| JACKOVÁ, Jana, Petra ŠEDOVÁ, Robert D BROWN, Tomáš BRYNDZIAR, Miroslav ZVOLSKY, Josef BEDNAŘÍK a Robert MIKULÍK. The High Frequency of Guideline-Approved and Guideline-Disapproved Medication Use in Stroke and Transient Ischemic Attack. Online. Journal of Stroke & Cerebrovascular Diseases. Amsterdam: Elsevier Science Inc., 2016, roč. 25, č. 11, s. 2688-2693. ISSN 1052-3057. Dostupné z: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.07.016. [citováno 2024-04-24] |
Další formáty:
BibTeX
LaTeX
RIS
@article{1365407,
author = {Jacková, Jana and Šedová, Petra and Brown, Robert D and Bryndziar, Tomáš and Zvolsky, Miroslav and Bednařík, Josef and Mikulík, Robert},
article_location = {Amsterdam},
article_number = {11},
doi = {http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.07.016},
keywords = {cost-effectiveness; Czech Republic; evidence-based; guidelines; pharmacotherapy; Stroke},
language = {eng},
issn = {1052-3057},
journal = {Journal of Stroke & Cerebrovascular Diseases},
title = {The High Frequency of Guideline-Approved and Guideline-Disapproved Medication Use in Stroke and Transient Ischemic Attack},
volume = {25},
year = {2016}
}
TY - JOUR
ID - 1365407
AU - Jacková, Jana - Šedová, Petra - Brown, Robert D - Bryndziar, Tomáš - Zvolsky, Miroslav - Bednařík, Josef - Mikulík, Robert
PY - 2016
TI - The High Frequency of Guideline-Approved and Guideline-Disapproved Medication Use in Stroke and Transient Ischemic Attack
JF - Journal of Stroke & Cerebrovascular Diseases
VL - 25
IS - 11
SP - 2688-2693
EP - 2688-2693
PB - Elsevier Science Inc.
SN - 10523057
KW - cost-effectiveness
KW - Czech Republic
KW - evidence-based
KW - guidelines
KW - pharmacotherapy
KW - Stroke
N2 - Abstract BACKGROUND AND PURPOSE: Administration of evidence-based pharmacotherapy improves stroke outcome while the use of non-evidence-based medications may not be of benefit and leads to unnecessary patient care costs. The aim of our study was to determine the frequency of guideline-approved and guideline-disapproved pharmacotherapy use in acute stroke management in the Czech Republic (CR). METHODS: Using the ICD-10 codes, 500 stroke and transient ischemic attack (TIA) patients were randomly selected (random selection of 10 hospitals and then 50 patients from each hospital) from the National Registry of Hospitalized Patients for strokes occurring in 2011. Discharge summaries were reviewed for medications prescribed during hospitalization and at discharge. RESULTS: Of the 500 requested discharge summaries, 484 were available for review (response rate 97%). Up to 479 (96%) summaries were sufficient for evaluation and of these, 393 were confirmed to have a stroke or TIA diagnosis. Brain imaging (computed tomography or magnetic resonance imaging) was performed in 97% of the 393 cases. Intravenous thrombolysis was administered to 7% of patients with ischemic stroke (rate was 0%-25% in different hospitals). Up to 97% of patients with ischemic events (TIA or ischemic stroke) were treated with antiplatelets or anticoagulants. At least 1 non-evidence-based medication was administered to 28% of the 393 patients (rate was 5%-89% in different hospitals). CONCLUSIONS: Guideline-disapproved pharmacotherapy is common in stroke and TIA patients in the CR and processes should be put into place to lessen the frequency of their use. The use of guideline-approved medications is also high and should be further promoted.
ER -
JACKOVÁ, Jana, Petra ŠEDOVÁ, Robert D BROWN, Tomáš BRYNDZIAR, Miroslav ZVOLSKY, Josef BEDNAŘÍK a Robert MIKULÍK. The High Frequency of Guideline-Approved and Guideline-Disapproved Medication Use in Stroke and Transient Ischemic Attack. Online. \textit{Journal of Stroke \&{} Cerebrovascular Diseases}. Amsterdam: Elsevier Science Inc., 2016, roč.~25, č.~11, s.~2688-2693. ISSN~1052-3057. Dostupné z: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.07.016. [citováno 2024-04-24]
|
