Lanfranchi MRF, Rivera MB, Flores VC, Secín DR

Language: Spanish
References: 11
Page: 501-507
PDF size: 319.71 Kb.

ABSTRACT

Background: The use of psychopharmacological drugs in the general hospital, even though it’s necessary implies risks. These drugs include anxiolytics, antidepressants, antipsychotic, and mood stabilizers, among others. In a general hospital they can be used as symptomatic drugs in non-psychiatric diseases, but also as treatment in psychiatric comorbidities.
Objective: To evaluate the pattern of prescription of this drugs and make a statistical evaluation to prevent clinical faults.
Patients and methods: This study is design as a descriptive, retrospective, observational, of prevalence and comparative among groups by age, sex, illness and the characteristics of who prescribe these drugs. The patients hospitalized in a ward of a private general hospital for a 3 months period formed the population.
Results: In 931 patients, 221 (27.73%) used psychotherapeutic drugs, 198 for the first time, only 19 had a psychiatric diagnosis. The psychiatrist indicated these drugs more frequently (83.33%) followed by the G.O. (62.5%), nephrology (33.33%), plastic surgery (31.66%), neurosurgery (31.11%) and traumatology (30.63%). The most frequently used drugs were benzodiazepines, antidepressant drugs, narcotics, mood stabilizers and antipsychotic drugs in decreasing order, the specific distributions and drugs used are shown in the study. The most common reasons were anesthetic premedication, insomnia, pain, sadness and agitation. About the person who indicates these drugs only 0.68% were residents in psychiatry and 2.72% were a consultation-liaison psychiatrist.
Conclusions: A strict control in the use of psychopharmacology drugs should be established, as well as to diminish the side effects and optimize the integral treatment of patients with complete diagnosis (physical and mental) to improve life quality.

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