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February 23, 2013Heart

Telephone contact to improve adherence to dual antiplatelet therapy after drug-eluting stent implantation

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Why the study?

Does telephone contact by nurses improve adherence to dual antiplatelet therapy in patients after drug-eluting stent implantation?

Population

300 patients recruited immediately after drug-eluting stent implantation. 73% underwent DES implantation in…

Comparison

Four telephone follow-ups by nurses to support… vs Usual clinical practice.

Design

RCT, Randomised to one of two groups

Follow-up

1 year

Authors

SRStéphane RinfretJRJosep Rodés‐CabauRBRodrigo Bagur

Discussion

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Member takes

Overview

Supports nurse-led telephone follow-up to improve DAPT adherence after DES; extends RCT evidence for remote adherence interventions.

Structured PICO

Does telephone contact by nurses improve adherence to dual antiplatelet therapy in patients after drug-eluting stent implantation?

P
Population
300 patients (mean age 64±10 years, 73% male) recruited immediately after drug-eluting stent (DES) implantation. 73% underwent DES implantation in the context of an acute coronary syndrome.
I
Intervention
Four telephone follow-ups by nurses (within 7 days of DES implantation and at 1, 6, and 9 months) to support drug adherence.
C
Comparator
Usual clinical practice.
O
Outcome
Proportion of days covered with aspirin and clopidogrel over the year after discharge as assessed by pharmacy refill data.surrogate

A simple nurse-led telephone follow-up intervention significantly improves 1-year adherence and persistence to dual antiplatelet therapy after drug-eluting stent implantation.

Cite This Study

Rinfret et al. (2013) studied this question.

synapsesocial.com/papers/6a7cb53ce6f41aaf0bcf84ddhttps://doi.org/10.1136/heartjnl-2012-303004
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