Authors :
LAVANYA S; MEET SHAH; YAMA THAKKAR; VYOMA PATEL
Volume/Issue :
Volume 6 - 2021, Issue 12 - December
Google Scholar :
http://bitly.ws/gu88
Scribd :
https://bit.ly/342IiGO
DOI :
https://doi.org/10.5281/zenodo.5897407
Abstract :
Stroke is a neurological insufficiency marked
by an acute focal injury to the central nervous system due
to vascular causes which also includes cerebral infarction,
intracranial haemorrhage along with subarachnoid
haemorrhage. To assess the prescribing pattern in the
management of stroke at a tertiary care hospital. A
prospective observational study was carried out for a
period of 6 months in both ischemic and hemorrhagic
stroke patients with age group between 18 – 90 years.
Patient demographic and other data’s were collected
using a specially designed data collection form. The
Modified rankin scale was used to measure the severity of
stroke. All the data was analyzed using graphpad. A total
of 100 patients were enrolled in the study. Male gender
(60%) was more prone to stroke, majorly in the age group
of 60-80 years of age along with the social risk factors like
tobacco (21%) and smoking (20%). Hypertension (52.38)
was found as a dominant past medical history in stroke
patients. The prescribing pattern in the management of
stroke were appropriate to the condition of the patient
which comprises of anti-platelets (27%), anti-lipidemic
(26%), anti-hypertensive (26%) and other medications
for the treatment of the comorbid conditions such as
hypertension (52%), diabetes (17%), dyslipidemia and
other conditions. The duration of stay (22 days) is directly
proportional to the extent of disability of the patient as
well as the comorbidities which invariably increases the
cost of therapy. The direct medical cost was found to be
linearly proportional to the extent of disability and
comorbid condition of the patient. Cerebrovascular
stroke is a crucial public health problem and thus it is
vital to monitor the prescribing patterns and its
management. The need of clinical pharmacist is needed to
facilitate recovery of the patient and enhance the
healthcare experience along with reducing the economic
burden and length of stay in hospital so as to decrease
morbidity and mortality.
Keywords :
Stroke, Prescribing Pattern, Management, Modified Rankin Scale, Hypertension, Cost.
Stroke is a neurological insufficiency marked
by an acute focal injury to the central nervous system due
to vascular causes which also includes cerebral infarction,
intracranial haemorrhage along with subarachnoid
haemorrhage. To assess the prescribing pattern in the
management of stroke at a tertiary care hospital. A
prospective observational study was carried out for a
period of 6 months in both ischemic and hemorrhagic
stroke patients with age group between 18 – 90 years.
Patient demographic and other data’s were collected
using a specially designed data collection form. The
Modified rankin scale was used to measure the severity of
stroke. All the data was analyzed using graphpad. A total
of 100 patients were enrolled in the study. Male gender
(60%) was more prone to stroke, majorly in the age group
of 60-80 years of age along with the social risk factors like
tobacco (21%) and smoking (20%). Hypertension (52.38)
was found as a dominant past medical history in stroke
patients. The prescribing pattern in the management of
stroke were appropriate to the condition of the patient
which comprises of anti-platelets (27%), anti-lipidemic
(26%), anti-hypertensive (26%) and other medications
for the treatment of the comorbid conditions such as
hypertension (52%), diabetes (17%), dyslipidemia and
other conditions. The duration of stay (22 days) is directly
proportional to the extent of disability of the patient as
well as the comorbidities which invariably increases the
cost of therapy. The direct medical cost was found to be
linearly proportional to the extent of disability and
comorbid condition of the patient. Cerebrovascular
stroke is a crucial public health problem and thus it is
vital to monitor the prescribing patterns and its
management. The need of clinical pharmacist is needed to
facilitate recovery of the patient and enhance the
healthcare experience along with reducing the economic
burden and length of stay in hospital so as to decrease
morbidity and mortality.
Keywords :
Stroke, Prescribing Pattern, Management, Modified Rankin Scale, Hypertension, Cost.
