Underutilization of aspirin in older patients with prior myocardial infarction at the time of admission to a nursing home

被引：20

作者：

Aronow, WS

机构：

[1] Hebrew Hosp Home, Bronx, NY 10475 USA

[2] Mt Sinai Sch Med, Dept Geriatr & Adult Dev, New York, NY USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 1998年 / 46卷 / 05期

关键词：

D O I：

10.1111/j.1532-5415.1998.tb01079.x

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

OBJECTIVE: To investigate the prevalence of aspirin use in older patients with prior myocardial infarction at the time of admission to a nursing home. DESIGN: In a prospective study, the prevalence of aspirin use in 350 consecutive older patients with documented Q-wave myocardial infarction and no contraindications to aspirin use was investigated in patients aged 60 years or older at the time of admission to a nursing home. SETTING: A large, long-term, healthcare facility. PATIENTS: The patients included 231 women and 119 men, mean age 81 +/- 8 years (range 60 to 100). MEASUREMENTS AND MAIN RESULTS: Of the 350 patients with documented Q-wave myocardial infarction and no contraindications to aspirin therapy, 60 patients (17%) were receiving aspirin at the time of admission to the nursing home. CONCLUSION: There is a marked underutilization of aspirin in the treatment of older patients with documented prior myocardial infarction at the time of admission to a nursing home.

引用

页码：615 / 616

页数：2

共 5 条

[1] COLLABORATIVE OVERVIEW OF RANDOMIZED TRIALS OF ANTIPLATELET THERAPY .1. PREVENTION OF DEATH, MYOCARDIAL-INFARCTION, AND STROKE BY PROLONGED ANTIPLATELET THERAPY IN VARIOUS CATEGORIES OF PATIENTS [J].

ALTMAN, R ;

CARRERAS, L ;

DIAZ, R ;

FIGUEROA, E ;

PAOLASSO, E ;

PARODI, JC ;

CADE, JF ;

DONNAN, G ;

EADIE, MJ ;

GAVAGHAN, TP ;

OSULLIVAN, EF ;

PARKIN, D ;

RENNY, JTG ;

SILAGY, C ;

VINAZZER, H ;

ZEKERT, F ;

ADRIAENSEN, H ;

BERTRANDHARDY, JM ;

BRAN, M ;

DAVID, JL ;

DRICOT, J ;

LAVENNEPARDONGE, E ;

LIMET, R ;

LOWENTHAL, A ;

MORIAU, M ;

SCHAPIRA, S ;

SMETS, P ;

SYMOENS, J ;

VERHAEGHE, R ;

VERSTRAETE, M ;

ATALLAH, A ;

BARNETT, H ;

BATISTA, R ;

BLAKELY, J ;

CAIRNS, JA ;

COTE, R ;

CROUCH, J ;

EVANS, G ;

FINDLAY, JM ;

GENT, M ;

LANGLOIS, Y ;

LECLERC, J ;

NORRIS, J ;

PINEO, GF ;

POWERS, PJ ;

ROBERTS, R ;

SCHWARTZ, L ;

SICURELLA, J ;

TAYLOR, W ;

THEROUX, P .

BMJ-BRITISH MEDICAL JOURNAL, 1994, 308 (6921) :81-100

[2] ANTITHROMBOTIC AGENTS IN CORONARY-ARTERY DISEASE [J].

CAIRNS, JA ;

LEWIS, HD ;

MEADE, TW ;

SUTTON, GC ;

THEROUX, P .

CHEST, 1995, 108 (04) :S380-S400

[3]

Fuster V, 1997, LANCET, V350, P389

[4] Marked reduction in long-term cardiac deaths with aspirin after a coronary event [J].

Goldstein, RE ;

Andrews, M ;

Hall, WJ ;

Moss, AJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1996, 28 (02) :326-330

[5] ACC/AHA guidelines for the management of patients with acute myocardial infarction: Executive summary - A report of the American College of Cardiology American Heart Association Task Force on practice guidelines (Committee on management of acute myocardial infarction) [J].

Ryan, TJ ;

Anderson, JL ;

Antman, EM ;

Braniff, BA ;

Brooks, NH ;

Califf, RM ;

Hillis, LD ;

Hiratzka, LF ;

Rapaport, E ;

Riegel, BJ ;

Russell, RO ;

Smith, EE ;

Weaver, WD .

CIRCULATION, 1996, 94 (09) :2341-2350

← 1 →