CARDIOVASCULAR SECONDARY PREVENTION BY STATIN IN SOUTHERN FRENCH NURSING HOME
E. Gremeaux, M. Grino, C. Molines, C. Oliver, F. Retornaz
Jour Nursing Home Res 2016;2:1-6
Objectives: To examine the prevalence of blood lipid monitoring and statin use in secondary prevention of residents in southern French nursing homes for dependent elderly people. Design, Setting and Participants: Observational study in 12 southern French nursing homes for dependent old persons with coronary heart disease, ischemic stroke, peripheral artery disease or diabetes. Measurements: Collection from medical charts of blood lipid monitoring, LDL-C levels, statin use and geriatric assessment among 965 residents. Results: 410/965 residents were eligible for secondary prevention of atherosclerotic complications. Blood lipid was measured in 195 residents and lipid-lowering drugs were given to 106 (statin in 101). The rate of statin use was significantly reduced with increasing age and dependence severity. One third of residents under statin were not monitored for blood lipid. Conclusion: Blood lipid monitoring and statin use were subnormal in nursing home residents under secondary prevention. There is a need for prospective studies in this population and precise recommendations taking into account geriatric assessment criteria.
E. Gremeaux ; M. Grino ; C. Molines ; C. Oliver ; F. Retornaz (2016): Cardiovascular secondary prevention by statin in southern French nursing home. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2016.1