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A Prospective Observational study on Prescribing patterns and evaluating medication adherence in geriatric ischemic stroke patients receiving antiplatelet therapy-A Pilot study
Authors
SHAMINI.J,ABISEK,ASWATHY.K.S,SOUMYA.R.V,DR.MALINI GOPINATH , DR.NITHIN MANOHAR.R4 , MAHITHA , DR.PRASHOB.G.R
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Keywords
Geriatric ischemic stroke, Antiplatelet therapy, Prescribing pattern, Medication adherence, Stroke-specific quality of life, Patient counselling, Secondary stroke prevention.
Abstract
This prospective observational pilot study evaluated the prescribing patterns of antiplatelet therapy, medication adherence, and quality of life among 39 geriatric ischemic stroke patients aged >=65 years receiving secondary preventive treatment. Patients were categorized into three age groups (65-74, 75-84, and >=85 years). Prescribing patterns were assessed from case records, medication adherence was measured using the Medication Adherence Rating Scale (MARS-10) before and one month after pharmacist-led counselling, and quality of life was evaluated using the Stroke-Specific Quality of Life (SS-QOL) scale. Aspirin monotherapy was the most frequently prescribed antiplatelet agent across all age groups, while clopidogrel and dual antiplatelet therapy were used selectively based on clinical characteristics and recurrent stroke risk. Hypertension, dyslipidemia, and type 2 diabetes mellitus were the comorbidities, with treatment reflecting evidence-based management. Medication adherence was poor before counselling but improved significantly after pharmacist intervention, accompanied by enhanced stroke-specific quality of life. These findings emphasize the importance of individualized antiplatelet therapy, comprehensive management of comorbidities, and the vital role of clinical pharmacists in improving adherence and therapeutic outcomes among geriatric ischemic stroke patients.
IJCRT's Publication Details
Unique Identification Number - IJCRT2607221
Paper ID - 311534
Author type - Indian Author
Page Number(s) - c174-c190
Pubished in - Volume 14 | Issue 7 | July 2026
DOI (Digital Object Identifier) -
No Of Downloads - 13
Author Country - India, 695502, Thiruvananthapuram , Thiruvananthapuram , 695502, Pharmacy All
Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882
E-ISSN Number - 2320-2882
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SHAMINI.J,ABISEK,ASWATHY.K.S,SOUMYA.R.V,DR.MALINI GOPINATH , DR.NITHIN MANOHAR.R4 , MAHITHA , DR.PRASHOB.G.R, "A Prospective Observational study on Prescribing patterns and evaluating medication adherence in geriatric ischemic stroke patients receiving antiplatelet therapy-A Pilot study", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.14, Issue 7, pp.c174-c190, July 2026, Available at :http://www.ijcrt.org/papers/IJCRT2607221.pdf
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ISSN: 2320-2882 Impact Factor: 7.97 and ISSN APPROVED Journal Starting Year (ESTD) : 2013
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ISSN: 2320-2882 Impact Factor: 7.97 and ISSN APPROVED Journal Starting Year (ESTD) : 2013
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