Binary Logistic regression plays an important role to understand the drug utilization pattern of mood elevators in Western Nepal

Main Article Content

Indrajit Banerjee
Indraneel Banerjee
Bedanta Roy
Brijesh Sathian

Abstract

Background:


In Nepal several research studies are reported using percentages or cross tabulation method, but the relevance of logistic regression methodology in research is lag behind among the researchers. 


Objectives: The main objective of this study was to find the role of logistic regression analysis in the pattern of antidepressants in a tertiary care center in hospitalized patients of Western Nepal.


Methods:


A hospital based study was done between 1st October 2009 and 31st March 2010 at Psychiatry Ward of Manipal Teaching Hospital, Nepal. Z test, Chi square test and Binary logistic regression were used for the analysis. We calculated odds ratios (OR) and their 95% confidence intervals (95% CI) P-value < 0.05 was considered to be statistically significant. Different codes were used, the target was coded as 1 and the reference group as 0.


Results:


The results of the study were interesting as far as the gender is concerned, male and female patients were 44.7% and 55.3% respectively, 95% CI [28.9, 60.5 and 39.5, 71.1]. Depression was more common in housewives 42.1%. Fluoxetine was the commonest antidepressants to be prescribed 42.1%. Psychiatrists has a tendency of prescribing essential drugs if monthly income <10000, 1.063 times as compared to monthly income >10000, 2.63 times more in Hindus and 1.197 times more in Brahmins than any other ethnic groups. 9.179 times more tendency of prescribing antidepressants by trade names in case of unemployed patients as compared to employed patients in Nepal.


Conclusion:


Binary Logistic regression plays an important role to understand the drug utilization pattern of mood elevators in Western Nepal.

Article Details

How to Cite
Banerjee, I., Banerjee, I., Roy, B., & Sathian, B. (2013). Binary Logistic regression plays an important role to understand the drug utilization pattern of mood elevators in Western Nepal. Medical Science, 1(1), 19-23. https://doi.org/10.29387/ms.2013.1.1.19-23
Section
Original Articles
Author Biographies

Indrajit Banerjee, Manipal College of Medical Sciences, Pokhara, Nepal

MBBS, MD Pharmacology, Lecturer

Indraneel Banerjee, Calcutta National Medical College, Kolkata, India

MBBS, M.S. MRCS (Eng), RMO cum clinical tutor (Urology)

Bedanta Roy, Manipal College of Medical Sciences, Pokhara, Nepal

Assistant Professor, Department of Physiology

Brijesh Sathian, Manipal College of Medical Sciences, Pokhara, Nepal

MD(AM), PhD., Assistant Professor and Biostatistics Chief, Department of Community Medicine

References

Murray CJ, Lopez AD. Evidence-based health policy. Lessons from the Global Burden of Disease Study. Science 1996; 274:740-3.

Ball A Harriet, Siribaddana H Sisira, Kovas Y, Glozier N, McGuffin P, Sumathipala A, and Hotopf M. Epidemiology and symptomatology of depression in Sri Lanka: A cross-sectional population-based survey in Colombo District. J Affect Disord. 2010 June; 123(1-3): 188–196.

Mark A. Frye. Bipolar Disorder -A Focus on Depression. The New England Journal of Medicine. 2011; 364:51-9.

Sathian B, Sreedharan J, Baboo NS, Sharan K, Abhilash E S, Rajesh E. Relevance of Sample Size Determination in Medical Research. Nepal Journal of Epidemiology 2010; 1(1): 4-10.

Sathian B. Reporting dichotomous data using Logistic Regression in Medical Research: The scenario in developing countries. Nepal Journal of Epidemiology 2011;1(4):111-113. 16. Sathian B.

Methodological Rigors in Medical Journals From Developing Countries: An Appraisal of the Scenario in Asia. Nepal Journal of Epidemiology 2011; 1(5): 141-43.

Mant A, Lansbury G, Bridges-Webb C. Trends in psychotropic drug prescribing in Australia. Med J Aust1987; 146(4):208-10.

Hector M. Gonzalez, Wassim Tarraf, Brady T. West, Domin Chan, Patricia Y. Miranda and Fredrick T. Leong. Antidepressant Use among Asians in the United States. Depression and Anxiety. 2010; 27(1): 46–55.

Fahmida A, Wahab MA, Rahman MM: Pattern of psychiatric morbidity among the patients admitted in a private psychiatric clinic. BangladeshJournal of Medical Science 2009, 8(1–2):23–28.

Banerjee I, Roy B, Sathian B, Banerjee I, Chakraborty PK, Saha A. Socio demographic profile and utilization pattern of antipsychotic drugs among schizophrenic inpatients: a cross sectional study from western region of Nepal. BMC Psychiatry. 2013 Mar 22;13:96.

Banerjee I, Roy B, Sathian B, Banerjee I, Kumar SS, Saha A: Medications for Anxiety: A Drug utilization study in Psychiatry Inpatients from a Tertiary Care Centre of Western Nepal. Nepal Journal of Epidemiology 2010, 1(4):119–25.

Banerjee I, Roy B, Banerjee I, Sathian B, Mondol M, Saha A: Depression and its Cure: A Drug Utilization Study from a Tertiary Care Centre of Western Nepal. Nepal Journal of Epidemiology 2011, 1(5):144–52.

Raut P. Drug utilization pattern of Psychotropic drugs in Kasturba hospital [dissertation]. Kasturba Medical College: Manipal Univ., 2006.

M L Murray, C S de Vries, I C K Wong; A drug utilisation study of antidepressants in children and adolescents using the General Practice Research Database; Arch Dis Child 2004;89:1098–1102.

Most read articles by the same author(s)

1 2 3 > >>