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Disparate statin prescribing following hospital discharge for stroke or transient ischemic attack: Findings from COMPASS.

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Title: Disparate statin prescribing following hospital discharge for stroke or transient ischemic attack: Findings from COMPASS.
Authors: Cummings, Doyle M., Jones, Sara, Bushnell, Cheryl, Halladay, Jacqueline, Hart, Stephanie, Kinlaw, Alan C., Psioda, Matt, Wen, Fang, Sissine, Mysha, Duncan, Pamela
Source: Journal of the American Geriatrics Society. Aug2023, Vol. 71 Issue 8, p2476-2484. 9p.
Subjects: Statins (Cardiovascular agents), Stroke, Transient ischemic attack, Transitional care, Age distribution, Rural conditions, Race, Sex distribution, Drug prescribing, Research funding, Descriptive statistics, Physician practice patterns, Medical prescriptions, Residential patterns, Metropolitan areas, White people, Odds ratio, Discharge planning, African Americans
Abstract: Background: Published guidelines recommend high‐intensity statins following an ischemic stroke or transient ischemic attack (TIA). The authors examined the potential for disparate patterns of statin prescribing in a cluster randomized trial of transitional care following acute stroke or TIA. Methods: Medications taken before hospitalization and statins prescribed at discharge among stroke and TIA patients at 27 participating hospitals were examined. Any statin and intensive statin prescribed at discharge were compared by age (<65, 65–75, >75 years), racial category (White vs. Black), sex (male vs. female), and rurality (urban vs. non‐urban) using logistic mixed models. Results: Among 3211 patients (mean age 67 years; 47% female; 29% Black), 90% and 55%, respectively, were prescribed any statin or intensive statin therapy at discharge. White (vs. Black) patients (0.71, 0.51–0.98) less commonly received any statin prescription, while stroke (vs. TIA) patients (1.90, 1.38–2.62) and those residing in urban areas (1.66, 1.07–2.55) more commonly received any statin prescription. Among those prescribed a statin, only 42% of White and 51% of Black patients >75 years. were prescribed an intensive statin; the OR for intensive statin prescribing was 0.44 for patients >75 years and was similar in a subgroup not on a statin previously. Conclusion/Relevance: Following stroke or TIA, statin prescribing remains lower in White patients, in those with TIA, and in those in non‐urban areas. Intensive statin prescribing remains limited, particularly in patients >75 years. These data may inform efforts to improve guideline concordant prescribing for post‐stroke patients. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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  Data: Disparate statin prescribing following hospital discharge for stroke or transient ischemic attack: Findings from COMPASS.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cummings%2C+Doyle+M%2E%22&quot;&gt;Cummings, Doyle M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jones%2C+Sara%22&quot;&gt;Jones, Sara&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bushnell%2C+Cheryl%22&quot;&gt;Bushnell, Cheryl&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Halladay%2C+Jacqueline%22&quot;&gt;Halladay, Jacqueline&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hart%2C+Stephanie%22&quot;&gt;Hart, Stephanie&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kinlaw%2C+Alan+C%2E%22&quot;&gt;Kinlaw, Alan C.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Psioda%2C+Matt%22&quot;&gt;Psioda, Matt&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wen%2C+Fang%22&quot;&gt;Wen, Fang&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sissine%2C+Mysha%22&quot;&gt;Sissine, Mysha&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Duncan%2C+Pamela%22&quot;&gt;Duncan, Pamela&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+the+American+Geriatrics+Society%22&quot;&gt;Journal of the American Geriatrics Society&lt;/searchLink&gt;. Aug2023, Vol. 71 Issue 8, p2476-2484. 9p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Statins+%28Cardiovascular+agents%29%22&quot;&gt;Statins (Cardiovascular agents)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Stroke%22&quot;&gt;Stroke&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Transient+ischemic+attack%22&quot;&gt;Transient ischemic attack&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Transitional+care%22&quot;&gt;Transitional care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Age+distribution%22&quot;&gt;Age distribution&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Rural+conditions%22&quot;&gt;Rural conditions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Race%22&quot;&gt;Race&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sex+distribution%22&quot;&gt;Sex distribution&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Drug+prescribing%22&quot;&gt;Drug prescribing&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Physician+practice+patterns%22&quot;&gt;Physician practice patterns&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+prescriptions%22&quot;&gt;Medical prescriptions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Residential+patterns%22&quot;&gt;Residential patterns&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Metropolitan+areas%22&quot;&gt;Metropolitan areas&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22White+people%22&quot;&gt;White people&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Odds+ratio%22&quot;&gt;Odds ratio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Discharge+planning%22&quot;&gt;Discharge planning&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22African+Americans%22&quot;&gt;African Americans&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Published guidelines recommend high‐intensity statins following an ischemic stroke or transient ischemic attack (TIA). The authors examined the potential for disparate patterns of statin prescribing in a cluster randomized trial of transitional care following acute stroke or TIA. Methods: Medications taken before hospitalization and statins prescribed at discharge among stroke and TIA patients at 27 participating hospitals were examined. Any statin and intensive statin prescribed at discharge were compared by age (&lt;65, 65–75, &gt;75 years), racial category (White vs. Black), sex (male vs. female), and rurality (urban vs. non‐urban) using logistic mixed models. Results: Among 3211 patients (mean age 67 years; 47% female; 29% Black), 90% and 55%, respectively, were prescribed any statin or intensive statin therapy at discharge. White (vs. Black) patients (0.71, 0.51–0.98) less commonly received any statin prescription, while stroke (vs. TIA) patients (1.90, 1.38–2.62) and those residing in urban areas (1.66, 1.07–2.55) more commonly received any statin prescription. Among those prescribed a statin, only 42% of White and 51% of Black patients &gt;75 years. were prescribed an intensive statin; the OR for intensive statin prescribing was 0.44 for patients &gt;75 years and was similar in a subgroup not on a statin previously. Conclusion/Relevance: Following stroke or TIA, statin prescribing remains lower in White patients, in those with TIA, and in those in non‐urban areas. Intensive statin prescribing remains limited, particularly in patients &gt;75 years. These data may inform efforts to improve guideline concordant prescribing for post‐stroke patients. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jgs.18318
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 2476
    Subjects:
      – SubjectFull: Statins (Cardiovascular agents)
        Type: general
      – SubjectFull: Stroke
        Type: general
      – SubjectFull: Transient ischemic attack
        Type: general
      – SubjectFull: Transitional care
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Drug prescribing
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Physician practice patterns
        Type: general
      – SubjectFull: Medical prescriptions
        Type: general
      – SubjectFull: Residential patterns
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Discharge planning
        Type: general
      – SubjectFull: African Americans
        Type: general
    Titles:
      – TitleFull: Disparate statin prescribing following hospital discharge for stroke or transient ischemic attack: Findings from COMPASS.
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            – D: 01
              M: 08
              Text: Aug2023
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              Y: 2023
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