持续使用他类药物治疗:立陶宛的一个队列研究
Karina Kirilova1, Indrė Trečiokienė1,2, Nomeda Bratčikovienė3,4
1Pharmacyand Pharmacology Center, Institute of Biomedical Science, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Basic & clinical pharmacology & toxicology
|April 29, 2024
概括
在立陶宛,只有41%的新增他类药物使用者坚持治疗一年. 诸如老年和二次预防使用等因素与更好的坚持有关,强调需要改进心血管疾病管理策略.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 药物经济学 药物经济学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 类他类药物对于降低血管事件风险至关重要,但坚持仍然是一个挑战.
- 立陶宛面临高心血管疾病死亡率,尽管增加了他类药物的使用,从东欧的数据有限.
研究的目的:
- 评估立陶宛新使用他类药物的治疗持续性.
- 为了确定影响这种人群中他类药物治疗持续性的因素.
主要方法:
- 对18岁以上患者的分发他类药物处方的回顾性分析,始于2018-2019年.
- 数据来源于国家医疗保险基金.
- 持续性定义为连续分发他类药物一年;用于因子分析的逻辑回归.
主要成果:
- 包括104,726名新的他类药物使用者;只有41%的人在一年内表现出持续性.
- 与更高的持久性相关的因素包括年龄,较高的他类药物剂量,同时使用药物和二次心血管疾病预防.
- 显著的低持续率强调了一个关键的公共卫生问题.
结论:
- 在立陶宛,低水平的他类药物持续使用对心血管疾病管理构成重大挑战.
- 医疗保健提供者,药剂师和政策制定者必须解决导致不良遵守的因素.
- 需要采取干预措施来改善长期使用他类药物并减少心血管疾病死亡率.
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