Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia
Background: There are more than 5 million people with dementia in India. Multicentre studies looking at details of treatment for people with dementia In India are lacking. Clinical audit is a quality improvement process which aims to systematically assess, evaluate, and improve patient care. Evaluat...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Psychiatry |
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| Online Access: | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_736_21 |
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| author | CT Sudhir Kumar Mathew Varghese Venugopal Duddu Sridhar Vaitheswaran Shrikant Srivastava KS Shaji Sanju George Narendra Kumar Singh Nishant Goyal Ajay Bakhla S Shaji Vikas Menon Tajamul Hussain Sandeep Grover Aseem Mehra Lokesh Kumar Singh A Purushotham Avinash Desousa Nilesh Shah Sagar Karia I Anand Shafana Afroon Ritambhara Mehta Gargi Kukreja Dimple Dadarwala KL Vidya PT Sivakumar Preeti Sinha Shivashankar Reddy Thomas Isaac Mina Chandra |
| author_facet | CT Sudhir Kumar Mathew Varghese Venugopal Duddu Sridhar Vaitheswaran Shrikant Srivastava KS Shaji Sanju George Narendra Kumar Singh Nishant Goyal Ajay Bakhla S Shaji Vikas Menon Tajamul Hussain Sandeep Grover Aseem Mehra Lokesh Kumar Singh A Purushotham Avinash Desousa Nilesh Shah Sagar Karia I Anand Shafana Afroon Ritambhara Mehta Gargi Kukreja Dimple Dadarwala KL Vidya PT Sivakumar Preeti Sinha Shivashankar Reddy Thomas Isaac Mina Chandra |
| author_sort | CT Sudhir Kumar |
| collection | DOAJ |
| description | Background:
There are more than 5 million people with dementia in India. Multicentre studies looking at details of treatment for people with dementia In India are lacking. Clinical audit is a quality improvement process which aims to systematically assess, evaluate, and improve patient care. Evaluating current practice is the key to a clinical audit cycle.
Aim:
This study aimed to assess the diagnostic patterns and prescribing practices of psychiatrists for patients with dementia in India.
Method:
A retrospective case file study was conducted across several centers in India.
Results:
Information from the case records of 586 patients with dementia was obtained. Mean age of the patients was 71.14 years (standard deviation = 9.42). Three hundred twenty one (54.8%) were men. Alzheimer’s disease (349; 59.6%) was the most frequent diagnosis followed by vascular dementia (117; 20%). Three hundred fifty five (60.6%) patients had medical disorders and 47.4% patients were taking medications for their medical conditions. Eighty one (69.2%) patients with vascular dementia had cardiovascular problems. Majority of the patients (524; 89.4%) were on medications for dementia. Most frequently prescribed treatment was Donepezil (230; 39.2%) followed by Donepezil-Memantine combination (225; 38.4%). Overall, 380 (64.8%) patients were on antipsychotics. Quetiapine (213, 36.3%) was the most frequently used antipsychotic. Overall, 113 (19.3%) patients were on antidepressants, 80 (13.7%) patients were on sedatives/hypnotics, and 16 (2.7%) patients were on mood stabilizers. Three hundred nineteen (55.4%) patients and caregivers of 374 (65%) patients were receiving psychosocial interventions.
Conclusions:
Diagnostic and prescription patterns in dementia which emerged from this study are comparable to other studies both nationally and internationally. Comparing current practices at individual and national levels against accepted guidelines, obtaining feedback, identifying gaps and instituting remedial measures help to improve the standard of care provided. |
| format | Article |
| id | doaj-art-124de2be57ba4feab228d975a5e211c4 |
| institution | Kabale University |
| issn | 0019-5545 1998-3794 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Psychiatry |
| spelling | doaj-art-124de2be57ba4feab228d975a5e211c42025-01-20T10:57:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-01-01651526010.4103/indianjpsychiatry.indianjpsychiatry_736_21Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with DementiaCT Sudhir KumarMathew VargheseVenugopal DudduSridhar VaitheswaranShrikant SrivastavaKS ShajiSanju GeorgeNarendra Kumar SinghNishant GoyalAjay BakhlaS ShajiVikas MenonTajamul HussainSandeep GroverAseem MehraLokesh Kumar SinghA PurushothamAvinash DesousaNilesh ShahSagar KariaI AnandShafana AfroonRitambhara MehtaGargi KukrejaDimple DadarwalaKL VidyaPT SivakumarPreeti SinhaShivashankar ReddyThomas IsaacMina ChandraBackground: There are more than 5 million people with dementia in India. Multicentre studies looking at details of treatment for people with dementia In India are lacking. Clinical audit is a quality improvement process which aims to systematically assess, evaluate, and improve patient care. Evaluating current practice is the key to a clinical audit cycle. Aim: This study aimed to assess the diagnostic patterns and prescribing practices of psychiatrists for patients with dementia in India. Method: A retrospective case file study was conducted across several centers in India. Results: Information from the case records of 586 patients with dementia was obtained. Mean age of the patients was 71.14 years (standard deviation = 9.42). Three hundred twenty one (54.8%) were men. Alzheimer’s disease (349; 59.6%) was the most frequent diagnosis followed by vascular dementia (117; 20%). Three hundred fifty five (60.6%) patients had medical disorders and 47.4% patients were taking medications for their medical conditions. Eighty one (69.2%) patients with vascular dementia had cardiovascular problems. Majority of the patients (524; 89.4%) were on medications for dementia. Most frequently prescribed treatment was Donepezil (230; 39.2%) followed by Donepezil-Memantine combination (225; 38.4%). Overall, 380 (64.8%) patients were on antipsychotics. Quetiapine (213, 36.3%) was the most frequently used antipsychotic. Overall, 113 (19.3%) patients were on antidepressants, 80 (13.7%) patients were on sedatives/hypnotics, and 16 (2.7%) patients were on mood stabilizers. Three hundred nineteen (55.4%) patients and caregivers of 374 (65%) patients were receiving psychosocial interventions. Conclusions: Diagnostic and prescription patterns in dementia which emerged from this study are comparable to other studies both nationally and internationally. Comparing current practices at individual and national levels against accepted guidelines, obtaining feedback, identifying gaps and instituting remedial measures help to improve the standard of care provided.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_736_21alzheimer’santipsychoticsauditdementiadonepezilindiamedicationmemantineprescriptionvascular |
| spellingShingle | CT Sudhir Kumar Mathew Varghese Venugopal Duddu Sridhar Vaitheswaran Shrikant Srivastava KS Shaji Sanju George Narendra Kumar Singh Nishant Goyal Ajay Bakhla S Shaji Vikas Menon Tajamul Hussain Sandeep Grover Aseem Mehra Lokesh Kumar Singh A Purushotham Avinash Desousa Nilesh Shah Sagar Karia I Anand Shafana Afroon Ritambhara Mehta Gargi Kukreja Dimple Dadarwala KL Vidya PT Sivakumar Preeti Sinha Shivashankar Reddy Thomas Isaac Mina Chandra Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia Indian Journal of Psychiatry alzheimer’s antipsychotics audit dementia donepezil india medication memantine prescription vascular |
| title | Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia |
| title_full | Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia |
| title_fullStr | Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia |
| title_full_unstemmed | Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia |
| title_short | Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia |
| title_sort | indian psychiatric society multicentre study diagnostic patterns comorbidity and prescription practices for patients with dementia |
| topic | alzheimer’s antipsychotics audit dementia donepezil india medication memantine prescription vascular |
| url | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_736_21 |
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