Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Elizabeth Mathew
Citrus Valley Medical Center Intercommunity Hospital, USA
Scientific Tracks Abstracts: J Clin Exp Cardiolog
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 subacute coronary stent thrombosis.
Elizabeth Mathew is an Acute Care Nurse Practitioner with Doctorate in Nursing Practice recently graduated from Brandman University, Irvine California. Elizabeth is migrated to USA in 2006 from India as a Registered Nurse worked in Cardiology and Cardiothoracic Surgery department with Citrus Valley Medical Center Intercommunity Hospital in Covina, California. She also has experience in cardiac Cathlab, EP lab, and actively involved in research in the past. She has been participating in staff development and educational programs in concurrence with education department at the organization and received several honors and recognition for her exceptional work. This project was completed as a part of DNP curriculum affiliated with Citrus Valley Medical Center.
Email:lizmathew80@yahoo.com