Frequency of proton pump inhibitor prescription based in clinical practice guidelines in hospitalized patients in two academic hospitals in Lima, Peru
To evaluate if Proton Pump Inhibitor (PPI) prescription is based in Clinical Practice Guidelines (CPG) in hospitalized patients at two academic hospitals of Lima. The services of Intern Medicine, Tropical Medicine and General Surgery were visited. Therapeutic sheets and nursing transcript were check...
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Veröffentlicht in: | Revista de gastroenterología del Perú 2012-01, Vol.32 (1), p.44-49 |
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creator | Bustamante Robles, Katherine Yelenia Ticse Aguirre, Ray Cánepa Rondo, Italo Francisco Costta Herrera, Carmela Giuliana Vasquez Kunze, Sergio Soto Arquiñigo, Leslie Sosa Valle, Hector |
description | To evaluate if Proton Pump Inhibitor (PPI) prescription is based in Clinical Practice Guidelines (CPG) in hospitalized patients at two academic hospitals of Lima.
The services of Intern Medicine, Tropical Medicine and General Surgery were visited. Therapeutic sheets and nursing transcript were checked. The prescription motifs were determined in patients who received PPI. These motifs were obtained according to a check list, which was made from different CPG.
54.57% of the PPI prescriptions in the two academic hospitals were not based in CPG. No statistic significant difference was found between the two academic hospitals in the PPI prescription based in CPG (p=0,208). Most of the prescriptions not base on CPG belong to the service of General Surgery (83.6%; p |
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The services of Intern Medicine, Tropical Medicine and General Surgery were visited. Therapeutic sheets and nursing transcript were checked. The prescription motifs were determined in patients who received PPI. These motifs were obtained according to a check list, which was made from different CPG.
54.57% of the PPI prescriptions in the two academic hospitals were not based in CPG. No statistic significant difference was found between the two academic hospitals in the PPI prescription based in CPG (p=0,208). Most of the prescriptions not base on CPG belong to the service of General Surgery (83.6%; p<0.0001). The main indication for the prescription of PPI based on CPG was prevention of NSAIDS induced gastric ulcers if advanced age (65.72%).
There is a high rate of PPI overuse in two academic hospitals.</description><identifier>EISSN: 1609-722X</identifier><identifier>PMID: 22476177</identifier><language>spa</language><publisher>Peru</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Checklist ; Cross-Sectional Studies ; Female ; Guideline Adherence - statistics & numerical data ; Health Services Misuse - statistics & numerical data ; Hospitalization ; Hospitals, Teaching - standards ; Hospitals, Teaching - statistics & numerical data ; Humans ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Peru ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - statistics & numerical data ; Proton Pump Inhibitors - therapeutic use ; Stomach Ulcer - drug therapy ; Stomach Ulcer - prevention & control</subject><ispartof>Revista de gastroenterología del Perú, 2012-01, Vol.32 (1), p.44-49</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22476177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bustamante Robles, Katherine Yelenia</creatorcontrib><creatorcontrib>Ticse Aguirre, Ray</creatorcontrib><creatorcontrib>Cánepa Rondo, Italo Francisco</creatorcontrib><creatorcontrib>Costta Herrera, Carmela Giuliana</creatorcontrib><creatorcontrib>Vasquez Kunze, Sergio</creatorcontrib><creatorcontrib>Soto Arquiñigo, Leslie</creatorcontrib><creatorcontrib>Sosa Valle, Hector</creatorcontrib><title>Frequency of proton pump inhibitor prescription based in clinical practice guidelines in hospitalized patients in two academic hospitals in Lima, Peru</title><title>Revista de gastroenterología del Perú</title><addtitle>Rev Gastroenterol Peru</addtitle><description>To evaluate if Proton Pump Inhibitor (PPI) prescription is based in Clinical Practice Guidelines (CPG) in hospitalized patients at two academic hospitals of Lima.
The services of Intern Medicine, Tropical Medicine and General Surgery were visited. Therapeutic sheets and nursing transcript were checked. The prescription motifs were determined in patients who received PPI. These motifs were obtained according to a check list, which was made from different CPG.
54.57% of the PPI prescriptions in the two academic hospitals were not based in CPG. No statistic significant difference was found between the two academic hospitals in the PPI prescription based in CPG (p=0,208). Most of the prescriptions not base on CPG belong to the service of General Surgery (83.6%; p<0.0001). The main indication for the prescription of PPI based on CPG was prevention of NSAIDS induced gastric ulcers if advanced age (65.72%).
There is a high rate of PPI overuse in two academic hospitals.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Checklist</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Health Services Misuse - statistics & numerical data</subject><subject>Hospitalization</subject><subject>Hospitals, Teaching - standards</subject><subject>Hospitals, Teaching - statistics & numerical data</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Peru</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Proton Pump Inhibitors - therapeutic use</subject><subject>Stomach Ulcer - drug therapy</subject><subject>Stomach Ulcer - prevention & control</subject><issn>1609-722X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhosg7rr6FyQ3LxbSpG2aoyyuCgU97MFbycfUHelHbFJk_SH-XuO6yhwG3udhmJmTZJmVVKaCsZdFcu79G6U5zVl5liwYy0WZCbFMvjYTvM8wmD0ZW-KmMYwDcXPvCA471BjGKabgzYQuYGRaebAREtPhgEZ1ESsT0AB5ndFCTMH_8N3oHQbV4Wf0nQoIQziA8DESZZSFHs2_dSA19uqGPMM0XySnbQzh8thXyXZzt10_pPXT_eP6tk5dUYjUlJxxrpnVBqwxLRV5ZqtWUM11qajOJNNFpstcS2arSkiqiowVbQm6klJwvkquf8fGw-MXfGh69Aa6Tg0wzr6RklWxGI3m1dGcdQ-2cVPcddo3f5_k38igcjg</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Bustamante Robles, Katherine Yelenia</creator><creator>Ticse Aguirre, Ray</creator><creator>Cánepa Rondo, Italo Francisco</creator><creator>Costta Herrera, Carmela Giuliana</creator><creator>Vasquez Kunze, Sergio</creator><creator>Soto Arquiñigo, Leslie</creator><creator>Sosa Valle, Hector</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>Frequency of proton pump inhibitor prescription based in clinical practice guidelines in hospitalized patients in two academic hospitals in Lima, Peru</title><author>Bustamante Robles, Katherine Yelenia ; Ticse Aguirre, Ray ; Cánepa Rondo, Italo Francisco ; Costta Herrera, Carmela Giuliana ; Vasquez Kunze, Sergio ; Soto Arquiñigo, Leslie ; Sosa Valle, Hector</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p557-c63233b2dbcedccf0741d8f70b3b6a0b192b51b64b92d88790a5125f6eb899733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Checklist</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Health Services Misuse - statistics & numerical data</topic><topic>Hospitalization</topic><topic>Hospitals, Teaching - standards</topic><topic>Hospitals, Teaching - statistics & numerical data</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Peru</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Proton Pump Inhibitors - therapeutic use</topic><topic>Stomach Ulcer - drug therapy</topic><topic>Stomach Ulcer - prevention & control</topic><toplevel>online_resources</toplevel><creatorcontrib>Bustamante Robles, Katherine Yelenia</creatorcontrib><creatorcontrib>Ticse Aguirre, Ray</creatorcontrib><creatorcontrib>Cánepa Rondo, Italo Francisco</creatorcontrib><creatorcontrib>Costta Herrera, Carmela Giuliana</creatorcontrib><creatorcontrib>Vasquez Kunze, Sergio</creatorcontrib><creatorcontrib>Soto Arquiñigo, Leslie</creatorcontrib><creatorcontrib>Sosa Valle, Hector</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista de gastroenterología del Perú</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bustamante Robles, Katherine Yelenia</au><au>Ticse Aguirre, Ray</au><au>Cánepa Rondo, Italo Francisco</au><au>Costta Herrera, Carmela Giuliana</au><au>Vasquez Kunze, Sergio</au><au>Soto Arquiñigo, Leslie</au><au>Sosa Valle, Hector</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of proton pump inhibitor prescription based in clinical practice guidelines in hospitalized patients in two academic hospitals in Lima, Peru</atitle><jtitle>Revista de gastroenterología del Perú</jtitle><addtitle>Rev Gastroenterol Peru</addtitle><date>2012-01</date><risdate>2012</risdate><volume>32</volume><issue>1</issue><spage>44</spage><epage>49</epage><pages>44-49</pages><eissn>1609-722X</eissn><abstract>To evaluate if Proton Pump Inhibitor (PPI) prescription is based in Clinical Practice Guidelines (CPG) in hospitalized patients at two academic hospitals of Lima.
The services of Intern Medicine, Tropical Medicine and General Surgery were visited. Therapeutic sheets and nursing transcript were checked. The prescription motifs were determined in patients who received PPI. These motifs were obtained according to a check list, which was made from different CPG.
54.57% of the PPI prescriptions in the two academic hospitals were not based in CPG. No statistic significant difference was found between the two academic hospitals in the PPI prescription based in CPG (p=0,208). Most of the prescriptions not base on CPG belong to the service of General Surgery (83.6%; p<0.0001). The main indication for the prescription of PPI based on CPG was prevention of NSAIDS induced gastric ulcers if advanced age (65.72%).
There is a high rate of PPI overuse in two academic hospitals.</abstract><cop>Peru</cop><pmid>22476177</pmid><tpages>6</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Checklist Cross-Sectional Studies Female Guideline Adherence - statistics & numerical data Health Services Misuse - statistics & numerical data Hospitalization Hospitals, Teaching - standards Hospitals, Teaching - statistics & numerical data Humans Logistic Models Male Middle Aged Multivariate Analysis Peru Practice Guidelines as Topic Practice Patterns, Physicians' - statistics & numerical data Proton Pump Inhibitors - therapeutic use Stomach Ulcer - drug therapy Stomach Ulcer - prevention & control |
title | Frequency of proton pump inhibitor prescription based in clinical practice guidelines in hospitalized patients in two academic hospitals in Lima, Peru |
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