectives
The current study aims to study the prescription pattern of drugs in coronary artery disease patients in a tertiary care hospital.
This is a prospective observational study conducted for six months. The study was conducted at AWAREGLENEAGLES GLOBAL HOSPITAL, L.B NAGAR. Patients who were admitted to the inpatient cardiology unit of the hospital for six months from December 2020 to May 2021 were enrolled in the study. A total of 80 patients were included in the study that fulfilled both the exclusion and inclusion criteria. The study-related data was collected from the patient care record in a specially designed patient profile form which included all the details of the patients such as demographics, prescriptions, medical records, doctor’s notes, nursing notes etc.
The incidence of occurrence of coronary artery disease was more in male patients who are smokers and alcohol consumers. The risk for coronary artery disease mostly belonged to the age between 51-60 years. Hypertension and type II diabetes mellitus were among the most common co-morbid conditions that were associated with the increasing incidence of coronary artery disease. The most commonly prescribed drug classes from main indications in coronary artery disease were anti-platelets 132 (16%) followed by the use of anti-hyperlipidemic drugs104 (12%), vasodilators 62 (7%), and anti-coagulants 50 (6%). Among the hyperlipidemic drugs, Rosuvastatin 58 (55.76%) was prescribed most commonly. Among the anti-coagulants used enoxaparin 32 (64%) was most commonly prescribed followed by heparin 14 (28%), acenocoumarol 4 (8%), and 64 (48.5%) patients anti-platelet clopidogrel was given.
The results of this study on drug prescribing patterns will give a framework for continuous prescription audits during a hospital in-patient setting. This can facilitate prescribers to improve patient management by prescribing practices. Moreover, time to time studies is needed to assess drug utilization pattern for upgrading disease treatment strategy and improving quality of life of patients.
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