학술논문

Use of statins in hospital after myocardial infarction / Bruk av statiner i sykehus etter hjerteinfarkt
Document Type
Journal Article
Artikel
Source
Tidsskrift for Den Norske Laegeforening. 121(21):2467
Subject
Adult / Vuxna
Aged / Äldre
Anticholesteremic Agents -- administration & dosage / Kolesterolsänkande medel -- läkemedelstillförsel & dosering
Cholesterol -- blood / Kolesterol -- blod
Drug Utilization / Läkemedelsanvändning
English Abstract / Engelsk sammanfattning
Female / Kvinnlig
Follow-Up Studies / Uppföljningsstudier
Hospitals, County -- statistics & numerical data / Länssjukhus -- statistik & numerisk data
Humans / Människa
Male / Manlig
Middle Aged / Medelålders personer
Myocardial Infarction -- drug therapy -- mortality / Hjärtinfarkt -- läkemedelsterapi -- dödlighet
Norway / Norge
Patient Admission / Patientintagning
Drug Prescriptions -- statistics & numerical data / Läkemedelsförskrivning -- statistik & numerisk data
Retrospective Studies / Retrospektiva studier
Practice Guidelines as Topic / Kliniska riktlinjer som ämne
Language
Norwegian
ISSN
0029-2001
Abstract
INTERPRETATION : The proportion of statin users has increased satisfactory during 1995-98, but the therapeutic intensity is unsatisfactory compared to guidelines for cholesterol-lowering treatment of patients with acute myocardial infarction.RESULTS : 473 patients with acute myocardial infarction, 76% men, mean age 57.4 (range 33-70 yrs) were included. Statin treatment was started in 55% of the patients within discharge from the hospital. Total cholesterol (odds ratio 0.51, 0.41-0.64; 95% CI) and decreasing age (1.60, 1.21-2.10) were significant predictors for statin prescription. Statin treatment started during hospitalization increased gradually from 42% in 1995 to 91% in 1998 (p < 0.001) among patients with total cholesterol above 5.0 mmol/l at admission. 54% of the statin users achieved the treatment goal at their first outpatient control 8-12 weeks after discharge.MATERIAL AND METHODS : A retrospective study among patients aged below 70 of both sexes with acute myocardial infarction, who survived the initial hospitalization at the University Hospital of Tromsø during 1995-1998.BACKGROUND : The objective of this study was to register the frequency of statin prescription during the initial hospitalization for acute myocardial infarction and therapeutic intensity at follow-up.