Skip to main content
Journal cover image

Temporal trends for secondary prevention measures among patients hospitalized with coronary artery disease.

Publication ,  Journal Article
Kumbhani, DJ; Fonarow, GC; Cannon, CP; Hernandez, AF; Peterson, ED; Peacock, WF; Laskey, WK; Deedwania, P; Grau-Sepulveda, M; Schwamm, LH ...
Published in: Am J Med
April 2015

BACKGROUND: Prior studies have noted that in-hospital adherence to secondary prevention measures varied among patients undergoing coronary artery bypass graft surgery, percutaneous coronary revascularization, or no intervention. We sought to study contemporary temporal trends in the in-hospital management of patients with coronary artery disease. METHODS: By using data from the Get With The Guidelines-Coronary Artery Disease registry, we compared adherence to 6 performance measures (aspirin within 24 hours, discharge on aspirin, discharge on beta-blockers, patients with low ejection fraction discharged on angiotensin-converting enzyme inhibitor/angiotensin receptor blocker, smoking cessation counseling, and use of lipid-lowering medications) in eligible patients with coronary artery disease who underwent coronary artery bypass graft surgery, percutaneous coronary intervention, or no intervention between 2003 and 2008. RESULTS: A total of 113,971 patients with coronary artery disease were treated at 193 hospitals. Overall adherence to all 6 quality of care measures improved over time in all 3 treatment groups, but was highest at all time periods in the percutaneous coronary intervention group compared with the coronary artery bypass graft surgery group, whereas the no intervention group had the lowest use of prevention measures at all time points (P < .0001). Likewise, 100% adherence to all 6 measures was superior in the percutaneous coronary intervention group at all time points (P < .0001). On multivariable adjustment for case-mix of patients, the majority of these differences persisted. CONCLUSIONS: Over the last decade, overall adherence with secondary prevention measures improved significantly in patients hospitalized with coronary artery disease regardless of revascularization strategy. However, there still exist select opportunities for improving adherence, particularly among patients undergoing coronary artery bypass graft surgery or no intervention.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

April 2015

Volume

128

Issue

4

Start / End Page

426.e1 / 426.e9

Location

United States

Related Subject Headings

  • United States
  • Smoking Cessation
  • Secondary Prevention
  • Registries
  • Practice Guidelines as Topic
  • Percutaneous Coronary Intervention
  • Patient Discharge
  • Middle Aged
  • Male
  • Inpatients
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kumbhani, D. J., Fonarow, G. C., Cannon, C. P., Hernandez, A. F., Peterson, E. D., Peacock, W. F., … Get With the Guidelines Steering Committee and Investigators. (2015). Temporal trends for secondary prevention measures among patients hospitalized with coronary artery disease. Am J Med, 128(4), 426.e1-426.e9. https://doi.org/10.1016/j.amjmed.2014.11.013
Kumbhani, Dharam J., Gregg C. Fonarow, Christopher P. Cannon, Adrian F. Hernandez, Eric D. Peterson, W Frank Peacock, Warren K. Laskey, et al. “Temporal trends for secondary prevention measures among patients hospitalized with coronary artery disease.Am J Med 128, no. 4 (April 2015): 426.e1-426.e9. https://doi.org/10.1016/j.amjmed.2014.11.013.
Kumbhani DJ, Fonarow GC, Cannon CP, Hernandez AF, Peterson ED, Peacock WF, et al. Temporal trends for secondary prevention measures among patients hospitalized with coronary artery disease. Am J Med. 2015 Apr;128(4):426.e1-426.e9.
Kumbhani, Dharam J., et al. “Temporal trends for secondary prevention measures among patients hospitalized with coronary artery disease.Am J Med, vol. 128, no. 4, Apr. 2015, pp. 426.e1-426.e9. Pubmed, doi:10.1016/j.amjmed.2014.11.013.
Kumbhani DJ, Fonarow GC, Cannon CP, Hernandez AF, Peterson ED, Peacock WF, Laskey WK, Deedwania P, Grau-Sepulveda M, Schwamm LH, Bhatt DL, Get With the Guidelines Steering Committee and Investigators. Temporal trends for secondary prevention measures among patients hospitalized with coronary artery disease. Am J Med. 2015 Apr;128(4):426.e1-426.e9.
Journal cover image

Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

April 2015

Volume

128

Issue

4

Start / End Page

426.e1 / 426.e9

Location

United States

Related Subject Headings

  • United States
  • Smoking Cessation
  • Secondary Prevention
  • Registries
  • Practice Guidelines as Topic
  • Percutaneous Coronary Intervention
  • Patient Discharge
  • Middle Aged
  • Male
  • Inpatients