Challenges to heart failure medication prescribing post-hospitalization.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY International Journal of Pharmacy Practice Pub Date : 2024-09-03 DOI:10.1093/ijpp/riae035
Jiaqi Li, Visopiano Sanyu, Elise Coia, Romaniya Fernando, Mohammad Asghari-Jafarabadi, Nathan Better, Robert Wojnar
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Abstract

Objectives: To determine the prevalence of heart failure (HF) medication prescribing on discharge post-HF-related admission.

Methods: A retrospective audit was conducted for 216 HF admissions over a period of 6 months; medication data from electronic records were collected for analysis.

Key findings: The prevalence of HF medication prescribing on discharge was: 32.9% (95% confidence interval: 26.6-39.6) renin-angiotensin-aldosterone system inhibitors, 10.6% (6.9-15.6) angiotensin receptor-neprilysin inhibitors, 31.5% (25.4-38.1) HF-specific beta-blockers, 42.6% (35.9-49.5) aldosterone receptor antagonists, and 11.6% (7.6-16.6) sodium-glucose cotransporter-2 inhibitors.

Conclusion: HF medication prescribing remains relatively low despite the known benefits and recommendations listed in the guidelines.

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心力衰竭住院后用药的挑战。
目的确定心力衰竭(HF)入院后出院时的用药情况:方法:对 216 例心力衰竭患者在 6 个月内的入院情况进行回顾性审核;收集电子病历中的用药数据进行分析:主要发现:出院时开具高血压药物处方的比例为32.9%(95%置信区间:26.6-39.6)肾素-血管紧张素-醛固酮系统抑制剂,10.6%(6.9-15.6)血管紧张素受体-去甲肾上腺素抑制剂,31.5%(25.4-38.1)高血压特异性β受体阻滞剂,42.6%(35.9-49.5)醛固酮受体拮抗剂,以及11.6%(7.6-16.6)钠-葡萄糖共转运体-2抑制剂:结论:尽管指南中列出了已知的益处和建议,但高血压药物处方仍然相对较少。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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