Self-reported use of complementary and alternative medicine in patients with previous acute coronary syndrome
Self-reported use of complementary and alternative medicine in patients with previous acute coronary syndrome
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DOI：
10.1016/j.amjcard.2006.11.041
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发表时间：
2007-04-01
影响因子：
2.8
通讯作者：
Spertus, John A.
中科院分区：
文献类型：
--
作者：
Decker, Carole;Huddleston, Jason;Spertus, John A.
补充和替代医学（CAM）的使用在心血管疾病患者中很常见。尽管许多努力试图了解CAM类型和CAM的患病率，但患者是否优先使用CAM而不是循证治疗尚不清楚。自2001年3月1日至2002年10月31日，在一项前瞻性登记研究中，对急性冠脉综合征住院患者自我报告的CAM和循证治疗的使用情况进行了检查。在596例确诊为冠心病（CAD）的患者中，采用Poisson回归模型评估CAM的使用是否与阿司匹林、β受体阻滞剂和他汀类药物的使用率降低独立相关。总体而言，CAD患者中CAM的使用率为19%。使用CAM的患者中，非白种人（31%比12%）、无保险（12%比7%）、经济负担（58%比29%）和抑郁症（13%比6%，p
Complementary and alternative medicine (CAM) use is common in patients with cardiovascular disease. Although numerous efforts have sought to understand CAM types and the prevalence of CAM, whether patients preferentially use CAM instead of evidence-based therapies is unknown. Self-reported use of CAM and evidence-based therapies in a prospective registry of hospitalized patients with acute coronary syndrome from March 1, 2001 to October 31, 2002 were examined. Poisson regression models were used to assess whether CAM use was independently associated with lower rates of aspirin, beta-blocker, and statin use in 596 patients with established coronary artery disease (CAD). Overall, CAM use was 19% in patients with CAD. Higher proportions of patients who used CAM were non-Caucasian (31% vs 12%), uninsured (12% vs 7%), economically burdened (58% vs 29%), and had depression (13% vs 6%, p