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Missed opportunities for secondary prevention of cerebrovascular disease in elderly British men from 1999 to 2005: A population-based study

Lookup NU author(s): Dr Sheena Ramsay

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Abstract

Objective: We examined patterns in medication use for secondary prevention of cerebrovascular disease in older British men from 1999 to 2005, and investigated socio-demographic and disease-related influences on medication use. Methods: Percentage use of antiplatelet drugs, blood pressure-lowering drugs and statins use was calculated in men, aged 65-87 years in 2005, who had been diagnosed with stroke or transient ischaemic attack (TIA) from a population-based cohort based in one general practice in each of 24 British towns. Results: In 1999, most men with cerebrovascular disease received antiplatelet drugs (67%). However, a few received blood pressure-lowering drugs (50%) and statins (13%). By 2005, the use of all drug types had increased; at least half of the patients received each type of drug. However, only one-third of patients received all three medication types and combined blood pressure treatment was limited. Older age, a diagnosis of TIA rather than stroke and absence of co-existing coronary heart disease were associated with lower rates of use of specific medication categories. Conclusion: Despite improvements in secondary prevention medication use, there is scope for achieving the full potential of these medications, particularly by increasing combination blood pressure treatment and statin use and ensuring that older patients receive the benefits of prevention. © The Author 2007, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.


Publication metadata

Author(s): Ramsay SE, Whincup PH, Wannamethee SG, Papacosta O, Lennon L, Thomas MC, Morris RW

Publication type: Article

Publication status: Published

Journal: Journal of Public Health

Year: 2007

Volume: 29

Issue: 3

Pages: 251-257

Print publication date: 01/09/2007

Online publication date: 21/06/2007

ISSN (print): 1741-3842

ISSN (electronic): 1741-3850

Publisher: Oxford University Press

URL: https://doi.org/10.1093/pubmed/fdm040

DOI: 10.1093/pubmed/fdm040

PubMed id: 17584949


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