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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Effect of an educational program on the prevalence of use of antiplatelet drugs, beta blockers, angiotensin-converting enzyme inhibitors, lipid-lowering drugs, and calcium channel blockers prescribed during hospitalization and at hospital discharge i
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Effect of an educational program on the prevalence of use of antiplatelet drugs, beta blockers, angiotensin-converting enzyme inhibitors, lipid-lowering drugs, and calcium channel blockers prescribed during hospitalization and at hospital discharge i

机译：一项教育计划对住院期间和出院时处方的抗血小板药物，β受体阻滞剂，血管紧张素转化酶抑制剂，降脂药物和钙通道阻滞剂的使用率的影响

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BACKGROUND: There is a marked underutilization of antiplatelet drugs, beta blockers, angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs), and lipid-lowering drugs, and an overutilization of calcium channel blockers in elderly patients with coronary artery disease (CAD). METHODS: An ongoing educational program is being given by Dr. Wilbert Aronow on the appropriate utilization of cardiovascular drugs in patients with CAD during hospitalization and at hospital discharge. In a prospective study, charts of 200 unselected patients hospitalized for CAD at least 6 months after the onset of the educational program were analyzed by a medical resident to investigate the appropriate utilization of cardiovascular drugs. The 200 patients included 115 men and 85 women, mean age 70 years, with documented CAD. Of the 200 patients, 127 (64%) had the diagnosis of prior CAD. The use of cardiovascular medications in these 127 patients prior to hospitalization served as a control group. RESULTS: After the educational program, aspirin, clopidogrel, or warfarin was given to 93% of patients compared with 67% in the control group; beta blockers were given to 81% of patients compared with 56% in the control group; ACE inhibitors or ARBs were given to 70% of patients compared with 42% in the control group. Lipid-lowering drugs if dyslipidemia were given to 88% of patients compared with 52% in the control group; calcium channel blockers were given to 18% of patients compared with 24% in the control group. CONCLUSIONS: In patients with CAD, the educational program increased the use of antiplatelet drugs by 26%, beta blockers by 25%, ACE inhibitors or ARBs by 28%, and lipid-lowering drugs by 36%, and decreased the use of calcium channel blockers by 6%.
机译：背景：在老年冠心病患者中，抗血小板药物，β受体阻滞剂，血管紧张素转换酶（ACE）抑制剂或血管紧张素受体阻滞剂（ARB）和降脂药物的利用显着不足，钙通道阻滞剂的利用过度（CAD）。方法：Wilbert Aronow博士正在进行一项正在进行的教育计划，内容是在住院期间和出院时对冠心病患者适当使用心血管药物。在一项前瞻性研究中，住院医师对至少200例在教育计划开始后六个月因CAD住院的未选患者的病历进行了分析，以调查心血管药物的合理利用情况。 200名患者包括115名男性和85名女性，平均年龄70岁，并有记录的CAD。在200名患者中，有127名（64％）被诊断患有先前的CAD。入院前这127名患者使用心血管药物作为对照组。结果：教育计划后，93％的患者服用了阿司匹林，氯吡格雷或华法林，对照组为67％; 81％的患者使用了β受体阻滞剂，对照组为56％; ACE抑制剂或ARB给予70％的患者，而对照组为42％。 88％的患者给予降血脂的降脂药物，而对照组为52％;钙通道阻滞剂给予18％的患者，而对照组为24％。结论：CAD患者的教育计划使抗血小板药物的使用增加了26％，β受体阻滞剂的使用增加了25％，ACE抑制剂或ARB的使用增加了28％，降脂药物的使用增加了36％，并且减少了钙通道的使用。阻止者减少6％。

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