Anne Lambert?Kerzner|Eric J. Del Giacco|Ibrahim E. Fahdi|Chris L. Bryson|S. Dee Melnyk|Hayden B. Bosworth|Ryan Davis|Howard Mun|Jennifer Weaver|Casey Barnett|Tiffany A. Radcliff|Amanda Hubbard|Kevin D. Bosket|Evan Carey|Allison Virchow|Renee Mihalko-Corbitt|Amy Kaufman|Kathy Marchant?Miros|P. Michael Ho
Patient-Centered Adherence Intervention After Acute Coronary Syndrome Hospitalization
Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center|Denver VA Medical Center|Durham VA Medical Center
background adherence cardioprotective medications year acute coronary syndrome hospitalization generally poor associated increased risk rehospitalization mortality interventions specifically targeted highrisk patient population improve medication adherence hypothesize multifaceted patientcentered intervention could improve adherence cardioprotective medications methods results evaluate intervention propose enrolling 280 patients recent acute coronary syndrome event multicenter randomized controlled trial intervention comprises4 main components 1 pharmacistled medication reconciliation tailoring 2 patient education 3 collaborative care pharmacist primary care providercardiologist 4 2 types voice messaging educational medication refill reminder calls patients intervention arm visit study pharmacist 1 week posthospital discharge pharmacist work patient collaborate providers reconcile medication issues voice messages augment educational process remind patients refill cardioprotective medications study compare intervention versus usual care 12 months primary outcome interest adherence using recomp method secondary tertiary outcomes include achievement targets blood pressure lowdensity lipoprotein reduction combined cardiovascular end points myocardial infarction hospitalization coronary revascularization allcause mortality finally also evaluate costeffectiveness intervention compared usual care conclusions intervention effective improving medication adherence demonstrating lower cost intervention potential improve cardiovascular outcomes highrisk patient population