Key result
Following the national service framework, statin use in patients with myocardial infarction increased from 34% to 65% in men and from 48% to 67% in women between 1998-2001 and 2003.
Why the study?
Did the implementation of the national service framework improve the uptake of secondary prevention medications in older patients with coronary heart disease?
Cohort (n=2,687)
Yes
Did the implementation of the national service framework improve the uptake of secondary prevention medications in older patients with coronary heart disease?
The implementation of the national service framework was associated with a marked increase in the uptake of secondary prevention medications, particularly statins, in older patients with coronary heart disease, though beta blocker and ACE inhibitor use remained suboptimal.
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Supports policy-driven statin uptake post-MI; extends observational evidence on national frameworks while leaving open optimization of other secondary prevention agents.
Ramsay et al. (2006) conducted a cohort in Coronary heart disease (n=2,687). Implementation of the national service framework (2003) vs. Before implementation (1998-2001) was evaluated on Prevalence of use of antiplatelet medication, statins, beta blockers, ACE inhibitors, and other blood pressure lowering treatments. Following the national service framework, statin use in patients with myocardial infarction increased from 34% to 65% in men and from 48% to 67% in women between 1998-2001 and 2003.
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