在下肢外周动脉疾病中对抗血小板治疗的坚持和坚持:一项基于丹麦人口的队列研究
Maja Thaarup1, Sara Jacobsen2, Peter Brønnum Nielsen3
1Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
在周围动脉疾病 (PAD) 患者中,抗血小板治疗的坚持是不理想的,不到60%的人声称处方. 改善这些疗法的启动和延续对于PAD管理至关重要.
科学领域:
- 血管医学 血管医学
- 药物治疗 药物治疗
- 公共卫生 公共卫生
背景情况:
- 抗血小板治疗建议用于症状的下肢外周动脉疾病 (PAD).
- 在PAD患者中,抗血小板治疗的坚持和持久性仍然在很大程度上未被探索.
- 症状性PAD包括间歇性音和慢性肢体威胁性缺血症.
研究的目的:
- 确定在被诊断患有症状下肢PAD的患者中抗血小板治疗的坚持和持续率.
- 为了确定影响这种患者群体的坚持和持久性的因素.
主要方法:
- 丹麦 (2010-2017) 基于人口的全国性队列研究.
- 包括40岁以上的新诊断为症状性PAD的患者.
- 在第一年通过覆盖日数比例 (PDC) 评估遵守.
- 持续性定义为没有治疗间隔≥30天超过三年.
主要成果:
- 58.7%的符合条件的PAD患者在诊断后90天内申请了抗血小板药物处方.
- 普遍使用者的平均PDC为74.5%,新使用者的平均PDC为60.5%.
- 一年停药率总体为13.0%,三年停药率达到31.5%.
结论:
- 只有不到60%的新诊断的有症状的PAD患者开始抗血小板治疗.
- 抗血小板治疗的坚持和坚持在诊断后的第一年是适度的.
- 需要进行干预措施,以加强在PAD患者中启动和继续抗血小板治疗.
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