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KMID : 0391019990070010080
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Journal of Korean Society for Clinical Pharmacology and Therapeutics
1999 Volume.7 No. 1 p.80 ~ p.92
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Drug Utilization Review on Steroids for the Elderly in-Patients in Korea
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Kim Seok-Woo
Koo Hye-Won
Park Byung-Joo
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Abstract
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This study was designed for conducting the drug utilization review(DUR) for the geriatric in-patients aged 65 or more living in Pusan, Korea. Computerized database on steroidal drug use has been constructed by directly inputting the prescription information of the steroids on the claims data submitted to the Korea Medical Insurance Corporation
for reimbursement from the health care institutions. The database included personal identifier, age, sex, diagnosis, the name of drug, dosage, th date of prescription and the code number of medical institution where the patients were admitted. The target drugs were 7 steroidal agents of oral or parenteral preparations. The total number of patients prescribed steroids from January 1993 to December 1994 were 1,168, of whom 703(60.2%) were female and 465(39.8%) were male. The oral triamcinolone and parenteral dexamethasone were prescribed more frequently in the
secondary hospitals than in the tertiary hospitals. There was no difference in prescription rate of steroids according to the age groups in the elderly patients. Patients with neurologic disease was the most frequently prescribed group with steroids(90.5%). To construct the drug prescription database on the elderly cohort is very important in
Korea. We can improve the level of medical practice through DUR program with these data, which should result in enhancing the level of ’Quality of Life’ for the elderly patients in Korea thorough preventing drug misuse and abuse.
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KEYWORD
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Steroid, Drug utilization review, Pharmacoepidemiology, Elderly, Korea,
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