Effects of Normalization Management on Prognosis in Elderly Patients with Coronary Artery Disease_Chinese Journal of Evidence-Based Medicine

Authors：

 WU Jinhui ¹ , SUN Chunli ¹ , ZHANG Shaomin ¹ , REN Xiaohui ² , YANG Ling ³ , LI Jun ¹ , ZHANG Jun ¹

1. Department of Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China; 2. Department of Social Medicine, West China Public Health College, Chengdu 610041, China; 3. Outpatient Department of Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

WU Jinhui, Email: wujinhui@scu.edu.cn

Keywords：

Elderly patients; Coronary artery disease; Disease management; Prognosis

DOI：

10.7507/1672-2531.20120083

Video：

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Objective 　To evaluate the efficacy of normalization management on prognosis in elderly patients with coronary artery disease, in aspects of drug compliance, readmission rate and quality of life.
Methods 　A total of 110 patients above 65 years old with coronary artery disease visiting West China Hospital from August 2010 to February 2011 were investigated. The patients were divided into two groups: the intensive management group (n=55) and the general management group (n=55). The measures such as regular follow-up, regular examination and medical education were conducted in the intensive management group, and the two groups were observed in aspects of drug compliance, readmission rate and quality of life.
Results 　After 1-year follow-up, the percentages of patients taking aspirin/clopidogrel (98.18% vs. 67.27%, P lt;0.05), nitrate (85.45% vs. 40.00%, P lt;0.05), ACEI/ARB (56.36% vs. 18.18%, P lt;0.05), β receptor blocker (58.18% vs. 29.09%, P lt;0.05) and statin (94.55% vs. 32.73%, P lt;0.05) were higher in the intensive management group than those in the general management group. Also, the readmission rate was lower (12.73% vs. 41.42%, P lt;0.05) and the score of quality of life was higher in the intensive management group than that in the general management group.
Conclusion 　The normalization management guided by evidence-based medicine for the elderly patients with coronary artery disease is helpful to improve the drug compliance, reduce the readmission rate, and improve the quality of life.

Citation： WU Jinhui,SUN Chunli,ZHANG Shaomin,REN Xiaohui,YANG Ling,LI Jun,ZHANG Jun. Effects of Normalization Management on Prognosis in Elderly Patients with Coronary Artery Disease. Chinese Journal of Evidence-Based Medicine, 2012, 12(5): 520-523. doi: 10.7507/1672-2531.20120083 Copy

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1. Sprague L. Disease management to population-based health: Steps in the right direction. NHPF Issue Brief, 2003(791): 1-16.
2. Faxon DP. Improving quality of care through disease management: Principles and recommendations from the American Heart Association’s Expert Panel on Disease Management. Circulation, 2004, 109(2): 2651-2654.
3. 中华医学会心血管病分会, 2007慢性稳定性心绞痛诊断与治疗指南, 中华心血管病杂志, 2007, 35(3): 195-06.
4. 中华医学会心血管病分会, 2007中国不稳定性心绞痛和非ST段抬高型心肌梗死诊断与治疗指南, 中华心血管病杂志, 2007, 35(4): 295-304.
5. 中华医学会心血管病分会, 急性ST段抬高型心肌梗死诊断与治疗指南, 中华心血管病杂志, 2010, 38(8): 675-690.
6. Ware JE Jr, Snow KK, Kosinski M, et al. SF-36 health survey manual and interpretation guide. Boston: New England Medical Center and Health Institute, 1993: 1-12.
7. 李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2): 109-113.
8. Kongstvedt PR. Essentials of managed health care. Gatihersburg Maryland: Aspen publishers, Inc, 1997, 3-16.
9. Research Committee, Occupational &environmental Health Foundation, Establishing a research agenda in health and productivity. J Occup Environ Med, 2004, 46(6): 518-520.
10. McAlearney AS. Population health management: strategies for health improvement. Health Administration Press, 2002.
11. Watson K. Managing cardio metabolic risks: an evolving approach to patient care critical pathways in cardiology. EBM, 2007, 6(1): 5-14.
12. Bartecchi C, Alsever RN, Nevin-woods C, et al. Reduction in the incidence of acute myocardial infarction associated with a citywide smoking ordinance. Circulation, 2006, 114: 1490-1496.
13. Gill R, Hugo CW, Lucy M, et al. Healthy Heart-A community-based primary prevention programme to reduce coronary heart disease. BMC Cardio Dis, 2008, 8: 18.
14. 黄茂盛, 洪震, 王文志, 等. 社区人群干预前后冠心病事件发病率和死亡率的变化. 中华老年心脑血管病杂志, 2002, 10(5): 4-5.

Chinese Journal of Evidence-Based Medicine

Effects of Normalization Management on Prognosis in Elderly Patients with Coronary Artery Disease

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