International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Volume 8 Issue 4
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A Comparative Evaluation and Analysis of Discharge Prescription Pattern of Cardiac Patients in the Cardiology Unit and the Internal Medicine Unit in a Tertiary Care Hospital

Author(s) Ms. Pragati Choudhary, Mr. Dipesh Rathore, Dr. Swarangi Karangale, Dr. Sunil kumar Dwivedi
Country India
Abstract Discharge prescriptions are essential clinical documents that ensure continuity of patient care after hospital discharge. Cardiac patients commonly require multiple medications due to the presence of cardiovascular diseases and associated comorbidities, increasing the risk of polypharmacy and drug–drug interactions. The present study was conducted to comparatively evaluate and analyze discharge prescription patterns among cardiac patients admitted to the Cardiology Unit and the Internal Medicine Unit of a tertiary care hospital.
A prospective observational comparative study was conducted over a period of six months in a tertiary care teaching hospital. A total of 130 discharge prescriptions were analyzed, including 65 prescriptions each from the Cardiology Unit and the Internal Medicine Unit. WHO core prescribing indicators, prescription completeness, polypharmacy, drug–drug interactions, adherence to guideline-directed medical therapy (GDMT), renal dose adjustment, and prescribing quality indicators were evaluated using descriptive and inferential statistical analysis.
The average number of drugs prescribed per prescription was 6.8, indicating significant polypharmacy. Generic prescribing was comparatively low (30.8%), while antibiotic prescribing was limited to 13.8% of patients. Drug–drug interactions were identified in 40% of prescriptions. Prescription completeness, NLEM utilization, and adherence to GDMT were better in the Cardiology Unit compared to the Internal Medicine Unit. Chi-square analysis demonstrated statistically significant associations between several patient-related factors and prescribing patterns (p < 0.05).
The study concluded that significant variations exist between the Cardiology Unit and the Internal Medicine Unit regarding discharge prescribing practices. Regular prescription audits, rational prescribing practices, and clinical pharmacist involvement are necessary to improve patient safety and optimize therapeutic outcomes.
Keywords Discharge Prescription, Cardiac Patients, Polypharmacy, Drug–Drug Interaction, WHO Prescribing Indicators, GDMT, Rational Drug Use
Field Medical / Pharmacy
Published In Volume 8, Issue 4, July-August 2026
Published On 2026-07-05
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E-ISSN 2582-2160
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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