Abstract

A STUDY OF TRENDS AND PRESCRIPTION AUDITING IN THE PATIENTS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN RAJINDRA HOSPITAL PATIALA

Vardhan A.*, Gupta A. and Kansal A. P.

Abstract

Chronic Obstructive pulmonary Disease is defined as a preventable and treatable disease state characterized by airflow limitation that is not fully reversible. Studying the prescribing pattern is that part of the medical audit which seeks to monitor, evaluate and if necessary, suggest modifications in the prescribing practices of medical practitioners, so as to make the medical care rational and cost effective, so this study was conducted to determine the prescription pattern and to look for any deviation in treatment from the standard Global Initiative for Obstructive Lung Diseases Guidelines (GOLD) 2011. Method: This cross-sectional and observational study was conducted in the Department of Chest & Tuberculosis at Rajindra Hospital, associated with Government medical college Patiala. A total of 250 patients were included in the study from September 2013 to March 2015. The enrolled cases were the diagnosed cases of COPD by Department of Chest & Tuberculosis Rajindra Hospital, Patiala, so the treatment part of GOLD Guidelines was evaluated. The Data Pertaining to Prescription of each patient was collected and was used to match with the standard guidelines (GOLD Guidelines). Results: In present study Chronic Obstructive Pulmonary Disease was more prevalent in males as compared to females as out of 250 patients 172 were males and 78 were females with Male: Female ratio of 2.47:1. The most common age group of disease occurrence was 51-60 years. The disease was more common in smokers with Smoker: nonsmoker ratio of 2.12:1. 46% patients were given Monotherapy, 48.4% patients were given Combination therapy and 5.6% patients were referred for surgical intervention. Conclusion: The percentage compliance for Patient’s treatment of Chronic Obstructive Pulmonary Disease given in the department of Chest and Tuberculosis, Rajindra Hospital, Patiala with GOLD Guidelines was 75.0%.

Keywords: COPD, SABA, GOLD.