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    Predictors of health care use among patients with or at high risk of atherothrombotic disease: Two-year follow-up data

    Access Status
    Fulltext not available
    Authors
    Ademi, Z.
    Liew, D.
    Gorelik, A.
    Bohensky, M.
    Zomer, E.
    Hollingsworth, B.
    Steg, G.
    Bhatt, D.
    Reid, Christopher
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Ademi, Z. and Liew, D. and Gorelik, A. and Bohensky, M. and Zomer, E. and Hollingsworth, B. and Steg, G. et al. 2014. Predictors of health care use among patients with or at high risk of atherothrombotic disease: Two-year follow-up data. International Journal of Cardiology. 175 (1): pp. 72-77.
    Source Title
    International Journal of Cardiology
    DOI
    10.1016/j.ijcard.2014.04.230
    ISSN
    0167-5273
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/28105
    Collection
    • Curtin Research Publications
    Abstract

    Background Atherothrombotic diseases are the leading health problems in the world, both in terms of morbidity and mortality. This study aimed to identify and quantify the predictors of medication, hospital and outpatient service use among patients with or at high risk of atherothrombotic disease. Methods Two-year follow-up data were analyzed for 2873 Australian participants of the Reduction of Atherothrombosis for Continued Health (REACH) registry. The analysis was performed using generalized linear models with Poisson and Gamma distributions and log link function. Results Participants with hypercholesterolemia, diabetes, hypertension, atrial fibrillation (AF), and history of coronary artery disease (CAD) used more medications (p < 0.0001). The presence of diabetes predicted higher number of outpatient visits (RR = 1.09, 95% CI: 1.07-1.11), as did AF (RR = 1.10, 95% CI: 1.08-1.12). The presence of peripheral artery disease (PAD) regardless of ankle brachial index (ABI) status (abnormal or normal) increased the use of outpatient visits (RR = 1.24, 95% CI: 1.20-1.29 and RR = 1.12, 95% CI: 1.08-1.15), compared to those without PAD. Similarly, the presence of PAD regardless of ABI status increased the risk of vascular interventions, including coronary angioplasty, carotid surgery, amputation affecting lower-limb and peripheral bypass graft (RR = 3.64, 95% CI: 2.01-6.60) (RR = 2.8, 95% CI: 1.6-4.92) compared to patients without PAD. Conclusions The presence of PAD regardless of ABI status predicts a higher number of outpatient visits, non-fatal cardiovascular endpoints and vascular-interventions, while diabetes predicts higher pharmaceutical use and outpatient visits. AF predicts the higher number of outpatient visits and non-fatal cardiovascular events. © 2014 Elsevier Ireland Ltd.

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