低收入社区老年人的二次中风预防趋势
Joanna Nguyen1, Sara Arnaout1, Brenna Levison1
11 Virginia Commonwealth University School of Pharmacy, Richmond, Virginia.
The Senior care pharmacist
|April 29, 2025
概括
许多有中风或TIA史的老年人没有接受抗血小板或抗凝药等必需药物. 这凸显了弱势群体中二次中风预防的关键差距.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 二次性中风预防对于减少复发和改善老年人中风的结果至关重要.
- 低收入,社区生活的老年人面临着获得医疗保健服务的重大障碍.
- 有效管理可修改的风险因素,如高血压,高脂血症和心房动 (AF) 是关键.
研究的目的:
- 描述用于二次中风预防的药物使用.
- 专注于低收入,社区居住的老年人在里士满,弗吉尼亚州.
- 确定抗血小板和抗凝固疗法的缺口.
主要方法:
- 对移动健康和健康计划 (MHWP) 数据的回顾性图表审查.
- 包括499名参与者 (65岁以上) 从2021-2023年,重点关注那些中风/TIA或AF/飞史的人.
- 分析了抗血小板和抗凝固使用的处方数据.
主要成果:
- 12.4%的人有中风/TIA病史;3.8%的人报告AF/飞.
- 阿司匹林是最常见的抗血小板药物,但33.8%的中风/TIA幸存者和21%的AF/flutter没有接受抗血小板或抗凝药治疗.
- 卒中/TIA幸存者患高血压,动脉样硬化心血管疾病和的比率更高.
结论:
- 很大一部分中风/TIA幸存者没有获得最佳的二次预防药物 (抗血小板,抗凝血剂,他类药物).
- 在这个服务不足的人群中,有机会改善中风风险降低策略.
- 解决社会经济和医疗保健方面的挑战对于定制干预至关重要.
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