RISK ELEMENTS AND DRUG UTILIZATION IN STROKE PATIENTS
DOI:
https://doi.org/10.22159/ijpps.2016v8i10.12870Keywords:
Stroke, Risk factors, Prescribing patterns, IschemiaAbstract
Objective: Cerebrovascular accident (CVA), formally called as stroke is the second leading cause of death worldwide. Recent studies in different parts of India also documented that the prevalence of stroke varies from 40 to 270 per 100,000 populations. Identifying the risk factors of the disease helps to improve the effectiveness of the therapy. Our present study aims in accessing the risk aspects and utilization of drugs in CVA patients.
Methods: A prospective Interventional study was carried out on stroke patients in Medicine Department, Viswabarathi Hospital, Kurnool, AP from January to September 2015. Required demographic and laboratory data, along with general neurological evaluation and brain CT was analyzed.
Results: A total of 100 patients was analyzed. Among them, the incidence of ischemic stroke (96%) was greater compared to hemorrhagic stroke (4%). Prevalence of disease was higher in males (69%) than females (31%) with notable occurrence in the age group of 61-70 (26%). Higher percentage of patients were found to have>3 risk factors (34%), including hypertension (68%), age (58%), diabetes (39%), smoking (22%), alcoholism (21%), CAD (10%) and percentage with no risk element accounts7%. The prescribing pattern includes antihypertensives (16.25%), Gastrointestinal agents (12.2%), anti-platelets (9.16%), hyperlipidemic (8.4%), Nootropics (7.97%) followed by other classes and nitrates (0.62%) occupies the last place in prescribing.
Conclusion: The present study emphasizes on the need to identify risk factors and providing awareness among the patients by a pharmacist in minimizing the disease burden. It also points the rationality in prescribing of drugs based on therapeutic guidelines.
Downloads
References
Prakash Gurudevarahali Madegowda, Sanju R. Risk factors in patients with the ischemic stroke-A prospective study. Int Arch Integrated Med 2015;2:28-39.
Md Abdul Muhit. Cardiovascular disease prevalence and prescription patterns at a tertiary hospital in Bangladesh. J Appl Pharm Sci 2012;2:80-4.
Monaliza, Meena A, Achal S. Awareness of risk factors and warning symptoms of stroke in the general population. Nursing Midwifery Res J 2012;8:149-61.
Atzmon Tsur, Zvi Segal. Falls in stroke patients: risk factors and risk management. Isr Med Assoc J 2010;12:216-9.
Indira kumari N, Veera Raghavulu B. Risk factor assessment of stroke and its awareness among stroke survivors: a retrospective study. Int J Res Health Sci 2015;3:140-5.
Celin AT, Seuma J, Ramesh A. Assessment of drug-related problems in stroke patients admitted to a south indian teritiary care teaching hospital. Indian J Pharm Practice 2012;5:28-33.
Subhash Vijaya kumar, G Damodar, S Ravikanth, G Vijaya kumar. Drug utilization pattern of stroke patients in a tertiary care hospital. Int J Curr Pharm Clin Res 2012;2:3-7.
