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Use of secondary stroke prevention medicines in Australia: national trends, 2003‐2009
- Source :
- Medical Journal of Australia. 201:54-57
- Publication Year :
- 2014
- Publisher :
- AMPCo, 2014.
-
Abstract
- Objective: To examine recent trends in the use of secondary stroke prevention medicines by transient ischaemic attack (TIA) and ischaemic stroke survivors. Design, setting and participants: Retrospective observational study of patients aged 65 years who were hospitalised with a TIA or ischaemic stroke between January 2000 and December 2009. Use of antihypertensive, antithrombotic and lipid-lowering medicines by patients was determined monthly, using claims data from the Australian Government Department of Veterans’ Aff airs, commencing in January 2003. Main outcome measure: Monthly prevalence of use of secondary stroke prevention medicines. Results: Between 2003 and 2009, small increases in use (less than 2% relative increase annually) were observed for antihypertensive and antithrombotic medicines among 19 019 patients. There was a 9% relative increase in use of lipid-lowering therapy each year. The proportion of patients dispensed all three recommended medicine classes nearly doubled over the 7-year period. By December 2009, about 80% of patients were dispensed an antihypertensive, 75% received an antithrombotic and 60% were dispensed lipid-lowering therapy. Almost half of the population were dispensed all three recommended classes by the end of the study period. Conclusions: Increased use of secondary stroke prevention medicines was shown in this study, in accordance with national stroke guideline recommendations and initiatives supporting quality use of medicines in Australia. There may be opportunity to further increase use of these medicines among older Australians who have had a TIA or ischaemic stroke. Refereed/Peer-reviewed
- Subjects :
- Male
Pediatrics
National Health Programs
Alternative medicine
cross-sectional studies
hypolipidemic agents
Antithrombotic
Secondary Prevention
humans
Stroke
Hypolipidemic Agents
Veterans
Aged, 80 and over
education.field_of_study
Cerebral Infarction
General Medicine
antihypertensive agents
cerebral infarction
aged
retrospective studies
female
Ischemic Attack, Transient
fibrinolytic agents
Stroke prevention
Female
drug utilization
ischemic attack
national health programs
medicine.medical_specialty
recurrence
Population
insurance claim review
Insurance Claim Review
transient
Fibrinolytic Agents
male
medicine
Humans
cardiovascular diseases
education
Antihypertensive Agents
Aged
Retrospective Studies
business.industry
Australia
Retrospective cohort study
Guideline
medicine.disease
Drug Utilization
aged 80 and over
Cross-Sectional Studies
Emergency medicine
business
Quality use of medicines
Subjects
Details
- ISSN :
- 13265377 and 0025729X
- Volume :
- 201
- Database :
- OpenAIRE
- Journal :
- Medical Journal of Australia
- Accession number :
- edsair.doi.dedup.....349ee162c0ce685aef1d7f96cc17a3c0