What question did this study set out to answer?

To assess national prescribing patterns and identify predictors of angiotensin-converting enzyme inhibitor use for patients with congestive heart failure during outpatient visits.

November 24, 1997Archives of Internal Medicine

National Patterns of Angiotensin-Converting Enzyme Inhibitor Use in Congestive Heart Failure

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Why the study?

What are the national patterns and predictors of angiotensin-converting enzyme inhibitor use in patients with congestive heart failure?

Population

1529 physician office visits by patients with congestive heart failure from the 1989 through 1994 National…

Design

Cross-sectional

Authors

RSRandall S. StaffordPreventive Cardiology

Discussion

Member takes

Implication

ACE inhibitor underuse in CHF visits persists; leaves open implementation research on specialty prescribing gaps.

Key Points

To assess national prescribing patterns and identify predictors of angiotensin-converting enzyme inhibitor use for patients with congestive heart failure during outpatient visits.
Analyzed 1,529 outpatient visits by patients with congestive heart failure from the 1989 through 1994 National Ambulatory Medical Care Surveys.
Evaluated secular trends in heart failure pharmacotherapy and identified independent clinical and demographic predictors of ACE inhibitor prescription using multiple logistic regression.
Prescription of ACE inhibitors in congestive heart failure visits increased from 24% in 1989 to 31% in 1994 (P = .02).
ACE inhibitor use was significantly higher during visits to cardiologists compared to other physicians (46% vs 22%), in the Midwest (31% vs 24%), and in men (29% vs 23%), with specialty, region, and sex remaining independent predictors.
Concurrent heart failure treatments included diuretics (62% of visits), digoxin (38%, which decreased significantly over time), and calcium channel antagonists (15%).

Structured PICO

What are the national patterns and predictors of angiotensin-converting enzyme inhibitor use in patients with congestive heart failure?

Population

1529 physician office visits by patients with congestive heart failure (CHF) from the 1989 through 1994 National Ambulatory Medical Care Surveys.

Intervention

Angiotensin-converting enzyme (ACE) inhibitors

Outcome

Changes over time in the use of ACE inhibitors and potential clinical and nonclinical predictors of use

Cite This Study

Randall S. Stafford (1997) studied this question.

synapsesocial.com/papers/69ff959f2ff633f3657799b2 https://doi.org/10.1001/archinte.1997.00440420092008

Topics

Heart failure HFrEF treatment

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National Patterns of Angiotensin-Converting Enzyme Inhibitor Use in Congestive Heart Failure

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

National Patterns of Angiotensin-Converting Enzyme Inhibitor Use in Congestive Heart Failure

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

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