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首页> 外文期刊>Journal of Young Pharmacists >Prescription Pattern of Chronic Kidney Disease Patients Undergoing Hemodialysis in Tertiary and Private Hospital
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Prescription Pattern of Chronic Kidney Disease Patients Undergoing Hemodialysis in Tertiary and Private Hospital

机译：三级和私立医院接受血液透析的慢性肾脏病患者的处方模式

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Objective: To evaluate the prescription pattern of chronic kidney disease patients undergoing haemodialysis in both hospitals. Methods: The study was carried out in a tertiary care and a private hospital for a period of nine months. Chronic kidney disease patients on maintenance haemodialysis for at least one month were included. Details like sociodemographic and clinical characteristics, past medication history, comorbidities and current medications were noted in self-pre-designed Patient Proforma. Mean ± standard deviation and percentages and relevant statistical tests like Chisquare test was used. Results: Majority of the patients belonged to middle socio-economic class in private hospital and lower-middle class in tertiary hospital. Maximum were unemployed (50.60%, 36%), married (90.36%, 88%) and had high school qualification (62.65%, 45.33%). About 78 (93.97%) patients were covered with insurance/health scheme in tertiary hospital and 39 (52%) in private hospital. Hypertension was found to be the leading cause in tertiary and private hospital. Calcium channel blockers (77.10%, 53.30%) were highly prescribed in both the hospitals. Erythropoietin (69.80%), calcium acetate (21.70%) and anti-diabetics (Insulin 10.84%) in tertiary hospital, whereas newer and costlier drugs like Darbepoetin, Iron preparations and Lanthanum carbonate were prescribed in private hospital. Conclusion: Socioeconomic status led to variation in prescription patterns among both hospitals as newer and costlier drugs like Lanthanum carbonate, Sevelamer and Darbepoetin were prescribed only in private hospital.
机译：目的：评估两家医院接受血液透析的慢性肾脏病患者的处方模式。方法：该研究在三级护理和私立医院进行，为期9个月。包括接受持续血液透析至少一个月的慢性肾脏病患者。自行设计的患者备考表中记录了诸如社会人口统计学和临床​​特征，既往用药史，合并症和当前用药等详细信息。使用均值±标准差和百分比以及相关的统计检验，例如Chisquare检验。结果：多数患者属于私立医院的中社会经济阶层和三级医院的中下阶层。最多的是失业者（50.60％，36％），已婚的（90.36％，88％）和高中文凭（62.65％，45.33％）。三级医院约有78名患者（93.97％）接受了保险/医疗保险，而私立医院中有39名患者（52％）获得了保险/医疗保险。发现高血压是三级和私立医院的主要原因。两家医院都强烈建议使用钙通道阻滞剂（分别为77.10％和53.30％）。三级医院的促红细胞生成素（69.80％），醋酸钙（21.70％）和抗糖尿病药（胰岛素10.84％），而私立医院开具了更新，更昂贵的药物，如达比泊汀，铁制剂和碳酸镧。结论：社会经济地位导致两家医院的处方模式存在差异，因为仅在私立医院才开出更新，更昂贵的药物，如碳酸镧，司维拉默和达比泊汀。

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