EMPADE Study: Evaluation of Medical Prescriptions and Adverse Drug Events in COPD Patients Admitted to Intensive Care Unit

Abstract

Introduction: Inappropriate drug usage may preclude ideal benefit due to increased medical cost, antimicrobial resistance, adverse effects and mortality. Therefore drug utilization studies have become a plausible means in evaluating the healthcare systems. COPD management usually involves more than one drug which may escalate the risk of ADEs (adverse drug events). Aim: The present study was aimed at assessing the current drug practice and ADEs in COPD management in ICU. Materials and Methods: A total of 1,044 patients admitted for the treatment of COPD were included in the study. Their prescriptions were recorded for evaluation of drug utilization and patients were counseled for assessing ADEs. Results were evaluated by Chisquare test and percentages. Result: All-embracing 15,360 drugs were prescribed at an average of 14.71 drugs per patient, wherein β2 -agonists were extensively prescribed agents followed by inhaled-corticosteroids and anticholinergics. 372 ADEs were reported in 252 patients, wherein restlessness was the most frequent ADE and theophylline was found to be associated with highest cases of ADEs. Conclusion: Practitioners should prescribe least number of drugs to mitigate the likelihood of adverse outcomes in patients due to numerous drugs usage, which may be achieved by following GOLD guidelines. The present work may help in improving the current management of COPD by rectifying the flaws delineated in this article.

Keywords

• chronic obstructive pulmonary disease
• physician’s practice patterns
• respiratory medicine
• undesirable effects