Abstract

NON-RANDOMISED, PROSPECTIVE STUDY OF INOTROPES IN A TERTIARY CARE HOSPITAL

Sajeeda Begum*, Shreya Tummeti*, Nivedha Yerra*

Abstract

Aim: To conduct non-randomised, prospective study of inotropes in a tertiary care hospital. Objectives: To assess the clinical profile of patients requiring inotropes and their outcomes. To analyse the association of inotropes in patients. To assess the indications of inotropes. To assess the mortality rate among individuals who are receiving inotrope therapy. To analyse the length of hospital stay of inpatients. Methods: 100 cases were collected for the study, at the Kims - Sunshine Hospital in secunderabad for a six-month period of time. The data was obtained from patient case sheets from ICUs and ER. Results: In this study males are predominant over females in distribution of inotropes based on gender that is males are 69(69%) and females are 31(31%). The age wise distribution of the patients represents that most of the patients belongs to the age of 58- 67 years (28%). The major length of hospital stay from 68 patients out of 100 patients was for 6-10 days 48(48.5%). In contrast to recovery rate and mortality rate our studies represents that recovery rate is higher 87(87%) than mortality rate 13(13%) in patients during study period. Incomparison of mortality by monotherapy of inotropes Vs co-therapy of inotropes, mortality is higher in co-therapy of inotropes 7(53%). which indicates that monotherapy of inotrope is safer than combination of inotropes therapy. Conclusion: From our Non-Randomised, Prospective Study of Inotropes in a tertiary care hospital concludes the following: Even though inotropes may not be harmful choosing the right drug and knowing all the advantages and hazards is necessary in every therapeutic situation. As of now there aren’t any solid and persuasive studies to back up certain inotropic medication treatment to lower mortality in abnormal BP patients with cardiac shock and poor cardiac output syndrome followed by CAD, Acute HF, undergoing heart surgery.

Keywords: Inotropes, Mortality rate, Length of hospital stay.