Title: Prescribing Pattern of Anti Platelet Medications of Cardiovascular Disease Patients in Tertiary Care Teaching Hospital

Authors: Emil G Rajesh, Muhammed Jasim, Riya Ann Roy, Sandra Alappattu, Dr V Karthikeyan, Dr Neelakantan V

 DOI: https://dx.doi.org/10.18535/jmscr/v8i5.24

Abstract

 

Background: Cardiovascular disease (CVD) is the name for the group of disorders of heart and blood vessels, and includes: hypertension (high blood pressure), coronary heart disease (heart attack), cerebrovascular disease (stroke), peripheral vascular disease, heart failure, rheumatic heart disease, congenital heart disease, cardio myopathies.

Aim: The aim of the study is to assess the prescribing pattern of anti-platelet medications for CVD patients.

Methodology: This is a prospective observational study conducted in the General medicine ward of Karuna Medical College Hospital from October 2019–april 2020. The useful data were obtained from patient case profiles, 236 cases were collected from general medicine wards, according to study criteria.

Results: In this study of 236 case sheets of patients with CVD were analyzed, out of that 160 (68%) were males and 76 (32%) were female. The distribution of CVD patients according to age groups 30-40,41-50, 51-60, 61-70, 71-70 and >80 years are found to be 2%, 11%, 28%, 26%,24%, and 9% respectively. The drug utilization of anti-platelets was found to be 84%. Majority of the patients were prescribed with aspirin.

Conclusion: We conclude that minimizing the number of drugs per prescription, the irrational prescribing pattern of the drugs can be avoided by strictly following to the treatment guidelines and Ideal prescription writing.

Keywords: Anti-platelets, Cardiovascular disease, prescribing Pattern.

References

  1. WHO-About cardiovascular diseases [Internet] 2020[cited on 2019 sept 15]. Available from: http://origin.who.int/cardiovascular_diseases/about_cvd/en/
  2. Kerala at highest risk for cardiovascular diseases in India, finds a study. The news minute [Internet] 2016 jun 21[cited on 2019 sept].Available from: https://www.thenewsminute.com/article/kerala-highest-risk-cardiovascular-diseases-india-finds-study-83460.
  3. M Reddy, T Prasad.A Study on antiplatelets and anticoagulants utilisation in a tertiary care hospital.2018:10(5);155-161.
  4. World Health Organization. Global Status Report of NCD 2010.Geneva: World Health Organization. Available from: https://www.who.int/nmh/publications/ncd_report_full_en.pdf.Accessed 4.6.13
  5. Abrams WB (Ed.). Workshop on drug utilization review. Clinical Pharmacology and Therapeutics 50(5 Part 2 Suppl.): 593–640, 1991
  6. Wolf Z, Mani H, Lindhoff-Last E. Significance of platelet function tests. Internist 2010; 51: 1095–6
  7. Albert ferro, David A. Garcia, et al. Antiplatelet and Anticoagulation Therapy., 2013; 122-440.
  8. Shruthi D, Venkateshwarlu K, et al. Prescribing Pattern in Coronary Artery Disease: A Prospective Study. IJPRR., 2014; 3(3): 24-33.
  9. J Hanlon, K Schamader, G samsa. A method for assessing drug therapy appropriateness .J Cila Epidemiol.1992,45(10):1045-1051.
  10. P Michael, C Bryson. Medication Adherence: Its Importance in Cardiovascular Outcomes. Circulation 2009: 119(23);3028-3035.
  11. Kumar V S, Jyothi P D et al., Assessment and Drug Utilization Pattern on Antiplatelet Agents in Cardiovascular Patients - A Prospective Study in Tertiary Care Hospital. International Journal Of Pharmacy And Pharmaceutical Research. 2019: 14 (2);109-119.
  12. Fatima S, Beegum S.P rescription pattern of anti-hyperlipidemic and anti-platelt drugs in the management of CAD in a tertiary care hospital. World journal of pharmacy and life sciences.2019:5(3); 112-121.
  13. Muthuvel T, Vipin V. A Prospective Study On Drug Utilization And Evaluation Of Prescribing Pattern Of Drugs Use In Patients Of Myocardial Infarction. .World Journal of Pharmacy And Pharmaceutical Research.2018:8(3); 615-633

Corresponding Author

Emil G Rajesh

Department of Pharmacy Practice, Grace College of Pharmacy, Kodunthirapully, Palakkad, Kerala, India