Perspectives in Clinical Research

ORIGINAL RESEARCH PAPER
Year
: 2021  |  Volume : 12  |  Issue : 4  |  Page : 203--208

Drug use pattern for emergency psychiatric conditions in a tertiary care hospital: A prospective observational study


Sharmila V Jalgaonkar1, Tausif I Mapara1, Urwashi I Parmar1, Mahesh L Patil1, Shilpa Adarkar2, Shubhangi Parkar2 
1 Department of Pharmacology and Therapeutics, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India
2 Department of Psychiatry, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Urwashi I Parmar
Department of Pharmacology and Therapeutics, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra
India

Purpose: Psychiatric emergencies (PEs) are defined as acute disturbances of thought, mood, behavior, or social relationships requiring immediate interventions. The common emergency psychiatrics are attempted suicide, severe anxiety, schizophrenia, acute psychosis, substance abuse, acute panic attacks, drug toxicities, and extrapyramidal reactions. Emergency physicians in the general hospital may face the challenge of assessing and managing patients in PEs. This study was conducted to evaluate the clinical pattern and drug use pattern for PEs at a tertiary care hospital. Materials and Methods: This was a cross-sectional, observational study where patients presenting to emergency medical services of a tertiary care hospital were recruited after approval from Institutional Ethics Committee and written informed consent. Demographic details, diagnosis, medication details, cost of the treatment, and adherence to guidelines in the management of emergency psychiatric conditions were assessed using a validated questionnaire. Descriptive statistics was applied to analyze the data. Results: In 110 patients, a total number of drugs prescribed were 463 (mean: 4.21 drugs/prescription). The most commonly used psychotropic drug in emergency setting was found to be risperidone (19.39%), followed by lorazepam (13.60%) and clonazepam (4.28%). The most common diagnoses were substance abuse (32.72%) and schizophrenia (21.81%). About 74.5% of the physicians prescribed drugs abiding by the standard guidelines. The average total cost incurred by patients was about Rs. 366. Conclusion: The most commonly used drugs in emergency treatment found in this study are risperidone, followed by lorazepam and haloperidol.


How to cite this article:
Jalgaonkar SV, Mapara TI, Parmar UI, Patil ML, Adarkar S, Parkar S. Drug use pattern for emergency psychiatric conditions in a tertiary care hospital: A prospective observational study.Perspect Clin Res 2021;12:203-208


How to cite this URL:
Jalgaonkar SV, Mapara TI, Parmar UI, Patil ML, Adarkar S, Parkar S. Drug use pattern for emergency psychiatric conditions in a tertiary care hospital: A prospective observational study. Perspect Clin Res [serial online] 2021 [cited 2022 Nov 27 ];12:203-208
Available from: http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=4;spage=203;epage=208;aulast=Jalgaonkar;type=0