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Related Experiment Videos

Evidence-based cardiovascular care in the community: a population-based cross-sectional study.

Wayne Putnam1, Frederick I Burge, Beverley Lawson

  • 1Department of Family Medicine, Dalhousie University, Halifax, NS, Canada. wayne.putnam@dal.ca

BMC Family Practice
|April 3, 2004
PubMed
Summary

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Evidence-based cardiovascular medication use is increasing, but older patients (75+) are less likely to receive them. Family physicians should ensure eligible patients receive beta-blockers or ACE inhibitors.

Area of Science:

  • Cardiology
  • Family Medicine
  • Pharmacotherapy

Background:

  • Ischaemic heart disease and congestive heart failure are prevalent conditions managed in family practice.
  • Underutilization of effective cardiovascular treatments is a concern, particularly in elderly and female populations.
  • Understanding prescribing patterns for evidence-based cardiovascular medications is crucial for optimizing patient care.

Purpose of the Study:

  • To determine the prescribing rates of evidence-based cardiovascular medications.
  • To investigate potential differences in medication prescription rates based on patient age and sex.
  • To assess the utilization of recommended treatments for ischaemic heart disease and congestive heart failure.

Main Methods:

  • A two-year cross-sectional study was conducted across all hospitals in Nova Scotia, Canada.

Related Experiment Videos

  • Patient data included individuals admitted with ischaemic heart disease with or without congestive heart failure between October 1997 and October 1999.
  • Statistical analyses, including chi-square and multivariate logistic regression, were employed to examine age and sex differences in medication use.

    • Main Results:

    • Prescribing rates for beta-blockers and angiotensin-converting enzyme (ACE) inhibitors were around 60%, while antihypertensive agents reached 90%.
    • Patients aged 75 and older demonstrated significantly lower utilization of all studied medication classes compared to younger patients.
    • After adjusting for age, no significant sex-based differences in medication use were found, except for women aged 75+ being more likely to receive beta-blockers than men in the same age group.

    Conclusions:

    • The utilization of evidence-based cardiovascular medications is increasing and nearing acceptable levels for certain drug classes.
    • Family physicians should prioritize offering beta-blockers or ACE inhibitors to all eligible patients, including those with prior myocardial infarction or congestive heart failure.
    • Further efforts are needed to ensure equitable prescribing of cardiovascular medications across all age and sex demographics.