Avaliação das prescrições médicas do Hospital Regional de Currais Novos - RN: um enfoque na complexidade terapêutica e indicadores de prescrição.

Abstract

The prescription constitutes determinant document to use of drugs . From their analysis, it is possible to know the degree of rationality and complexity of therapy performed. The medication complexity index (LCI) considers the dosage form, dosage and frequency of additional instructions underlying the taking of medication and thus shows the degree of difficulty in administering medication. The study aimed to evaluate the prescriptions of the Hospital Regional from Currais Novos City , RN, identifying ICT, indicators prescriptions and medications commonly used in the hospital. Was conducted a descriptive and retrospective study, of documentary database, where we analyzed the prescriptions archived of the ward medical clinic,surgical , obstetrics and pediatrics, in the period from July to December of the year 2012. Was identified the gender, age, length of hospital patients and the data of medicines. For determination of ICT and Prescribing Indicators used the o Medication Regimen Complexity Index (MRCI) and the recommendations of the World Health Organization (WHO), respectively. The drugs followed the International Classification of Anatomical Therapeutic Chemical (ATC). Data analysis was performed using SPSS (Statistical Package for Social Sciences) version 17.0. 66.7% of patients were female , 60.3% youth and adults, and the average length of hospital of stay was 2.99 days. 2262 medications were identified from 604 prescriptions. Mean ICT was 27.9 (minimum 1 and maximum 64). The average number of drugs per prescription was 3.7, the percentage of drugs prescribed by the Brazilian Common Denomination (DCB) was 73.9%, according to the prescription ratio of Essential Medicines was 83.1%, the percentage of antibiotics was 30 7% and the prescription of injectables per prescription was 75.3%. From the classification by ATC, it was observed that 30.7% of the drug action were in the group G, followed by Group A (29%). The most prescribed drugs were dipyrone (19.1%), cephalothin (14.4%). Was observed an high LCI, and the prescribing of antibiotics. Was concluded the need to evaluate schemes therapeutic for lower ICT, together with the assessment of prescriptions due to the abuse of drugs in the writing of medicines outside the common name Brazilian.