在患有外周血管疾病的患者中,药剂师优化脂质治疗
Mary-Ashlyn Tucker1, Andrew Meyer1, Michael Bitonti1
1Cone Health, Greensboro, NC, USA.
概括
药剂师的干预显著增加了外周血管疾病 (PVD) 患者在出院后高强度他类药物的使用. 这一策略改善了他类药物强化率,与PVD护理指南建议保持一致.
科学领域:
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
背景情况:
- 目前的指导方针建议对外周血管疾病 (PVD) 患者进行高强度的他类药物治疗.
- 在PVD患者推的他类药物治疗的低最佳利用需要改进的管理策略.
研究的目的:
- 评估药剂师干预对PVD患者高强度他类药物排出率的影响.
- 评估药剂师领导的脂质管理是否改善了在PVD中遵守心血管指南.
主要方法:
- 一个单中心的前/后设计研究比较了经过外围绕路术的PVD患者.
- 干预涉及预先选择的药房脂质咨询订单集.
- 结果包括高强度他类药物,他类药物强化,ezetimibe添加和脂质临床转诊.
主要成果:
- 干预后高强度他类药物的排出量显著增加,从38.3%增加到70.4% (P < 0.001).
- 达丁类药物治疗的强化也显示出统计学上显著的增加 (35.8%对20.2%,P = 0.02).
结论:
- 药剂师的干预有效地增加了使用高强度他类药物出院的PVD患者的百分比.
- 这项研究证明了药剂师参与优化PVD患者脂质管理的价值.
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