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Use of antiplatelets and lipid lowering therapy in patients with peripheral vascular disease undergoing surgery
Abdulaziz S Aldawood1, Roman Jaeschke
1Department of Pulmonary Medicine and Critical Care, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia. aldawooda@hotmail.com
Objective:
To investigate the use of antiplatelet and lipid lowering therapy among patients undergoing peripheral vascular surgery, and to compare their use with that reported among a similar population of patients in Canada.
Methods:
Chart review of a cohort of 52 patients undergoing peripheral vascular surgery. The study was carried out at King Fahad National Guard Hospital, Kingdom of Saudi Arabia in May 2000.
Results:
On discharge, less than 50% of the patients received any antiplatelet or antithrombotic medication. Only 13% of the patients received lipid-lowering therapy. Those findings parallel those of Canadian publications.
Conclusion:
Current literature supports the use of anti platelet and lipid-lowering therapy among patients with peripheral vascular disease. In King Fahad Hopsital, National Guard, Kingdom of Saudi Arabia, the use of those beneficial interventions is likely sub-optimal. Factors other than randomized clinical trail derived evidence likely influence practice and behavior. Whether dissemination of evidence may change such a pattern of behavior requires further study.
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