{"id":"https://openalex.org/W2017342998","doi":"https://doi.org/10.4103/2249-4863.141622","title":"Study of drug utilization pattern for acute exacerbation of chronic obstructive pulmonary disease in patients attending a government hospital in Kerala, India","display_name":"Study of drug utilization pattern for acute exacerbation of chronic obstructive pulmonary disease in patients attending a government hospital in Kerala, India","publication_year":2014,"publication_date":"2014-01-01","ids":{"openalex":"https://openalex.org/W2017342998","doi":"https://doi.org/10.4103/2249-4863.141622","mag":"2017342998","pmid":"https://pubmed.ncbi.nlm.nih.gov/25374864","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4209682"},"language":"en","primary_location":{"id":"doi:10.4103/2249-4863.141622","doi":"https://doi.org/10.4103/2249-4863.141622","is_oa":true,"landing_page_url":"https://doi.org/10.4103/2249-4863.141622","pdf_url":null,"source":{"id":"https://openalex.org/S2764801637","display_name":"Journal of Family Medicine and Primary Care","issn_l":"2249-4863","issn":["2249-4863","2278-7135"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Family Medicine and Primary Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.4103/2249-4863.141622","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102789092","display_name":"Sajesh Kalkandi Veettil","orcid":"https://orcid.org/0000-0002-7009-7907","observed_orcids":["https://orcid.org/0000-0002-7009-7907"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"SajeshKalkandi Veettil","raw_affiliation_strings":["Department of Pharmacy Practice, Faculty of Pharmacy, College of Pharmaceutical Sciences, Trivandrum Medical College, Trivandrum, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy Practice, Faculty of Pharmacy, College of Pharmaceutical Sciences, Trivandrum Medical College, Trivandrum, Kerala, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008707489","display_name":"Kingston Rajiah","orcid":"https://orcid.org/0000-0002-7875-2902","observed_orcids":["https://orcid.org/0000-0002-7875-2902"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kingston Rajiah","raw_affiliation_strings":["Department of Pharmacy Practice, Mallige College of Pharmacy, Bengaluru, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy Practice, Mallige College of Pharmacy, Bengaluru, Karnataka, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058798089","display_name":"Suresh Kumar V","orcid":"https://orcid.org/0000-0002-2806-1986","observed_orcids":["https://orcid.org/0000-0002-2806-1986","https://orcid.org/0000-0002-9041-608X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Suresh Kumar","raw_affiliation_strings":["Department of Pharmacy Practice, Faculty of Pharmacy, College of Pharmaceutical Sciences, Trivandrum Medical College, Trivandrum, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy Practice, Faculty of Pharmacy, College of Pharmaceutical Sciences, Trivandrum Medical College, Trivandrum, Kerala, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5102789092"],"corresponding_institution_ids":[],"apc_list":{"value":450,"currency":"USD","value_usd":450},"apc_paid":{"value":450,"currency":"USD","value_usd":450},"fwci":0.9691,"has_fulltext":true,"cited_by_count":12,"citation_normalized_percentile":{"value":0.77715337,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"3","issue":"3","first_page":"250","last_page":"250"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medication-use","display_name":"medication use","score":0.7459999918937683},{"id":"https://openalex.org/keywords/acute-exacerbation-of-copd","display_name":"COPD exacerbations","score":0.9359999895095825},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.9929999709129333},{"id":"https://openalex.org/keywords/adverse-drug-reactions","display_name":"adverse drug reactions","score":0.8939999938011169},{"id":"https://openalex.org/keywords/salbutamol","display_name":"salbutamol","score":0.8130000233650208},{"id":"https://openalex.org/keywords/inhaled-beta-agonists","display_name":"inhaled beta-agonists","score":0.7670000195503235},{"id":"https://openalex.org/keywords/parenteral-corticosteroids","display_name":"parenteral corticosteroids","score":0.8399999737739563},{"id":"https://openalex.org/keywords/cortisol","display_name":"cortisol","score":0.9789999723434448},{"id":"https://openalex.org/keywords/anticholinergic-drugs","display_name":"anticholinergic agents","score":0.8399999737739563},{"id":"https://openalex.org/keywords/antibiotics","display_name":"antibiotics","score":0.7179999947547913},{"id":"https://openalex.org/keywords/xerostomia","display_name":"xerostomia","score":0.8059999942779541},{"id":"https://openalex.org/keywords/combination-therapy","display_name":"combination therapy","score":0.718999981880188},{"id":"https://openalex.org/keywords/gina-guidelines","display_name":"GINA guidelines","score":0.43700000643730164},{"id":"https://openalex.org/keywords/inpatient-prescribing","display_name":"inpatient prescribing","score":0.37299999594688416}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.991570770740509},{"id":"https://openalex.org/C2992779976","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Pulmonary disease","level":2,"score":0.7430418133735657},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.715717077255249},{"id":"https://openalex.org/C2780861865","wikidata":"https://www.wikidata.org/wiki/Q4677923","display_name":"Acute exacerbation of chronic obstructive pulmonary disease","level":3,"score":0.5931739211082458},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.492033451795578},{"id":"https://openalex.org/C2780035454","wikidata":"https://www.wikidata.org/wiki/Q8386","display_name":"Drug","level":2,"score":0.4735157787799835},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.46513599157333374},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4477430284023285},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3719273805618286},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.30330944061279297},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.053349703550338745},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4103/2249-4863.141622","doi":"https://doi.org/10.4103/2249-4863.141622","is_oa":true,"landing_page_url":"https://doi.org/10.4103/2249-4863.141622","pdf_url":null,"source":{"id":"https://openalex.org/S2764801637","display_name":"Journal of Family Medicine and Primary Care","issn_l":"2249-4863","issn":["2249-4863","2278-7135"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Family Medicine and Primary Care","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4209682","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4209682/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4209682/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Family Med Prim Care","raw_type":"Text"},{"id":"pmid:25374864","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25374864","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of family medicine and primary care","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7a2dd642b2644c459e1209aded889175","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7a2dd642b2644c459e1209aded889175","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Family Medicine and Primary Care, Vol 3, Iss 3, Pp 250-254 (2014)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4103/2249-4863.141622","doi":"https://doi.org/10.4103/2249-4863.141622","is_oa":true,"landing_page_url":"https://doi.org/10.4103/2249-4863.141622","pdf_url":null,"source":{"id":"https://openalex.org/S2764801637","display_name":"Journal of Family Medicine and Primary Care","issn_l":"2249-4863","issn":["2249-4863","2278-7135"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Family Medicine and Primary Care","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2017342998.pdf","grobid_xml":"https://content.openalex.org/works/W2017342998.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W155921487","https://openalex.org/W1630573966","https://openalex.org/W1842633413","https://openalex.org/W1966486411","https://openalex.org/W1998275177","https://openalex.org/W2024987870","https://openalex.org/W2045038847","https://openalex.org/W2045616259","https://openalex.org/W2101377818","https://openalex.org/W2111618125","https://openalex.org/W2112334970","https://openalex.org/W2123964203","https://openalex.org/W2127951128","https://openalex.org/W2141831091","https://openalex.org/W2144243638","https://openalex.org/W2155341981","https://openalex.org/W2167752738","https://openalex.org/W2168601683","https://openalex.org/W2404528592","https://openalex.org/W2553975995","https://openalex.org/W2616230109","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W1585018356","https://openalex.org/W2766428892","https://openalex.org/W2746145952","https://openalex.org/W2351900915","https://openalex.org/W2515643070","https://openalex.org/W2034198929","https://openalex.org/W4411302965","https://openalex.org/W4387501891","https://openalex.org/W4387385756","https://openalex.org/W7219179330"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Drug":[1],"utilization":[2,24,65],"studies":[3],"are":[4],"powerful":[5],"exploratory":[6],"tools":[7],"to":[8,20,83,114,135,236],"ascertain":[9],"the":[10,22,27,33,47,63,68,84,89,96,104,127,132,146,155,170,186,222,231,237,246],"role":[11],"of":[12,35,38,46,70,73,106,139,169,174,185,193,224,233],"drugs":[13,234],"in":[14,44,50,119,148,167,183,191,198,245,251],"society.":[15],"This":[16,54],"study":[17,59,85,150],"was":[18,55,86,129,243],"conducted":[19,94,113],"establish":[21],"drug":[23,30,64],"pattern":[25,66],"and":[26,92,98,123,172,210,214,239],"common":[28],"adverse":[29,203,216],"reactions":[31],"for":[32,67,75,160,256],"treatment":[34,69],"acute":[36,71],"exacerbation":[37,72],"chronic":[39],"obstructive":[40],"pulmonary":[41],"disease":[42],"(COPD)":[43],"one":[45],"government":[48],"hospitals":[49],"Kerala,":[51],"India.":[52],"METHODS:":[53],"a":[56,107],"prospective":[57],"observational":[58],"aimed":[60],"at":[61],"recognizing":[62],"COPD":[74],"7-day":[76],"under":[77],"nonexperimental":[78],"settings.":[79],"All":[80,145],"information":[81],"significant":[82],"collected":[87],"from":[88,131],"case":[90],"records":[91],"discussions":[93],"with":[95,103,221,253],"inpatients":[97],"bystanders":[99],"during":[100],"ward":[101],"rounds,":[102],"support":[105],"physician.":[108],"Moreover,":[109],"daily":[110],"follow-ups":[111],"were":[112,165,180,189,196,206,218,250],"assemble":[115],"data":[116],"on":[117],"amendment":[118],"therapy,":[120,122],"add-on":[121],"clinical":[124],"improvement":[125],"until":[126],"patient":[128],"discharged":[130],"hospital":[133],"or":[134],"an":[136],"upper":[137],"limit":[138],"7-day,":[140],"whichever":[141],"is":[142],"earlier.":[143],"RESULTS:":[144],"patients":[147,171],"this":[149],"received":[151,176],"combination":[152],"therapy.":[153],"Among":[154],"inhalational":[156],"\u03b2-agonists,":[157],"salbutamol":[158],"accounted":[159],"74%":[161],"use.":[162],"Parenteral":[163],"steroids":[164],"used":[166,181,190,197],"78%":[168],"all":[173],"them":[175],"hydrocortisone.":[177],"Steroid":[178],"inhalers":[179],"only":[182],"25%":[184],"patients.":[187,194,200],"Anticholinergics":[188],"77.5%":[192],"Antibiotics":[195],"86.7%":[199],"The":[201],"main":[202],"effects":[204,217],"noted":[205],"dry":[207],"mouth":[208],"(15%)":[209],"bad":[211],"taste":[212],"(10%)":[213],"these":[215],"highly":[219],"correlated":[220],"use":[223,232],"anticholinergics":[225],"(P":[226],"<":[227],"0.05).":[228],"CONCLUSIONS:":[229],"Despite":[230],"according":[235],"availability":[238],"physician's":[240],"preference,":[241],"it":[242],"found":[244],"analysis":[247],"that":[248],"majority":[249],"accordance":[252],"Global":[254],"Initiative":[255],"Chronic":[257],"Obstructive":[258],"Lung":[259],"Disease":[260],"criteria":[261],"recommendations.":[262]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":3}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2016-06-24T00:00:00"}