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Abstract

A RETROSPECTIVE STUDY ON RATIONAL PRESCRIBING PATTERN FOR GERIATRIC PATIENTS IN A TERTIARY CARE HOSPITAL

Matcha Saikumar*, Uma Maheswari S., Lavanya S.* and Vivekanandh G.

ABSTRACT

Ageing referred as irreversible change in organ function which occurs over time during the absence of injury and illness. Polypharmacy in geriatric patient’s leads to many problems, there is a need of rational use of medications and continuous monitoring of drug-drug interactions and adverse effects. This study aims to focus on prescribing pattern of various drugs in geriatric patients and to assess the rationality using Beers criterion. This is a retrospective, observational study, which was over a period of March 2015 to September 2015 and it was carried out in Chennai. A total of 404 case sheets of inpatients ≥60 years in general medicine, surgery and orthopedic wards were reviewed. Relevant information was recorded in a specially designed proforma and data was evaluated. Most of the cases were from respiratory system (27%), followed by cardiovascular system (21%). The most commonly prescribed drugs were antimicrobials (19.9%). Polypharmacy was observed in 340 (84.2%) patients. This study has shown the patterns of diseases prevalent in geriatric patients, drug use among them and also suggests that drugs to be avoided in geriatrics.

Keywords: Geriatrics, Prescribing pattern, Polypharmacy, Beers criterion.


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