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International Journal of Scientific & Technology Research

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IJSTR >> Volume 9 - Issue 3, March 2020 Edition



International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616



A Retrospective Study On Postoperative Usage Pattern Of Analgesics In Orthopaedics Department Of A Tertiary Care Teaching Hospital

[Full Text]

 

AUTHOR(S)

Bhavana Chandran K, Kadeeja Vadakkan, Mohammed Altaf, Vikram Shetty, Sharad Chand, Anjaly Vijayan, Nandakumar UP

 

KEYWORDS

Postoperative pain, Analgesics, Drug utilization, Orthopedics.

 

ABSTRACT

Background: Analgesics are commonly prescribed drugs in the clinical management of pain and inflammation. Periodic evaluation of drug usage pattern is needed to make suitable modifications in the prescription of drugs to obtain an optimum therapeutic benefit. Objectives: To evaluate the prescribing pattern of analgesics and to know the most routinely prescribed analgesic for post-operative pain management in the orthopaedics department. Methodology: A retrospective study was carried out for a period of six months from September 2018–February 2019. The post-operative usage pattern of analgesics was analyzed by collecting drug therapy details of patients from case sheets, including treatment charts, and analyzed by descriptive statistics. Results: Out of the total 400 cases selected for the study, 237 (59.25%) were males whereas 163 (40.75%) were females. 137 (34.25%) of the total study population belonged to the age group of 50-69 years. 93 (23.25%) Open Reduction and Internal Fixation (ORIF) and 90 (22.50%) Closed Reduction and Internal Fixation (CRIF) were the most common surgical procedures performed. Hypertension 95 (45.45%) was the most common co-morbidity reported. Drugs were given more as combination 295 (73.8%) therapy than Monotherapy 105 (26.2%). The most commonly prescribed agent among patients, who received single analgesic therapy, was Diclofenac. Among Fixed dose combination therapy, Paracetamol + Tramadol 173 (58.64%) was found to be the most prescribed analgesic. 465 (59.46%) of analgesics were given orally whereas 317 (40.53%) were administered parentally. Conclusion: Effective pain management can improve the quality of life of the patient as well as minimize the hospital stay. Drug utilization studies, when done periodically, can help in the modulation of analgesic therapy. The current study provides an insight to the health care providers on the importance of rational use of analgesics, which in turn helps in the delivery of good quality health care services.

 

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