Clopidogrel use and early outcomes among older patients receiving a drug-eluting coronary artery stent.

ABSTRACT:

Background

Clopidogrel use after drug-eluting stent (DES) coronary artery implantation is essential for the prevention of early in-stent thrombosis, but clopidogrel use among older DES recipients has not been widely studied. We sought to identify characteristics associated with failure to fill a clopidogrel prescription and to examine the relationship between a clopidogrel prescription fill and hospitalization for acute myocardial infarction (AMI) or death.

Methods and results

This study was a retrospective analysis of administrative data (20% sample) of 15 996 Medicare Part D enrollees who received a DES in 2006 to 2007. We modeled the adjusted probability and odds of clopidogrel prescription fill within 7 and 90 days of discharge and its association with AMI hospitalizatio

SUBMITTER: Roth GA 

PROVIDER: S-EPMC3261311 | biostudies-literature | 2012 Jan

REPOSITORIES: biostudies-literature