Abstract

PRESCRIBING PRACTICE OF DRUGS IN MYOCARDIAL INFARCTION AND STROKE PATIENTS IN THE GOVERNMENT TERTIARY CARE HOSPITAL OF MANDYA

Brightsha Augustine, Areena Rose and A. Vikneswari*

ABSTRACT

Prescribing pattern studies draws a logical conclusion to monitor, evaluate practitioners’ prescription habits to make patient care rational and cost-effective. According to WHO, 15 million people worldwide suffer from stroke each year. One in six people suffer from stroke in their lifetime. There are 32.4 million myocardial infarction cases reported worldwide every year. Among 200 patients, notable increase of stroke was found between the age group of 61-70 years (36.8%), hypertension (20.3%) were the most commonly found comorbidity and were prescribed with drugs like Antihypertensives (36%), hypolipidemic (17%). Haemorrhagic stroke is most commonly found in males ((14.2%) whereas Ischemic stroke is more in female patients (5.7%). MI were maximum between 51-60 years (26.3%) with more prevalence in males and were prescribed with Antiplatelet (27%), Antihypertensives (23%), hypolipidemic (14%). In MI with stroke, frequently used drugs were Antihypertensives (29%), antiplatelet (24%) and hypolipidemic (17%) and hypertension with its complication (40.7%) where Hypertension (22.5%) was the most common comorbidities. In the study of MI patients, inferior wall MI (29.8%) and ACS-NSTEMI (27.1%) were most commonly found. Smoking along with alcoholism were the predominant modifiable risk factor in both cases. The study showed that the Relative risk value among the patients with hypertension is greater than 1.00, indicates increased risk with value of 2.07. Our study concluded that the patients were subjected to rational prescribing of drugs by health care practitioners and adequately treated for the associated comorbidities.

Keywords: Stroke, Myocardial Infartion, Prescription pattern, Comorbidities.