Prevalence of Acetylsalicylic Acid Use for Primary Prevention of Cardiovascular Disease Amongst Older Adults From 2017-2021: a Retrospective Cross-Sectional Study.
In: Canadian Geriatrics Journal, Jg. 26 (2023-12-01), Heft 4, S. 517-523
Online
academicJournal
Zugriff:
Background Three landmark trials on the use of acetylsalicylic acid (ASA) for primary prevention of cardiovascular disease (CVD) were published in 2018. Since then, major clinical practice guidelines have been updated with recommendations against the routine use of ASA for primary CVD prevention, particularly in older adults. However, little is known about the uptake of this evidence into real world practice. The purpose of this study was to assess the change in ASA usage for primary prevention of CVD in older adults between 2017 and 2021. Methods A retrospective cross-sectional study of ASA use for primary prevention in ambulatory older adults without known CVD in an urban Canadian city was conducted. Results Seven hundred and fifty-six participants were included. The mean age was 78.9 years (standard deviation 7.9) and 64.8% were female. One hundred and thirty (17.2%) participants used ASA for primary prevention, including 20.3% in 2017, 17.0% in 2018, 21.8% in 2019, 16.3% in 2020, and 11.0% in 2021 (p = .061). Female sex was associated with lower ASA use (odds ratio [OR] 0.44, 95% confidence interval [CI] 0.29- 0.68) and hypertension was associated with higher ASA use (OR 2.72, 95% CI 1.73-4.29). Conclusions Use of ASA for primary CVD prevention in older Canadians decreased between 2017 and 2021, suggesting an uptake of clinical trial data and practice guideline recommendations. Focusing on deprescribing of ASA for primary CVD prevention continues to be warranted, given the risks associated with ASA in this population. [ABSTRACT FROM AUTHOR]
Copyright of Canadian Geriatrics Journal is the property of Canadian Geriatrics Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Prevalence of Acetylsalicylic Acid Use for Primary Prevention of Cardiovascular Disease Amongst Older Adults From 2017-2021: a Retrospective Cross-Sectional Study.
|
---|---|
Autor/in / Beteiligte Person: | Bolt, Jennifer ; Barry, Arden R. ; Inglis, Colleen ; Lin, Stephanie ; Pan, Jeffrey |
Link: | |
Zeitschrift: | Canadian Geriatrics Journal, Jg. 26 (2023-12-01), Heft 4, S. 517-523 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 1925-8348 (print) |
DOI: | 10.5770/cgj.26.693 |
Schlagwort: |
|
Sonstiges: |
|