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Appropriateness of gastric antisecretory therapy in hospital practice

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Abstract

Background Recent data indicate an exponential increase in proton pump inhibitor (PPI) prescribing, and concerns are raised regarding the appropriateness of these prescriptions and the financial implications.

Aim To survey the appropriateness of PPI prescription in a cohort of patients in a tertiary referral hospital.

Methods Prescription records of all inpatients on a randomly selected day were reviewed. The appropriateness of prescription and relevant investigations were identified by interview of patients, review of patient records and of a computerised endoscopy records system.

Results Thirty-two per cent (87 of 272) of all patients were on PPIs. A valid indication for therapy was not apparent in 63% of the patients on PPIs with the only predictive factor for inappropriate prescription being increasing age. Only 36 of the 87 patients on PPIs had undergone appropriate investigations for their gastrointestinal symptoms. Gender, age, speciality of admission or duration of hospital stay did not influence the appropriateness of prescription or performance of relevant investigations.

Conclusion There appears to be a widespread and inappropriate use of PPIs in hospital practice.

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Authors and Affiliations

  1. Department of Gastroenterology, Adelaide and Meath Hospital incorporating the National Children’s Hospital, Dublin, Ireland

    SS Sebastian, N Kernan, A Qasim, CA O’Morain & M Buckley

Authors
  1. SS Sebastian
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  2. N Kernan
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  3. A Qasim
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  4. CA O’Morain
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  5. M Buckley
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Correspondence to M Buckley.

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Sebastian, S., Kernan, N., Qasim, A. et al. Appropriateness of gastric antisecretory therapy in hospital practice. Ir J Med Sci 172, 115–117 (2003). https://doi.org/10.1007/BF02914494

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