Prescription of secondary prevention medications, lifestyle advice, and referral to rehabilitation among acute coronary syndrome inpatients: Results from a large prospective audit in Australia and New Zealand

J. Redfern, K. Hyun, D. Chew, C.M. Astley, C. Chow, B.J. Aliprandi-Costa, T.E.J. Howell, B. Carr, K.J. Lintern, I. Ranasinghe, K. Nallaiah, F.M. Turnbull, C. Ferry, C.J.K. Hammett, C.J.K. Ellis, J.K. French, D.B. Brieger, Tom Briffa

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Abstract

Objective: To evaluate the proportion of patients hospitalised with acute coronary syndrome (ACS) in Australia and New Zealand who received optimal inpatient preventive care and to identify factors associated with preventive care. Methods: All patients hospitalised bi-nationally with ACS were identified between 14-27 May 2012. Optimal in-hospital preventive care was defined as having received lifestyle advice, referral to rehabilitation, and prescription of secondary prevention pharmacotherapies. Multilevel multivariable logistic regression was used to determine factors associated with receipt of optimal preventive care. Results: For the 2299 ACS survivors, mean (SD) age was 69 (13) years, 46% were referred to rehabilitation, 65% were discharged on sufficient preventive medications, and 27% received optimal preventive care. Diagnosis of ST elevation myocardial infarction (OR: 2.64 [95% CI: 1.88-3.71]; p
Original languageEnglish
Pages (from-to)1281-1288
Number of pages8
JournalHeart
Volume100
Issue number16
Early online date9 Jun 2014
DOIs
Publication statusPublished - Aug 2014

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