Elizabeth Mathew
Citrus Valley Medical Center Intercommunity Hospital, USA
Title: Implementation of an anti-platelet medication education process and post-discharge motivational phone calls for post cardiac stent patients
Biography
Biography: Elizabeth Mathew
Abstract
Background: Premature clopidogrel discontinuation is the single most crucial culprit of stent thrombosis (40.8%) with a mortality rate >25%. Dual antiplatelet therapy with aspirin and P2Y12 antagonist are a critical component of treatment following PCI to prevent stent thrombosis and related life-threatening complications. Patients with poor medication adherence to antiplatelet therapy are at high risk for stent thrombosis and recurrent coronary events and often experience the worse outcomes.
Aim: Implement a multidisciplinary teaching and post discharge motivational phone calls to post PCI patients to improve antiplatelet therapy medication adherence and prescription filling behaviors to reduce acute and sub-acute stent thrombosis.
Methods: The team enrolled 34 participants who underwent PCI from June 2017 to October 2017. A multidisciplinary teaching implemented to the participants post PCI by an interdisciplinary team along with motivational phone calls within 24 hours and 30-days post discharge to evaluate medication adherence and prescription filling behaviors.
Results: A paired sample test is used to assess pre and post intervention showed a significant increase in patient’s medication adherence (t=15.14, p=<0.001) and prescription filling behavior (t=-16.82, p=<0.001), no stent thrombosis reported in 30 days, 91.7% of participants filled prescription on time.
Conclusion: A multidisciplinary teaching and follow-up phone calls after discharge in post PCI patients will significantly improve patient’s antiplatelet medication adherence and prescription filling behaviors consequently reduce acute and sub-acute coronary stent thrombosis.