Incidence of Poly pharmacy among emergency patients at a Tertiary Care Hospital in Karachi: An Ignored Paradigm for Quality Drug Therapy.
نویسندگان
1 Department of Emergency Medicine, Aga Khan University Hospital, Pakistan
2 Department of Emergency Medicine, Aga Khan University Hospital, Pakistan
3 Department of Emergency Medicine, Aga Khan University Hospital, Pakistan.
4 The Aga khan university hospital karachi, Pkistan.
5 Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
6 Department of Emergency Medicine, Aga Khan University Hospital, Pakistan
doi
10.22038/apjmt.2021.18683چکیده
Introduction: A prescription containing five or more drugs is likely to result in adverse consequences that may involve hospital admission, falls & many other complications. Increasing incidence of Polypharmacy among patients visiting ED calls for a more judicious and cautious approach to prescribing with a focus on long term as well as short term health care issues. Objective: To estimate the incidence and current trend of poly-pharmacy among patients (pediatric and adults) visiting emergency department (ED) of a at a tertiary care hospital.Methods: It was retrospective study in which those patients’ data who visited the emergency department of Aga Khan University Hospital (AKUH) was reviewed & analyzed. The duration of study is between January, 2012 to December, 2012. The detailed clinical records of randomly selected patient through a simple random sampling method were retrieved out of 51,000 patients visited ED during the period.Results: Total 51,000 patients visited ED during study period, out of those 372 patients were randomly selected. Polypharmacy was common in 69.9% (251) of patients with elderly population were most effected age group P < 0.05. Male were 51.9 % (193) & adults were 80.4% (295). The most common triage category was P1 40.2% (100). Top most diagnosis was respiratory tract infection with antibiotic was the most prescribed drugs in ED 91% (340).Conclusion: The perils and problems associated with Poly pharmacy are a subject of interest as polypharmacy found to be significant finding among all ED patients