Publicação
Are COMPASS Candidates Among Internal Medicine Patients? Insights from the Internal Medicine Clinic
| Resumo: | Introduction: We sought to evaluate if internal medicineoutpatients are candidates to COMPASS trial strategy (lowdose rivaroxaban twice a day plus daily acetylsalicylic acid),to detail the inclusion and exclusion criteria of COMPASS trial presented by internal medicine patients and to evaluate the frequency of patients already under the strategy. Methods: Observational, retrospective, and transversalstudy in an internal medicine department of a tertiary university hospital. During a one-month period, we consulted all electronic medical records of internal medicine appointments to assess which patients presented inclusion and exclusion criteria of the COMPASS trial. Results: Of 228 patients, 40 (17.5%) met inclusion criteriafor COMPASS trial. Twelve (30.0%) had coronary artery disease, 21 (52.5%) had peripheral artery disease, and 6 (1.5%) had both. One patient was already on the COMPASS trial strategy. Of those who met inclusion criteria, 70.0% (n = 28) presented at least one exclusion criteria. The most frequent was the use of oral anticoagulation (mostly due to atrial fibrillation), followed by the users of non- acetylsalicylic acid antiplatelet therapy. Conclusion: The number of internal medicine patients who are eligible to benefit from the COMPASS strategy is relevant. Internal medicine physicians must be aware of inclusion and exclusion criteria of this new prevention strategy to promptly apply it in clinical practice. |
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| Autores principais: | Rosado Julião, Sofia |
| Outros Autores: | Rodrigues Lopes, Andreia; Palácios, Diana; Lemos Sargento, Dora; Fonseca, Teresa; Alves, Mariana |
| Assunto: | Aspirina/uso terapêutico Doença Artéria Coronária/tratamento farmacológico Doença Arterial Periférica/ tratamento farmacológico Rivaroxabana/uso terapêutico Aspirin/therapeutic use Coronary Artery Disease/ drug therapy Peripheral Arterial Disease/drug therapy Rivaroxaban/therapeutic use |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Sociedade Portuguesa de Medicina Interna |
| Idioma: | português |
| Origem: | Revista Portuguesa de Medicina Interna |
| Resumo: | Introduction: We sought to evaluate if internal medicineoutpatients are candidates to COMPASS trial strategy (lowdose rivaroxaban twice a day plus daily acetylsalicylic acid),to detail the inclusion and exclusion criteria of COMPASS trial presented by internal medicine patients and to evaluate the frequency of patients already under the strategy. Methods: Observational, retrospective, and transversalstudy in an internal medicine department of a tertiary university hospital. During a one-month period, we consulted all electronic medical records of internal medicine appointments to assess which patients presented inclusion and exclusion criteria of the COMPASS trial. Results: Of 228 patients, 40 (17.5%) met inclusion criteriafor COMPASS trial. Twelve (30.0%) had coronary artery disease, 21 (52.5%) had peripheral artery disease, and 6 (1.5%) had both. One patient was already on the COMPASS trial strategy. Of those who met inclusion criteria, 70.0% (n = 28) presented at least one exclusion criteria. The most frequent was the use of oral anticoagulation (mostly due to atrial fibrillation), followed by the users of non- acetylsalicylic acid antiplatelet therapy. Conclusion: The number of internal medicine patients who are eligible to benefit from the COMPASS strategy is relevant. Internal medicine physicians must be aware of inclusion and exclusion criteria of this new prevention strategy to promptly apply it in clinical practice. |
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