PS2-08: Adherence to Statins and Low-Density Lipoprotein Cholesterol Goal Attainment in Patients with Coronary Artery Disease

Abstract

155HMORN -Selected Abstracts discussion of interventions, communication tools (e.g. written instructions from the physician, a home medication calendar with communication tools such as check boxes to indicate when a dose had been administered, and others) were high priority for parent participants. Conclusions: Parents can understand and perform an FMEA. The parent-team identified modifiable failure modes, many communication-related, which could lead to significant patient injury in home medication use. Parents prioritized tools that could lead to system improvements and reduce errors. Background/Aims: It is known that seasonal influenza infection disproportionately impacts pregnancy. Based on preliminary information, the pandemic H1N1 virus that first surfaced in spring 2009 appears to cause disproportionate morbidity and mortality among pregnant women -possibly to an even greater degree than that seen from seasonal flu. While it is estimated that over 10% of the pandemic influenza-related deaths in the United States have been in pregnant women-there is little data on the total impact of H1N1 infection upon pregnant women and their developing infants. This study will present a population-based assessment of the impact of H1N1 flu upon pregnancy, maternal, and birth outcomes. Methods: This is an open cohort study covering the seasonal (mid 2008-2009) and H1N1 (mid 2009-2010) influenza seasons, with follow-up for pregnancy and infant outcomes up to one month after delivery. All pregnant women in KPNC, KPSC, KPCO, KPMA and KPGA during this period (mid 2008-2010) will be categorized according to their infection status as defined via lab test and/ or ICD-9 code for influenza-like-illness. Descriptive and regression analyses will be conducted to examine neonatal and pregnancy outcomes. Results: Due to time constraints in relation to availability of the most recent data within Kaiser Permanente, the final data extraction will not be completed until November 2010. Statistical analyses will be conducted on the following outcomes:: pregnancy (pre-eclampsia, eclampsia, premature labor, premature delivery, pregnancy-induced hypertension; maternal (hospitalization for respiratory-related conditions, other hospitalizations, death); infant (intrauterine growth retardation; low birth weight, major congenital anomalies); vaccine use and effect (extent to which pregnant women received H1N1 and seasonal flu vaccine; impact of vaccination upon the risk for adverse pregnancy, maternal and infant outcomes); antiviral use and effect (extent to which pregnant women received antiviral medication for H1N1 or seasonal flu, and the impact of these therapeutics upon the risk for adverse pregnancy, maternal and infant outcomes). Conclusions: This study will be both analytic and descriptive, showcase the abilities of CESR and inform the scientific and public health communities with a range of unique information related to H1N1 infection during pregnancy within the combined KP populations. Aim: We sought to examine patients' knowledge and b...

Abordagem multidisciplinar em ambulatório acadêmico de cardiologia: 2ª etapa de análise de dados

“…Na primeira fase de análise desse estudo longitudinal, quando foram alocados somente pacientes de muito alto risco, o resultado foi semelhante, de 26,7% para 46,7% (STURZENEKER et al, 2023b). Em estudo transversal que envolveu 67.100 pacientes com DAC, níveis de LDL-C <70 mg/dl foram atingidos somente por 32,4% da amostra (CHI et al, 2014). Em nosso estudo, considerando a meta de LDL-C <70 mg/dl, que é preconizada para pacientes de alto risco, mesmo antes das ações do grupo multidisciplinar, o porcentual de indivíduos na meta era de 43% e após as ações aumentou para 57%.…”

Impact of maximum prescription length supply policy on patient medication adherence, health and economic outcomes

“…Parris et al found that patients with dyslipidemia and diabetes mellitus who attained the target of LDL cholesterol level would have a higher medication adherence than patients who did not achieve (78) . Additionally, the study conducted by Chi et al to evaluate the association between low-density lipoprotein (LDL) target achievement and statin medication adherence in coronary artery disease patients (80) . They displayed that adherence patients were more probably to achieve at goal of LDL-cholesterol level than nonadherent.…”