Clinical Profile and Prescribing Pattern of Cirrhosis in a Tertiary Care Hospital

Abstract

Liver cirrhosis is one of the major non communicable diseases, which is expected to be a prime health care concern of the 21 st century. In the present world, the number of persons suffering from the liver disorders is increasing. This may be due to the change in lifestyle and many stress related factors. Identification of the demography of patients with cirrhosis is of great importance in the current health care scenario for the calculation of prevalence of this frustrating disease. The aim of the study was to observe the clinical profile and treatment pattern in cirrhotic patients. This was an observational prospective study carried out in in-patient department of Gastroenterology, Amrita Institute of Medical Sciences for a period of 8 months. 150 patients diagnosed with liver cirrhosis and who satisfied the inclusion criteria were included. Specially designed standardized data collection form was used. From this study, we identified that the majority of the patients were male who belonged to the age group 51-60 years and majority of them were from urban area. Positive family history was noted in few patients. Abdominal pain was the most frequent symptom seen in majority of the cirrhotic patients. Most of the patients belonged to the Child Pugh Class C category. Antibiotics were the most commonly prescribed category of drug. Among this, cephalosporins were the most frequently used drug.

Profile of Psoriasis Among in Patients of Dermatology Department of a Government Tertiary Care Teaching Hospital in Mysore: A Medical Record Based Study

“…In a study by Vijayan M et.al in Kerala topical emollients, topical steroids and antihistaminics were the 3 common types of drugs administered to psoriatic patients. [13] In the present study nearly 16% of the psoriatic patients were found to be diagnosed with hypertension. Psoriasis was found to be associated with hypertension in a study by Ghiasi M et al [26] Few other studies also showed similar association.…”

“…[23] Different studies from India and abroad have found chronic plaque psoriasis as the commonest variety of psoriasis. [7,13,16,17] Majority (50%) of patients had severe grade of psoriasis as per PASI scoring (>20) and only 8% had mild grade of psoriasis. In a study done by Gopal MG et.al, in Bangalore 42% had severe grade of psoriasis and 3% had mild grade of psoriasis as per PASI scoring.…”

“…[12] There is no complete cure for psoriasis and treatment is aimed at providing symptomatic relief and improving quality of life for sufferers. [13] The physical, psychological and economic impact of disease has stimulated a growing international interest and concern about psoriasis. [13] The estimation of burden and the clinical profile of psoriasis patients will generate evidence which can be utilized for efficient management of specialist services, better care and improving the quality of life of the psoriatic patients.…”

A prospective observational study on prescribing patterns of drugs used in alcoholic liver disease patients at tertiary care teaching hospital

“…Alcohol consumption for a period of 6-10 years 36 people were highly affected with ALD (23.68%) followed by [11][12][13][14][15] The major co-morbidity in ALD patients was Hypertension (15, 41%), followed by Diabetes mellitus (15, 40%), CVA (4, 11%) and Bronchial asthma (3, 8%). Under the category of diuretics Furosemide-113 (50.22%) followed by Aldactone -107 (47.55%), Metalazone-3 (1.33%) and Prazosin -2 (0.8%) were major diuretic agents to treat ALD complications.…”

“…These findings were similar to Meenu Vijayan study. 12 The most common cause of portal hypertension is cirrhosis of liver. Cirrhosis is scarring which accompanies the healing of liver injury caused by hepatitis, alcohol, or other causes of liver damage.…”