Assessment of Vascular Disease Prevention Practices in Urban Women

Seemant Chaturvedi, David Pieper, Diane L. Levine, Neeli Thati, Ramesh Madhavan, Maribeth Mateo, Lavoisier Cardozo, Mary Beth Lepczyk

Research output: Contribution to journalArticle

Abstract

Background: Women suffer higher rates of death due to stroke compared to men. In addition, previous studies suggest that women are treated less aggressively for vascular risk factors compared to men. We assessed the quality of primary and secondary vascular prevention at multiple primary care sites within a single region. Methods: Women more than age of 40 years were eligible for the study. Data from the electronic medical record at multiple primary care locations (internal medicine, family medicine, and geriatrics) were analyzed to assess quality of vascular preventative care. Specific attention was devoted to use of antithrombotic agents, statins, and estrogen. Results: 1,815 women with a mean age of 61 years were reviewed. Seventy-five percent were African American. Patients in the urban practices had higher rates of vascular risk factors and existing vascular disease (heart disease or stroke) compared to the suburban locations. Seventy-one percent of patients with diabetes were receiving statins. For patients with previous stroke/transient ischemic attack (TIA), the use of antiplatelet agents or statins was <70%. Patients >70 years were more likely to receive antiplatelet agents (51% vs. 30%, p < 0.0001) and statins (p < 0.001). Conclusions: Urban women have higher rates of vascular risk factors and overt vascular disease compared to suburban women. The use of proven secondary prevention medications for patients with prior stroke/TIA was suboptimal. Both primary and secondary prevention should be intensified for urban women.

Original languageEnglish (US)
Pages (from-to)806-809
Number of pages4
JournalJournal of Women's Health
Volume25
Issue number8
DOIs
StatePublished - Aug 1 2016

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Vascular Diseases
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Secondary Prevention
Stroke
Platelet Aggregation Inhibitors
Transient Ischemic Attack
Blood Vessels
Primary Health Care
Preventive Medicine
Fibrinolytic Agents
Electronic Health Records
Primary Prevention
Internal Medicine
Geriatrics
African Americans
Heart Diseases
Estrogens
Medicine
Mortality
vascular factor

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chaturvedi, S., Pieper, D., Levine, D. L., Thati, N., Madhavan, R., Mateo, M., ... Lepczyk, M. B. (2016). Assessment of Vascular Disease Prevention Practices in Urban Women. Journal of Women's Health, 25(8), 806-809. https://doi.org/10.1089/jwh.2015.5598

Assessment of Vascular Disease Prevention Practices in Urban Women. / Chaturvedi, Seemant; Pieper, David; Levine, Diane L.; Thati, Neeli; Madhavan, Ramesh; Mateo, Maribeth; Cardozo, Lavoisier; Lepczyk, Mary Beth.

In: Journal of Women's Health, Vol. 25, No. 8, 01.08.2016, p. 806-809.

Research output: Contribution to journalArticle

Chaturvedi, S, Pieper, D, Levine, DL, Thati, N, Madhavan, R, Mateo, M, Cardozo, L & Lepczyk, MB 2016, 'Assessment of Vascular Disease Prevention Practices in Urban Women', Journal of Women's Health, vol. 25, no. 8, pp. 806-809. https://doi.org/10.1089/jwh.2015.5598
Chaturvedi, Seemant ; Pieper, David ; Levine, Diane L. ; Thati, Neeli ; Madhavan, Ramesh ; Mateo, Maribeth ; Cardozo, Lavoisier ; Lepczyk, Mary Beth. / Assessment of Vascular Disease Prevention Practices in Urban Women. In: Journal of Women's Health. 2016 ; Vol. 25, No. 8. pp. 806-809.
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