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Pharmacist-Led Follow-Up Program for Rural Patients with Acute Coronary Syndrome: The PLURAL-ACS Pilot Program.

Hazal Ece Babadagli1, Sheri L Koshman2, Michelle Graham3

  • 1, BScPharm, PharmD, ACPR-2, was, at the time of this study, with Pharmacy Services, Alberta Health Services, Edmonton, Alberta. She is now with Vancouver Coastal Health, Vancouver, British Columbia. In spring 2024, Hazal will graduate from the MSc program, Department of Medicine, University of Alberta.

The Canadian Journal of Hospital Pharmacy
|February 15, 2024
PubMed
Summary
This summary is machine-generated.

Pharmacist-led virtual follow-up effectively resolved numerous cardiac medication issues for rural patients after acute coronary syndrome (ACS). This program improved care for this high-risk population, addressing medication-related problems post-discharge.

Keywords:
acute coronary syndromepharmacist follow-uppharmacist-led carepost-acute coronary syndrome carerural patientsvirtual care

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Area of Science:

  • Cardiology
  • Pharmacology
  • Health Services Research

Background:

  • Rural patients with acute coronary syndrome (ACS) face challenges in accessing care and experience higher readmission rates.
  • Medication-related issues in this population are not well understood, nor is the potential benefit of pharmacist-led interventions.

Purpose of the Study:

  • To identify cardiac medication-related issues in rural post-ACS patients.
  • To evaluate the impact of a pharmacist-led virtual follow-up pilot program on resolving these issues.

Main Methods:

  • A cardiology pharmacist conducted virtual follow-up via telephone for rural post-ACS patients over 30 days post-discharge.
  • The program focused on identifying and resolving cardiac medication-related issues through counseling and prescribing adjustments.

Main Results:

  • 255 cardiac medication-related issues were identified in 40 patients, with 91% resolved by the pharmacist.
  • Common issues included prescription errors, adverse effects, and drug therapy optimization.
  • Pharmacist interventions primarily involved patient counseling and medication prescribing.

Conclusions:

  • A pharmacist-led virtual follow-up program successfully identified and resolved significant medication-related issues in rural post-ACS patients.
  • These findings support the development of similar programs to enhance care for this vulnerable group.