Adverse Drug Events in the Elderly Population Admitted to a Tertiary Care Hospital

2002 ◽  
Vol 47 (5) ◽  
pp. 295-305 ◽  
Author(s):  
Nahid Azad ◽  
Michael Tierney ◽  
Gary Victor ◽  
Parul Kumar
Keyword(s):  
Elderly Population ◽  
Adverse Drug Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
The Elderly ◽  
Care Hospital

scholarly journals A Cross-sectional Study on Prevalence of Insomnia in Patients Admitted in the Medical ward of a Tertiary Care Hospital of Kashmir Valley.

JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 33-37
Author(s):  
Syed Mudasir Qadri ◽  
Uroosa Farooq Allaqband ◽  
Walied K Balwan ◽  
Umar Hafiz ◽  
Parvaiz A Koul ◽  
...  
Keyword(s):  
Elderly Population ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Medical Ward ◽  
Care Hospital ◽  
Sectional Study ◽  
Kashmir Valley ◽  
Cross Sectional

Background: Insomnia is not uncommon in hospitalized patients. Insomnia affects the elderly population significantly. Indian elderly population is growing rapidly and the epidemiology of insomnia needs to be studied further in this group. Objective(s): To assess the prevalence of insomnia in patients admitted in the medical ward of a tertiary care hospital of Kashmir valley. Material and methods: This was a cross-sectional study which was conducted in the medical ward of tertiary care institute of Kashmir valley, among 158 admitted patients who were not-critically ill and did not require supplemental oxygen for survival. The patients who stayed for >7days in the hospital were included in the study and data was collected by interviewing the patients using a self-devised questionnaire based on the Athens Insomnia Scale. Results: Our study revealed that the prevalence of insomnia among admitted patients was 45.6%.  Higher prevalence of insomnia was seen in patients belonging to the age group of 52years and above, males, married, illiterate, unemployed, who belonged to the rural area, had a social problem in the family and who used the habit-forming substance . Conclusion: The present study provided some idea about the prevalence of insomnia among patients admitted in the tertiary care hospital of Kashmir. In this study, the overall prevalence of insomnia among patients who reached out to physicians for the management of their morbidities was 45.6%.

scholarly journals Prevalence of elderly patients who refuse to get discharge from coronary intensive care unit in a tertiary care hospital of North India: a pilot study

2019 ◽  
Vol 7 (11) ◽  
pp. 4223
Author(s):  
Sanjeev Kumar Singla ◽  
Ankush Singla ◽  
Mridul Panditrao ◽  
Ishan Bansal ◽  
Rakendra Singh
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Elderly Patients ◽  
Elderly Population ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
The Elderly ◽  
Medical Advice ◽  
Care Hospital ◽  
Against Medical Advice

Background: The elderly population ≥60 years is increasing as the life span is increasing. So is the number of elderly patients who are refusing to get discharge from the hospital is also increasing. Authors are conducting this study in the elderly population who want to stay against medical advice.The aim to find the prevalence of elderly patients who refuse to get discharge from Coronary Care Unit (CCU) in a Tertiary care hospital of North IndiaMethods: A retrospective, observational study conducted in patients of age ≥60 years admitted to the coronary intensive care unit of a tertiary health care centre who refused discharge from the unit, were included in the study. Results: Of the 575 patients 44(7.65%) were willing to stay against medical advice. Of these 24(54.5%) were males and 20(45.5%) females. 6(13.6%) patients were terminally ill suffering from malignancies. Among all the patients who were willing to stay against medical advice, 8(18.2%) were covered by some health insurance scheme of either State or Central Government. 3(6.8%) patients were discharged after 24 hours, 22(50%) patients after 48 hours, 14(31.9%) patients after 72 hours and 5(11.3%) patients after 96 hours of advising discharge from hospital.Conclusions: As the intensive care beds at tertiary healthcare level are limited, the treatment of other salvageable sick patients who need the intensive care is affected by the unnecessary stay in hospital. Apart from the worsened nurse to patient ratio this increases the cost of treatment. This is need of hour to provide safe environment for the elderly outside the hospital settings and increase resources to provide better homecare.

scholarly journals Evaluation of adverse drug reactions of anti-tubercular drugs in the treatment of tuberculosis in tertiary care hospital

2020 ◽  
Vol 9 (9) ◽  
pp. 1430
Author(s):  
Krishnakanth K. ◽  
Jagadeesh A. ◽  
Swetha T. D.
Keyword(s):  
Adverse Drug Reaction ◽  
Adverse Drug Reactions ◽  
Adverse Drug Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Medicine Department ◽  
Study Results

Background: Adverse drug reactions are very common among patients on anti-tubercular treatment. Hence, the current study was done to evaluate the adverse drug reaction (ADR) profile in patients receiving anti-tubercular treatment (ATT).Methods: A 6 months prospective, cross-sectional observational study was performed in collaboration with Pulmonology Medicine department. WHO-UMC scale and Naranjo scale was used to evaluate the ADRs.Results: Ninety-two patients receiving ATT presented with 113 adverse drug events (ADE). Males were more affected than females. DOTS category-1 regimen was mostly responsible for ADE. Addition of drugs for the management of ADR events was done.Conclusions: The study results show more ADRs related to ATT demanding increased collaboration between NTEP 2020 and Pharmacovigilance Programme of India to enhance drug safety in this field.

scholarly journals Adverse drug reactions or events in children with assessment of causality and severity: a retrospective analysis from Bhavnagar

2020 ◽  
Vol 9 (12) ◽  
pp. 1883
Author(s):  
Jayendra R. Gohil ◽  
Aniket B. Sarwade ◽  
Hardik R. Chauhan ◽  
Jay R. Jasani ◽  
Hinal R. Gujrati
Keyword(s):  
Adverse Drug Reactions ◽  
Adverse Drug Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Reactions ◽  
Pediatric Age Group ◽  
Skin Redness ◽  
The Common ◽  
Probable Category

Background: Objective was to study the occurrence of adverse drug reactions in pediatric age group in a tertiary care hospital setting.Methods: A retrospective study was undertaken to analyze adverse drug events in pediatrics wards of a tertiary care hospital. Any event marked as ‘suspected adverse drug reaction’ was included in the study and ADR forms were analyzed for causality and severity. Other parameters like age and sex, class of drug, types of ADR, commonly involved systems and polypharmacy were studied.Results: Total 74 cases of admitted patients (13 deaths: 11 infants, 6 neonates) with severe ADR were studied of whom 39% were females. Antimicrobials were the commonest drug class (54%) with Skin most commonly involved. 77% cases were of probable category according to Naranjo’s scale of causality assessment. 11% cases were prescribed polypharmacy.Conclusions: Antibiotics were the class of drug causing maximum ADRs. The commonest system involved was skin. Redness, itching & rashes were the common symptoms. Antimicrobials should be used judiciously. Polypharmacy should be avoided. ADR reporting should be strengthened. Extra vigilance is required for infants and neonate’s prescriptions.

EVALUATION OF DRUG-DRUG INTERACTIONS IN HOSPITALISED GERIATRIC PATIENTS AT TERTIARY CARE HOSPITAL

INDIAN DRUGS ◽  
2021 ◽  
Vol 58 (03) ◽  
pp. 62-66
Author(s):  
Jalpa Suthar ◽  
Avni Tandel ◽  
Varsha Patel ◽  
◽  
◽  
...  
Keyword(s):  
Drug Interaction ◽  
Drug Interactions ◽  
Prospective Observational Study ◽  
Geriatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
The Elderly ◽  
Care Hospital ◽  
Contributing Factors ◽  
Associated Conditions

A study was planned to evaluate the prevalence, nature, and severity of drug-drug interactions (DDI) in geriatrics. A prospective observational study was carried out in hospitalized patients. DDIs were evaluated using a medscape drug interaction checker. Data of 300 patients were collected who were followed up for 3 days and analyzed over a period of 7 months. The prevalence rate of DDI was 90.3 %, as 271 out of 300 prescriptions showed drug-drug interaction. Out of 300 patients, 4797 possible DDIs were identified, of which 39 (0.81 %) were contraindicated, 290 (6.04 %) serious drug interactions, 3312 (68.85 %) significant interactions and 1156 (24.09 %) minor interactions. Out of 4797 possible DDIs, 2962 (62.91 %) were pharmacodynamics. 1835 (37.08 %) were pharmacokinetic type. Antihypertensive class of drug showed potential for DDIs. Total 244 (81.33 %) cases were found with potentially inappropriate medicines(PIM). The prevalence of DDIs in geriatric patients was 90.3 %. Poly pharmacy and multiple associated conditions in the elderly were the major contributing factors for DDIs.

scholarly journals Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Tika Ram Bhandari ◽  
Sudha Shahi ◽  
Rajeev Bhandari ◽  
Rajesh Poudel
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Elderly Patients ◽  
Medical Records ◽  
Elderly Population ◽  
Tertiary Care ◽  
Young Patients ◽  
The Elderly ◽  
Young Group ◽  
Perioperative Outcomes ◽  
Care Hospital

Background. The incidence of gallstone increases with increasing age. No studies have been reported in the elderly population with laparoscopic cholecystectomy from developing nations. The aim of this study was to compare perioperative outcomes of laparoscopic cholecystectomy between the elderly (≥60 years old) and the young (<60 years old).Methods. From July 2015 to June 2016, a retrospective review of medical records of 78 elderly patients (≥60 years old) and 164 young patients (<60 years old) who underwent laparoscopic cholecystectomy was done. The patients’ demographics and perioperative outcomes were analyzed.Results. Median ages were 65 years (range: 60–80) and 45 years (range: 21–59) for the elderly group and the young group. The majority of patients were female (62.8 and 72%). There were no significant differences in the conversion rate (9 and 7.9%,P=0.78), postoperative complications (17.9 and 14.6%,P=0.50), and length of stay in the hospital (4 days for both groups,P=0.35) between the two groups. There was no mortality in either of the groups.Conclusion. Our results of laparoscopic cholecystectomy in elderly patients are comparable with those in young patients. Therefore, laparoscopic cholecystectomy is safe even in the elderly population.

scholarly journals Study of adverse drug reactions in a tertiary care hospital

2019 ◽  
Vol 8 (9) ◽  
pp. 2013
Author(s):  
Santosh B. Godbharle ◽  
Sudhir L. Padwal
Keyword(s):  
Adverse Drug Reactions ◽  
Adverse Drug Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Care Hospital ◽  
Age Group ◽  
Drug Reactions ◽  
Potential Ades ◽  
Study Center

Background: The objectives of the study were to evaluate incidence and preventability of adverse drug events (ADEs) and potential ADEs and to analyse preventable events to develop prevention strategies.Methods: The study was retrospective observational study conducted at a rural tertiary care hospital at Maharashtra, for 12 months. Patients of both gender and all age group were included in the study. These entire adverse drug reactions were reported either by the PVPI assistance and/or hospital staff and their severity and causality assessments was performed as per Naranjo’s and Hartwig’s assessment criteria respectively. Data was analyzed by using Microsoft Excel.Results: There were total 256 ADR (adverse drug reactions) were reported in 12 months from January 2018 to December 2018 in various departments of the study center. Most of the adverse drug reactions were reported among age group of 21–40 years patients. Rash and itching (69) were most commonly reported ADR’s. ART (31.25%), antibiotics (28.90%) were reported to induce maximum number of ADRs. Most of the adverse drug reactions were possible (194, 75.78%) and mild (208, 81.25%) in nature.Conclusions: The antibiotics, ART drugs were most common drugs to reported ADRs. The commonly reported reactions were rash and itching.

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