| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website http://www.jocmr.org |
Original Article
Volume 2, Number 5, October 2010, pages 215-219
Inappropriate Use of Intravenous PPI for Stress Ulcer Prophylaxis in an Inner City Community Hospital
Tables
| Characteristics | Prophylaxis (n = 713) | Treatment (n = 391) |
|---|---|---|
| Age, years | ||
| Mean | 59 | 56 (7.7) |
| Range | 18 - 99 | 18 - 94 |
| Sex, no. (%) | ||
| Female | 374 (52.4%) | 191 (48.8%) |
| Male | 339 (48.6%) | 200 (51.2%) |
| Race, no. (%) | ||
| Black | 576 (80%) | 316 (80.8%) |
| Hispanic | 38 (5.3%) | 19 (4.8%) |
| White | 56 (7.3%) | 29 (7.4%) |
| Asian | 21 (2.9%) | 11 (2.8) |
| Others | 22 (3.0%) | 16 (4.0%) |
| Duration of PPI use | ||
| Mean | 6.5 days | 2.3 days |
| Range | 1 - 57 days | 1 - 11 days |
| Patient Disposition | ||
|---|---|---|
| ICU | 124 | 17.3% |
| Floor | 589 | 82.6% |
| Indicated | Possibly-indicated | Non-indicated | ||
|---|---|---|---|---|
| Floor | 132 (22.4%) | 55 (9.3%) | 402 (68.4%) | 589 |
| ICU/telemetry | 23 (18.5%) | 10 (8.0%) | 91 (73.3%) | 124 |
| Total | 155 (22.1%) | 65 (9.2%) | 493 (68.5%) | 713 |
| Mean Age | 60.6 | 58.4 | 58 | |
| Sex | ||||
| Male | 77 (48.7%) | 30 (45.5%) | 230 (46.6%) | |
| Female | 81 (51.2%) | 36 (54.5%) | 263 (53.3%) | |
| Race | ||||
| Black | 126 (79.7%) | 54 (81.8%) | 406 (82.8%) | |
| White | 10 (6.3%) | 4 (6.0%) | 27 (5.3%) | |
| Hispanic | 13 (8.2%) | 7 (10.6%) | 41 (8.1%) | |
| Asian | 5 (3.1%) | 1 (1.5%) | 14 (2.6%) | |
| Medics | ||||
| NSAIDS | 14 (8.8%) | 10 (15.1%) | 22 (4.2%) | |
| Steroids | 7 (4.4%) | 5 (7.5%) | 10 (1.8%) | |
| Warfarin | 2 (1.2%) | 2 (3%) | 3 (0.6%) | |
| Days on PPI | 7.2 | 5.4 | 5 | |
| Residents | 20.9% | 7.4% | 69.8% | |
| Attending Physicians | 21.8% | 9.8% | 67.4% | |
| Clinical Outcome | ||||
| Discharged | 144 (91.1%) | 63.3 (95.4%) | 478(97.3%) | |
| Expired | 8 (5.06%) | 3 (4.5%) | 13 (2.4%) | |
| PPI on discharge | 38 (26.3%) | 18 (28.5%) | 78 (15.8%) |
| Common Diagnosis | |
|---|---|
| Pneumonia | 11.8% |
| Sepsis | 11.7% |
| Acute Coronary syndrome | 6.4% |
| UTI | 6.14% |
| COPD Exacerbation | 4.6% |
| Asthma exacerbation | 5.1% |
| DVT | 4.3% |
| Pulmonary embolism | 2.3% |