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Background: Stroke is a major cause of morbidity and mortality in India and there is a rising trend in both incidence and prevalence of stroke, so it might be better to review stroke preventive ways. hence, the present study aimed to identify the prevalence of stroke type, symptoms, risk factors and assess the current prescribing trends in stroke patients admitted at tertiary care hospital.
Methods: A prospective and observational study was carried out for a period of 6months. A total 82 patients were recruited in this study were satisfying the inclusion criteria. The data was collected and analysed by reviewing patient’s case sheets, prescription and interviewing patient or patient caretaker(s) and health care professionals.
Results: Out of 82 patients, 63% of patients were diagnosed with ischemic stroke. Middle cerebral artery were the most effected area in ischemic stroke patients. Stroke was higher in the age group of 61-80 with male predominance. Most of the patients presented with complaints of hemiparesis (73%) followed by speech involvement (48%), headache, giddiness and vomiting. The common co-morbidities identified were hypertension (71%), diabetes mellitus (52%), smoking (31%) and alcoholic habbits(26%), respectively. Majority of ischemic patients were prescribed with antiplatetlets, dyslipidemics, Calcium channel blockers (CCBS). antiepileptics, mannitol, neurotonics and CCBs were the commonly prescribed drugs for hemmorhagic stroke patients. for supportive management of hypertension, majority of patients were prescribed with CCBs.
Conclusion:
The study highlights the importance of assertive management of conventional risk factors, the necessity for a thorough patient workup to identify etiologies and urgency for more proactive community interventions to prevent strokes. Prescription patterns for drug should be tailored to the specificity and severity of the stroke to enables the judicious use of medications and provide optimal care. Emphasizing prevention over cure, early identification and managing risk factors such as hypertension, diabetes mellitus and lifestyle changes like cessation of smoking and alcohol consumption may mitigate the risk of stroke. A precise prescribing pattern, coupled with vigilant patient monitoring, can prevent adverse drug ractions(ADR) and drug interactions in stroke patients. Regular follow-up are essential to ensure medication adherence and prevent relapses. The integration of pharmacist into stroke management plays a pivotal role and contributes to improved patient outcomes. The findings from our study underscore the imperative for early and appropriate management of stroke to forestall further complications.
"Assessment of Risk Factors, Clinical Profile And Prescribing Pattern of Drug In stroke Patients", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.9, Issue 3, page no.48 - 58, March-2024, Available :http://www.ijrti.org/papers/IJRTI2403007.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator