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Titolo:
Trends in the post-hospitalization medical treatment of unstable angina pectoris: 1990 to 1995
Autore:
Smith, NL; Reiber, GE; Psaty, BM; Heckbert, SR; Siscovick, DS; Ritchie, JL; Every, NR; Koepsell, TD;
Indirizzi:
Univ Washington, Dept Med, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 ton, Dept Med, Seattle, WA 98195 USA Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 ept Epidemiol, Seattle, WA 98195 USA Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 ept Hlth Serv, Seattle, WA 98195 USA Vet Affairs Puget Sound Hlth Care Syst, Hlth Serv Res & Dev Serv, Seattle,WA USA Vet Affairs Puget Sound Hlth Care Syst Seattle WA USA rv, Seattle,WA USA Vet Affairs Puget Sound Hlth Care Syst, Serv Cardiol, Seattle, WA USA Vet Affairs Puget Sound Hlth Care Syst Seattle WA USA l, Seattle, WA USA
Titolo Testata:
AMERICAN JOURNAL OF CARDIOLOGY
fascicolo: 6, volume: 84, anno: 1999,
pagine: 632 - 638
SICI:
0002-9149(19990915)84:6<632:TITPMT>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CLINICAL-TRIALS; HEART-DISEASE; BETA-BLOCKER; DOUBLE-BLIND; ASPIRIN; OUTCOMES; PROPRANOLOL; DILTIAZEM; PREVENTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Smith, NL Cardiovasc Hlth Res Unit, 1730 Minor Ave,Suite 1360, Seattle, WA98101 USA Cardiovasc Hlth Res Unit 1730 Minor Ave,Suite 1360 Seattle WA USA 98101
Citazione:
N.L. Smith et al., "Trends in the post-hospitalization medical treatment of unstable angina pectoris: 1990 to 1995", AM J CARD, 84(6), 1999, pp. 632-638

Abstract

This study provides data on post-hospitalization medication treatment trends for unstable angina between 1990 and 1995, We conducted an observationalcohort study at the Veterans Affairs Puget Sound Health Care System (VAPSHCS), Computerized records of hospital discharges and cardiac catheterizations were used to identify unstable angina diagnoses among veterans between 1990 and 1995. Discharge medications issued within 90 days after discharge were ascertained from computerized outpatient pharmacy records, Of the 1,100veterans discharged with unstable angina, 885 (80%) filled a prescription through the VAPSHCS within 90 days after discharge. Neither use of aspirin nor use of beta blockers increased between 1990 and 1995: overall use averaged 76% for aspirin (78% of those without potential contraindications) and 32% for beta blockers (36% of those without potential contraindications). Use of non-dihydropyridine calcium antagonists-primarily diltiazem-decreasedfrom 57% to 40% (p <0.01), whereas use of dihydropyridine calcium antagonists increased from 12% to 26% (p <0.01), Thus, pharmacy records indicated that aspirin use was high although it was,lower than expected, possibly due to ready availability outside the VAPSHCS pharmacy, The low frequency of beta-blocker use and the increasing reliance on dihydropyridine calcium antagonists through 1995 to treat unstable angina may be an opportunity to improve veteran care according to Agency for Health Care Policy Research recommendations. (C) 1999 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 02:29:15