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Patients with HIV and coronary disease: are we meeting national guidelines?

Patients with HIV and coronary disease: are we meeting national guidelines? Cardiovascular disease (CVD) has a higher incidence in patients with HIV infection. This study sought to determine whether HIV-infected patients with established CVD were being managed according to national guidelines. Data were collected from Australian general practitioners for 77 HIV-infected patients with a median age of 59 (range 5464). There was good adherence to guidelines with regards to anti-platelet (84% n=65 95% confidence interval (CI) 7492%) and statin therapy (97% n=75 95% CI 91100%), despite a failure to meet cholesterol targets, with only 31% (n=24 95% CI 2142%) of the cohort meeting low-density lipoprotein target values. Similarly, there was limited adherence to guidelines regarding the prescriptions of medications for those with established hypertension (66% n=51 95% CI 5577%), body mass index targets met (40% n=31 95% CI 2952%), and depression screening (32% n=25 95% CI 2244%). This Australian audit provides insight into adherence to guidelines for individuals with CVD and HIV, suggesting that current screening and management practices for these patients falls short of guidelines, particularly in relation to cholesterol management. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sexual Health CSIRO Publishing

Patients with HIV and coronary disease: are we meeting national guidelines?

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Publisher
CSIRO Publishing
Copyright
Copyright © The Author(s). Published by CSIRO Publishing
ISSN
1448-5028
eISSN
1449-8987
DOI
10.1071/SH17035
Publisher site
See Article on Publisher Site

Abstract

Cardiovascular disease (CVD) has a higher incidence in patients with HIV infection. This study sought to determine whether HIV-infected patients with established CVD were being managed according to national guidelines. Data were collected from Australian general practitioners for 77 HIV-infected patients with a median age of 59 (range 5464). There was good adherence to guidelines with regards to anti-platelet (84% n=65 95% confidence interval (CI) 7492%) and statin therapy (97% n=75 95% CI 91100%), despite a failure to meet cholesterol targets, with only 31% (n=24 95% CI 2142%) of the cohort meeting low-density lipoprotein target values. Similarly, there was limited adherence to guidelines regarding the prescriptions of medications for those with established hypertension (66% n=51 95% CI 5577%), body mass index targets met (40% n=31 95% CI 2952%), and depression screening (32% n=25 95% CI 2244%). This Australian audit provides insight into adherence to guidelines for individuals with CVD and HIV, suggesting that current screening and management practices for these patients falls short of guidelines, particularly in relation to cholesterol management.

Journal

Sexual Health – CSIRO Publishing

Published: Jul 20, 2017

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