在发展中国家的神经病重症监护病房患者中评估疾病模式和药物使用情况:观察分析
Mamidi Niveditha1, Ruby Kasana1, Amit Ranjan Barua2
1Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER) Guwahati, Kamrup, Assam, India.
Hospital practice (1995)
|May 23, 2024
概括
出血性中风在男性患者中普遍存在,与全球趋势不同. 低水平的高血压管理和低水平的医疗保健知识导致患者违背医疗建议退院,突出了公众意识的必要性.
科学领域:
- 神经学 神经学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 神经病重症监护室 (神经病重症监护室) 管理复杂的神经疾病.
- 了解神经ICU中的疾病模式和药物使用对于优化患者护理至关重要.
- 三级医疗医院为不同的患者群体提供服务,他们有不同的医疗需求.
研究的目的:
- 分析在第三级护理神经ICU中遇到的神经疾病的频谱.
- 评估药物使用模式,包括处方指标和药物类别.
- 确定影响患者出院状态和结果的因素.
主要方法:
- 一项前性观察队列研究在六个月内进行.
- 收集的数据包括患者人口统计,临床诊断和药物详细信息.
- 使用药物被评估使用世界卫生组织 (WHO) / 药物合理使用国际网络 (INRUD) 的指标和解剖治疗化学品 (ATC) 分类系统.
主要成果:
- 中风是主要的诊断 (72.3%),出血性中风比缺血性中风更常见.
- 患者平均接受了7.8种药物,其中基本药物和注射剂的使用率很高.
- 潘托普拉和富洛塞米德是基于定义每日剂量 (DDD) 的最常用的药物.
结论:
- 流血性中风的高发病率,特别是在男性中,与全球趋势形成鲜明对比,与不受控制的高血压和有限的医疗保健意识有关.
- 很大一部分患者是根据要求或违背医疗建议出院的,这可能是由于社会经济因素.
- 公共卫生倡议和进一步的研究对于解决观察到的疾病模式和改善患者结果至关重要.
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