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A study on the utilization of analgesics in post-operative patients
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| Author:
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VINOD K MATHEW, RAJIV KUMAR SAXENA , RAVIKUMAR K, SUSHEELA S, MAHESH N M, AKHIL SEBASTIAN, MAYISHA HALEEMA, RIHANA NAWABJAN
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| Abstract:
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Objective: Evaluation of the drug utilization pattern, therapeutic effect, and safety of analgesics among postoperative
patients
in
a
tertiary
care
teaching
hospital,
Bengaluru
is
the
main
objective
of
this
study.
Methods:
A prospective observational cross-sectional study had been conducted for 6 months. Data were
collected from the Departments of Orthopedics, Obstetrics, and Gynecology and Intensive Care Units, after
getting approval from the Institutional Research and Ethics Committee and were analyzed by descriptive statistics.
Most frequently prescribed analgesics with their pain-relieving effect and duration of sleep were assessed by
utilizing the Rating Scale of Wong- Baker Faces and the Pain and Sleep Questionnaire three-item index.
Results: We observed 158 post-operative patients, of which 42.4% (67) were male and 57.5 (91) were of the
female gender. The average age of all the patients was between 18 and 80 years. Among all the analgesics
(tramadol, paracetamol, and diclofenac) that were prescribed, intramuscular administration was the most preferred
route. Diclofenac as alone and its combinations were found to be the frequently prescribed analgesic with a pain
score of 82% as alone, and while in combination, it reduced the pain by 85% from its baseline value in postoperative
patients.
Correlating
the
sleep
score
with
pain,
it
was
found
that
there
was
a
drastic
increase
in
the
sleep
score
of
the
patients
as
the
pain
had
subsided.
Conclusion:
Thus, this study suggested that post-operative pain control was able to be achieved by no opioid
drug diclofenac alone itself and opioid analogs had been added to patients for whom pain relief could not be
achieved.
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| Keyword:
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Analgesics, Post-operative pain, Drug utilization prescribing pattern, Sleep score.
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| EOI:
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| DOI:
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