Home Bratislava Medical Journal 2015 Bratislava Medical Journal Vol.116, No.9, p.533–538, 2015

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564

 

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Bratislava Medical Journal Vol.116, No.9, p.533–538, 2015

Title: The use of antiplatelet medication in hospitalised elderly patients
Author: M. Wawruch, V. Slezakova, J. Murin, M. Kuzelova, A. Dukat, M. Zabka, T. Leitmann, J. Tisonova, Z. Kallay

Abstract: BACKGROUND: The use of antiplatelet agents is strongly recommended for the secondary prevention of ischemic events such as myocardial infarction, stroke/transient ischemic attack (TIA).
OBJECTIVES: The aim of our study was to analyse the use of antiplatelet medication in patients after myocardial infarction, stroke/TIA, and patients with both conditions and to identify patient-related characteristics, which determine the use of such drugs in elderly patients.
METHODS: Study sample (n = 372) was derived from 2,157 patients admitted to long-term care departments of three municipal hospitals. The study included patients aged ≥65 years after myocardial infarction, stroke/TIA or both.
RESULTS: Antiplatelet medications were prescribed in 54.8 % and 68.5 % of patients at hospital admission and discharge, respectively. Hospitalisation led to a significant increase in the use of antiplatelet medication in patients after myocardial infarction and in those with the combination of both events. However, in patients after only stroke/TIA, we did not find any significant difference comparing the use of antiplatelet medication at the time of hospital admission and discharge, respectively.
CONCLUSION: Our study revealed that physicians are more aware of the benefits of antiplatelet medication in elderly patients after myocardial infarction or those after both myocardial infarction and stroke/TIA in comparison with patients after only stroke/TIA (Tab. 3, Ref. 32).

Keywords: myocardial infarction, cerebrovascular, stroke, transient ischemic attack, bleeding risk, thrombotic event.
Published online: 24-Sep-2015
Year: 2015, Volume: 116, Issue: 9 Page From: 533, Page To: 538
doi:10.4149/BLL_2015_102


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