The Appropriateness of Aspirin Use for Primary Prevention of Atherosclerotic Disease: A Subgroup Analysis of the ASSOS Study

Öz

Aspirin is one of the most commonly used drugs to prevent cardiovascular diseases in our country. However, whether aspirin is used in primary prevention within the appropriate indication has not been adequately studied. The aim of this study is to investigate prescription distribution and appropriate use of aspirin in primary prevention according to international guidelines. The Appropriateness of Aspirin Use in Medical Outpatients: A Multicenter, Observational Study is from all regions of Turkey and provided data from 14 different cities in 30 different cardiology clinics. It has been designed as a multicenter, cross-sectional study. Patients over the age of 18, who applied to the cardiology outpatient clinic, and who regularly use low-dose aspirin (75-100 mg) in the last 30 days for any reason, were included in the study. Patients, who use aspirin for secondary prevention, were excluded for this analysis and the appropriateness of aspirin use was evaluated according to the 2016 European Society of Cardiology (ESC) and 2019 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. Inappropriate aspirin use for primary prevention was detected in 100% of patients according to the 2016 ESC guidelines and in 89% of patients according to the 2019 ACC/AHA guidelines. In our country, inappropriate aspirin use is common in primary prevention according to the ESC guidelines and ACC/AHA guidelines.

Anahtar Kelimeler

• Aspirin
• Compliance with the Guidelines
• Primary Prevention

Aterosklerotik Hastalığın Primer Korumasında Aspirin Kullanımının Uygunluğu: ASSOS Çalışmasının Altgrup Analizi

Öz

Ülkemizde aspirin kardiyovasküler hastalıklardan korunma amacıyla en çok kullanılan ilaçlardan biridir. Ancak aspirinin primer korumada uygun endikasyon dahilinde kullanılıp kullanılmadığı yeterince araştırılmamıştır. Bu çalışmanın amacı, primer korumada aspirinin reçete dağılımını incelemek ve uluslararası kılavuzlara göre uygunluğunu araştırmaktır. The Appropriateness of Aspirin Use in Medical Outpatients: A Multicenter, Observational Study (ASSOS çalışması) Türkiye’nin her bölgesinden ve 14 farklı şehirden 30 farklı kardiyoloji polikliniğinden alınan veriler ile sağlanan çok merkezli kesitsel bir çalışma şeklinde dizayn edilmiştir. Çalışmaya kardiyoloji polikliniğe başvuran 18 yaş üstü, son 30 gün içinde her ne sebeple olursa olsun düzenli olarak düşük doz aspirin (75-100 mg) kullanan hastalar dahil edilmiştir. Çalışmamızda bu hastalardan sekonder koruma nedeniyle aspirin kullananlar çıkarılarak sadece primer koruma amaçlı aspirin kullanananlar değerlendirildi ve sonuçların primer korumada aspirin kullanımının 2016 European Society of Cardiology (ESC) ve 2019 American College of Cardiology/American Heart Association (ACC/AHA) kılavuzlarına göre uygunluk oranı araştırılmıştır. 2016 ESC kılavuzuna göre hastaların %100'ünde, 2019 ACC/AHA kılavuzuna göre ise hastaların %89'unda primer koruma için uygunsuz aspirin kullanımı tespit edildi. Ülkemizde gerek ESC kılavuzuna göre gerekse de ACC/AHA kılavuzuna göre primer korumada uygunsuz aspirin kullanımı sıktır.

Anahtar Kelimeler

• Aspirin
• Kılavuzlara Uygunluk
• Primer Koruma

Kaynakça

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