Systematic Evaluation of Drug Prescribing Patterns and Utilization in Coronary Artery Disease Patients at Tertiary Care Hospital in Delhi
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Author:
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KAVITA BANSAL, SATYENDRA KUMAR RAJPUT, VINOD SHARMA, V. S. MATHUR
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Abstract:
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The coronary artery disease (CAD) is proven to be one of the biggest reasons for CVD, especially in India. The
objective of this study is to analyze patterns of drug-utilization among CAD patients admitted in Tertiary care
hospital. A total of 236 patients were considered having mean age 60.45±10.78 years. Of all, 75.85% were males
and 89.83% were above 45 years of age. The average hospital stay was 4.32 days (95% CI: 4.04-4.61). No significant
difference was observed in hospitalization duration among male (4.23 days, 95% CI: 3.91-4.55) as compared to
female (4.45 days, 95% CI: 4.13-4.87, p>0.10). The most common categories of drugs prescribed were
Antiplatelets (95.34%), Statins (88.56%), Anti-anginal (82.20%), Beta-blockers (69.07%), and ACE-inhibitors
(45.76%). Average drugs prescribed per patient was 12.47 (95% CI: 12.14-12.81). However, the average
cardiovascular drugs prescribed was 5.83 only (95% CI: 5.48-6.14). Almost 82.20% patients were identified with
Poly-pharmacy (>5 drugs). Antiplatelets and Statins were identified as most popular drug categories. Clopidogrel
(B01AC04) and Atorvastatin (C10AA05) were most commonly prescribed drugs for Antiplatelets and Statins. The
most common co-morbidities associated with CAD patients were Hypertension (48.73%) and Diabetes Mellitus
(36.02%).
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Keyword:
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Drug utilization, coronary artery disease, poly-pharmacy
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2019.11.03.019
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