Healthcare provider compliance with the 2013 ACC/AHA Adult Cholesterol Guideline recommendation for high-intensity dose statins for patients with coronary artery disease

作者：Housholder Hughes Susan D^*; Martin Melanie M; McFarland Marilyn R; Creech Constance J; Shea Michael J

来源：Heart & Lung, 2017, 46(4): 328-333.

DOI：10.1016/j.hrtlng.2017.03.005

• Atherosclerotic cardiovascular disease
• Healthcare provider compliance
• Statins
• Cholesterol guidelines
• Quality improvement

Background: Atherosclerotic cardiovascular disease is the foremost cause of death for U.S. adults. The 2013 ACC/AHA Adult Cholesterol Guidelines recommend high-intensity dose statins for individuals with coronary artery disease (CAD).
Objective: To determine healthcare provider compliance with the Cholesterol Guideline recommendation specific to high-intensity dose statins for patients with CAD.
Methods: A retrospective chart review was conducted to determine compliance rate. A questionnaire was developed to evaluate healthcare provider beliefs, attitudes, and self-confidence toward this recommendation.
Results: Of the 473 patients with CAD, 67% were prescribed a high-intensity dose statin. Patients with non-ST segment myocardial infarction and ST segment myocardial infarction were more likely to be prescribed a high-intensity dose statin versus a moderate or low-intensity dose. Healthcare providers strongly agreed with this guideline recommendation.
Conclusion: There exists a dichotomy between intention to prescribe and actual prescribing behaviors of high-intensity dose statin for patients with CAD.

• 出版日期2017-8