Avtor/Urednik     Fuerst, Jurij
Naslov     Analiza predpisovanja kardiovaskularnih zdravil v Sloveniji z mednarodno primerjavo
Prevedeni naslov     Analysis of cardiovascular drugs prescribing in Slovenia with an international comparison
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 70, št. 1
Leto izdaje     2001
Obseg     str. 33-8
Jezik     slo
Abstrakt     Background. To show the cardiovascular drugs (CVD, ATC group C) utilization in Slovenia in DDDs/1000 inhabitants per day in the period 1992-98 and to make the analyses of the data according to the age, sex and regions. To show each subgroup and to compare the results with other countries. Methods. 90% of drugs were selected from the list of the most frequently prescribed C group drugs. All drugs with the appearance frequency lower than 0,3% were rejected. Results. The whole CVD utilization is estimated to 207.8 DDDs in 1998. It grew up for 66% in the period of 6 years. But such a quick growing is stopping now and many changes in the structure of the prescribed drugs are seen. The plain ACE-inhibitors (57.8 DDDs), calcium channel blockers (31.7 DDDs) and diuretics (17.1 DDDs) are predominating. The utilization is growing up according to the age. Women are prescribed more drugs than men. According to international comparisons, the diuretics, beta receptor blockers and statins are not prescribed enough. The consumption of peripheral vasodilators and alpha adrenergic receptor blockers is very high. Conclusions. The data of drug utilization show great changes in prescribing in the observed period if we mean the quality or quantity.
Izvleček     Izhodišča. Prispevek prikazuje porabo kardiovaskularnih zdravil (KVZ, ATC skupina C) v Sloveniji v definiranih dnevnih odmerkih-DDD/1000 prebivalcev na dan v obdobju 1992-98, podatke analizira po starosti, spolu in regijah. Prikazuje porabo po podskupinah in jo primerja s tisto v drugih državah. Metode. Iz seznama najpogosteje predpisanih zdravil skupine C je bilo izbranih 90%. Izločena so bila vsa zdravila s frekvenco pojavljanja pod 0,3%. Rezultati. Ocenjena celokupna poraba KVZ v letu 1998 je 207,8 DDD. V obdobju šestih let se je zvišala za 66%, vendar se je trend tako hitrega naraščanja že ustavil in je opaziti predvsem spremembe v strukturi predpisanih zdravil. Po podskupinah vodijo zaviralci angiotenzinske konvertaze (57,8 DDD), kalcijevi antagonisti (31,7 DDD) in diuretiki (17,1 DDD). S starostjo poraba zdravil na prebivalca bistveno naraste, ženske jih porabijo več kot moški. Glede na mednarodne podatke najbolj izstopa bistveno preskromno predpisovanje diuretikov, zaviralcev beta receptorjev in statinov ter previsoka poraba perifernih vazodilatatorjev in zaviralcev alfa adrenergičnih receptorjev.
Deskriptorji     CARDIOVASCULAR DISEASES
PRESCRIPTIONS, DRUG
DRUG UTILIZATION
AGE FACTORS
CARDIAC GLYCOSIDES
VASODILATOR AGENTS
ANTIHYPERTENSIVE AGENTS
DIURETICS
ADRENERGIC BETA-ANTAGONISTS
CALCIUM CHANNEL BLOCKERS
ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
SLOVENIA
EUROPE
AUSTRALIA