Comparative Effectiveness of Angiotensin II Receptor Blockers and Angiotensin-Converting Enzyme Inhibitors in Older Nursing Home Residents After Myocardial Infarction: A Retrospective Cohort Study

Zullo, Andrew R.; Riester, Melissa R.; Erqou, Sebhat; Wu, Wen‐Chih; Rudolph, James L.; Steinman, Michael A.

doi:10.1007/s40266-020-00791-w

Cited by 4 publications

(2 citation statements)

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“…The main reason for the analysis is that the interveners actively build a bridge of full trust with the patients during the crisis intervention, understand the psychological problems of the patients, give targeted interventions, help analyze the problems existing in their rehabilitation process, and set reasonable goals, which eventually will prompt patients to change their traditional wrong ideas, improve their psychological adaptability and tolerance, and actively participate in early postoperative rehabilitation, thus effectively improving their quality of life [Suzuki 2018]. In addition, by instructing patients to record their self-rehabilitation and psychological state changes every day and establishing a WeChat group, they can promote communication among patients, so that they can find problems themselves and solve problems with the help of medical staff and patients, so that they are full of confidence in physical rehabilitation after treatment, and finally effectively improve their hope level [Zullo 2020].…”

Section: Discussionmentioning

confidence: 99%

The Application of Crisis Intervention in Middle-Aged and Young Patients with Acute Myocardial Infarction after PCI

Weng

Gao

Chen

2021

HSF

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Objective: To investigate the effect of crisis intervention in middle-aged and young patients with acute myocardial infarction after percutaneous coronary stent implantation (PCI). Methods: A total of 108 middle-aged and young patients with acute myocardial infarction undergoing PCI were selected from July 2018 to July 2019 in the Department of Cardiology, Hai'an County People's Hospital. They were divided into two groups, according to a random number table, with 54 cases in each group. The control group implemented routine postoperative intervention, and the intervention group implemented postoperative crisis intervention. The changes in the two groups' sense of crisis, mental state, quality of life and hope level before and after the intervention were compared. Results: The emotional, behavioral, and cognitive scores of the intervention group were lower than those of the control group after 4 weeks of intervention (P < .05). The mental state scores of the intervention group were lower than those of the control group (P < .05). Also, the various quality of life scores were higher than those of the control group (P < .05). The intervention group’s hope level scores were higher than the control group (P < .05) after 4 weeks of intervention. Conclusion: The application of crisis intervention to middle-aged and young patients with acute myocardial infarction after PCI can reduce the sense of crisis, improve their mental state and quality of life, and raise the level of hope.

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Section: Discussionmentioning

confidence: 99%

The Application of Crisis Intervention in Middle-Aged and Young Patients with Acute Myocardial Infarction after PCI

Weng

Gao

Chen

2021

HSF

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“…Such programs to optimize medication management are particularly important for SNF residents since polypharmacy is common and an estimated 40% of individuals in SNFs take ≥ 9 medications. [4][5][6][7][8] The types of SNFs each LTC pharmacy chain serves and the clinical services provided to each facility (beyond medication dispensing) are currently unknown. In the absence of data on how SNFs differ by LTC pharmacy provider, including facility characteristics (e.g., SNF size) and quality ratings, researchers and policymakers are limited in their ability to design collaborative interventions or policies that improve medication management in SNFs.…”

Section: Introductionmentioning

confidence: 99%

Differences in Skilled Nursing Facility Characteristics and Quality Ratings by Long-Term Care Pharmacy Provider

Zullo

Riester

Goldberg

et al. 2021

Preprint

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Objectives: Limited data exist on the U.S. long-term care (LTC) pharmacy market and how skilled nursing facilities (SNFs) may differ by LTC pharmacy provider. We estimated the market shares of two major LTC pharmacies (Omnicare and PharMerica) and assessed if SNF characteristics differ by pharmacy. Design: Cross-sectional. Setting and Participants: Seventy-five Rhode Island (RI) SNFs that provided post-acute care (PAC) services in 2019. Methods: SNF location, structure, staffing measures, and quality ratings were ascertained from publicly available data sources. The LTC pharmacy used by each SNF was compiled by case managers at a RI health system. Results: Among 75 SNFs, 32 (43%) were served by Omnicare and 36 (48%) by PharMerica. LASSO logistic regression and random forest models identified 5 key predictors of SNFs selecting PharMerica over Omnicare: number of skilled beds, total number of beds, nursing hours per resident per day, five-star health inspection rating, and average number of residents per day. In a multivariable regression model including 4 predictors (total number of beds excluded due to collinearity), SNFs had a 6% higher prevalence of using Omnicare over PharMerica for every additional 10 skilled beds (Prevalence Ratio 1.06, 95% CI 1.02-1.10). Conclusions and Implications: Omnicare and PharMerica comprised over 90% of the SNF PAC market in RI, with Omnicare covering larger facilities. Understanding if these companies serve a similar proportion of SNFs in other U.S. states is necessary to advance future research initiatives and examine how collaborations between SNFs and LTC pharmacy chains may improve medication management in SNFs.

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ACE Inhibitors: Preferred RAAS Inhibitor in High-Risk Patients as Compared to ARBs

Nandave

2024

Angiotensin-Converting Enzyme Inhibitors vs. Angiotensin Receptor Blockers

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Comparative Effectiveness of Angiotensin II Receptor Blockers and Angiotensin-Converting Enzyme Inhibitors in Older Nursing Home Residents After Myocardial Infarction: A Retrospective Cohort Study

Abstract: Background: Limited evidence exists regarding differences in outcomes between angiotensin II receptor blockers (ARBs) and angiotensin-converting enzyme inhibitors (ACEIs) among older nursing home (NH) residents after acute myocardial infarction (AMI). The purpose of our study

Cited by 4 publications

References 47 publications

The Application of Crisis Intervention in Middle-Aged and Young Patients with Acute Myocardial Infarction after PCI

The Application of Crisis Intervention in Middle-Aged and Young Patients with Acute Myocardial Infarction after PCI

Differences in Skilled Nursing Facility Characteristics and Quality Ratings by Long-Term Care Pharmacy Provider

ACE Inhibitors: Preferred RAAS Inhibitor in High-Risk Patients as Compared to ARBs

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