Poor drug adherence after heart attack puts patients at greater risk of death at one year

doi:10.1136/bmj.39507.688611.DB

BMJ 2008;336:529 (8 March), doi:10.1136/bmj.39507.688611.DB

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Poor drug adherence after heart attack puts patients at greater risk of death at one year

Barbara Kermode-Scott

¹ Toronto

The first 150 words of the full text of this article appear below.

Patients who do not order all the drugs prescribed after dischargefrom hospital after acute myocardial infarction have a greaterrisk of death at one year, a large population based cohort studyin Ontario has shown (Circulation 2008;117:1028-36 doi: 10.1161/CIRCULATIONAHA.107.706820).And only three out of four patients ordered all of the drugsthat they had been prescribed.

Researchers at the Institute for Clinical Evaluative Sciencesin Toronto reported that primary non-compliance, when a patientreceives a first prescription but does not order the drugs,was associated with a greater risk of death at one year aftermyocardial infarction even after adjusting for other known factorsthat may be associated with mortality.

Within 120 days of discharge, patients who had not ordered anyof their drugs had an 80% greater chance of death at one yearthan patients who had ordered all their drugs (odds ratio 1.80,95% confidence . . . [Full text of this article]

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