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Psychotropic drug use in non-psychiatric departments of three European university hospitals
Authors:Adrián Llerena  Raul Allan Kiivet  Marja-Liisa Dahl  Javier Sánchez Vega  Ly Rootslane  Björn Wettermark
Affiliation:1. Department of Pharmacology and Psychiatry, Faculty of Medicine, University of Extremadura, E-06071 Badajoz, Spain;2. Department of Public Health, University of Tartu, and State Agency of Medicines, Tartu, Estonia.;3. Division of Clinical Pharmacology, WHO Collaborating Centre for Drug Utilization Research and Clinical Pharmacological Services, Karolinska Institute, Huddinge University Hospital, Huddinge, Sweden.;4. Unit of Research and Clinical Psychopharmacology, Faculty of Medicine, University of Extremadura, Badajoz, Spain.;5. State Agency of Medicines, Tartu, Estonia. Bjorn Wettermark, Hospital Pharmacy, Huddinge University Hospital, Huddinge, Sweden
Abstract:
The use of psychotropic drugs in the university hospitals in Tartu, Estonia; Huddinge, Sweden; and Badajoz, Spain, were studied, using the defined daily doses per 100 bed-days (DDD/100 bed-days) method. The total amount of drugs used in the surgical and medical departments was 50 DDD/100 bed-days in Huddinge, versus 33 and 14 DDD/100 bed-days in Tartu and Badajoz, respectively. Barbiturates accounted for 35% of all psychotropics in Tartu but were practically not used in Huddinge. In contrast, antidepressants were practically not used in Tartu. The use of psychotropic drugs in the intensive care units was highest in Huddinge (320 DDD/100 bed-days), compared with Tartu and Badajoz (177 and 96 DDD/100 bed-days, respectively). The frequency of psychotropic drug use were strikingly different in the three hospitals studied.
Keywords:Chronic Pain Disorder
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