ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2008
Use of evidence-based therapies after discharge among elderly patients with acute myocardial infarction.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 35 citations in OpenAlex.
- Review
- Development of Acute Myocardial Infarction Mortality and Readmission Models for Public Reporting on Hospital Performance in Canada.CJC open · 2021Article
- Exploring New Models for Cardiovascular Risk Reduction: The Heart Outcomes Prevention and Evaluation 4 (HOPE 4) Canada Pilot Study.CJC open · 2021Article
- In-hospital myocardial infarction and adherence to evidence-based drug therapies: a real-world evaluation.BMJ open · 2021Article
- Association of Region and Hospital and Patient Characteristics With Use of High-Intensity Statins After Myocardial Infarction Among Medicare Beneficiaries.JAMA cardiology · 2019Article
- Trends in prescribing rate of statins at discharge and modifiable factors in patients with atherosclerotic cardiovascular disease.Internal and emergency medicine · 2017Article
- Screening, assessment, and treatment of osteoporosis for the nurse practitioner: key questions and answers for clinical practice--a Canadian perspective.Journal of the American Association of Nurse Practitioners · 2014Article
- Trends in 1-year survival of people admitted to hospital in Ontario, 1994-2009.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013Article
- Osteoporosis: are healthcare professionals missing an opportunity.SpringerPlus · 2013Article
- Association of long-term adherence to evidence-based combination drug therapy after acute myocardial infarction with all-cause mortality. A prospective cohort study based on claims data.European journal of clinical pharmacology · 2012Article
- Income-related inequity in initiation of evidence-based therapies among patients with acute myocardial infarction.Journal of general internal medicine · 2011Article
- Variation in initiating secondary prevention after myocardial infarction by hospitals and physicians, 1997 through 2004.Pharmacoepidemiology and drug safety · 2011Article
- Pattern of use of β-blockers in older patients with stable coronary artery disease: an observational, cross-sectional, multicentre survey.Drugs & aging · 2011Article
- Cardiovascular disease in end-stage renal disease: the challenge of assessing and managing cardiac disease in dialysis patients.International urology and nephrology · 2010Review
- Secular trends in acute coronary syndrome hospitalization from 1994 to 2005.The Canadian journal of cardiology · 2010Article
- Factors associated with the use of evidence-based therapies after discharge among elderly patients with myocardial infarction.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008Article
- Myocardial infarction and quality of care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostdischarge use of evidence-based drug therapies has been proposed as a measure of quality of care for myocardial infarction patients. We examined trends in the use of evidence-based drug therapies after discharge among elderly patients with myocardial infarction.
methodsWe performed a cross-sectional study in a retrospective population-based cohort that was created using linked administrative databases. We included patients aged 65 years and older who were discharged from hospital with a diagnosis of myocardial infarction between Apr. 1, 1992, and Mar. 31, 2005. We determined the annual percentage of patients who filled a prescription for statins, beta-blockers and angiotensin-modifying drugs within 90 days after discharge.
resultsThe percentage of patients who filled a prescription for a beta-blocker increased from 42.6% in 1992 to 78.1% in 2005. The percentage of patients who filled a prescription for an angiotensin-modifying drug increased from 42.0% in 1992 to 78.4% in 2005. The percentage of patients who filled a prescription for a statin increased from 4.2% in 1992 to 79.2% in 2005. In 2005, about half of the hospitals had rates of use for each of these therapies that were less than 80%. The temporal rate of increase in statin use after discharge was slower among noncardiologists than among cardiologists (3.5%-2.8% slower). The rate of increase was 4.8% slower for among physicians with low volumes of myocardial infarction patients than among those with high volumes of such patients and was 5.7% greater at teaching hospitals compared with nonteaching hospitals.
interpretationUse of statins, beta-blockers and angiotensin-modifying drugs increased from 1992 to 2005. The rate of increase in the use of these medications after discharge varied across physician and hospital characteristics.
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