在以患者为中心的医疗家庭中,对患有NAFLD的患者进行他类药物处方模式
Allison L Cipriani1, Chelsey A Petz, Ellen M Nielsen
1Medical University of South Carolina, 171 Ashley Ave,Charleston, SC 29425.
The American journal of managed care
|August 24, 2023
概括
对非酒精性脂肪性肝病 (NAFLD) 患者的他类药物处方没有根据NAFLD状态而有所不同. 这突显了在这个高风险群体中改善心血管疾病预防的机会.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 主要护理医学 医疗保健
背景情况:
- 心血管疾病 (CVD) 是非酒精性脂肪肝疾病 (NAFLD) 患者的主要死亡原因.
- 类药物对于初级心血管疾病预防至关重要.
- 了解NAFLD患者的他类药物处方模式对于风险管理至关重要.
研究的目的:
- 研究诊断为NAFLD的初级保健患者的他类药物处方实践.
- 在这个队列中确定与他类药物处方相关的因素.
- 发现改善NAFLD患者心血管疾病风险降低的机会.
主要方法:
- 从2012年至2018年使用电子健康记录的回顾性队列研究.
- 包括652名肝硬化症患者,没有其他慢性肝病.
- 分析了临床因素,并发症和他类药物处方之间的关联.
主要成果:
- 56%的NAFLD患者接受了他类药物处方.
- 高龄,糖尿病,高血压和肥胖 (BMI ≥30 kg/m2) 与更高的他类药物处方几率有关.
- 氨基转移酶的升高与他类药物处方无关.
- 没有服用他类药物的近一半患者有治疗的迹象.
- 16%的人缺乏脂质检测结果.
结论:
- 在NAFLD和他类药物处方率之间没有发现直接关联.
- 在NAFLD患者的初级心血管疾病预防中存在显著的差距.
- 在这个人群中,有明显的机会改善他类药物的使用和心血管疾病风险管理.
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