Assessment of Drug Related Problems in Patients with Cardiovascular Diseases in Tertiary Care Hospital: A Clinical Pharmacist Intervention

M. Reshma, P. Gouthami, P. Tasleem, B. Shailaja, J. Thipperudra
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Abstract

Drug related problems in cardio vascular disease patients may lead to morbidity, mortality and the decreased quality of life. The main aim of the study is to assess, identify and resolve drug related problems in patients with Cardiovascular Diseases. A total of 150 cardiac patients were enrolled into the study. In our study, out of 150 we got 71 DRPs like Drug-Drug interactions 33(46.4%), ADRs 14(20%), indication without Drug 6(8.4%), drug use without indication 8(11.2%), sub therapeutic dose 10(14%). The association between risk factors like alcohol abuse, smoking, diabetes, hypertension increased risk of CVD. The P value was statistically significant in males than in females. In this study, for individuals with drug related problems of cardiovascular diseases, males were found to be more when compared with females due to risk factors such as smoking, alcoholism, life style etc. the drug related problems were high in patients aged between 40-60 years because of their multiple co-morbid conditions. Polypharmacy was the main predisposing factor for drug related problems.
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三级医院心血管疾病患者药物相关问题评估:临床药师介入
心血管疾病患者的药物相关问题可能导致发病率、死亡率和生活质量下降。该研究的主要目的是评估、识别和解决心血管疾病患者的药物相关问题。共有150名心脏病患者参加了这项研究。在我们的研究中,150例病例中出现药物-药物相互作用33例(46.4%),不良反应14例(20%),无适应症6例(8.4%),无适应症用药8例(11.2%),亚治疗剂量10例(14%)。酗酒、吸烟、糖尿病、高血压等危险因素之间的联系增加了患心血管疾病的风险。男性的P值比女性有统计学意义。在本研究中,由于吸烟、酗酒、生活方式等危险因素,男性出现与药物相关的心血管疾病的个体多于女性,40-60岁的患者由于多重合并症而出现与药物相关的问题。多种用药是药物相关问题的主要诱发因素。
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