(128) Profile of Statin Usage in Post-Myocardial Infarction Patients in a General Hospital in Banjarmasin During 2016-2020

Publication Number: 802

Background: All cardiovascular specialist associations recommend high-intensity statin for patients with myocardial infarction.

Objectives: This study aimed to determine the profile of statin usage in post-myocardial infarction patients in a general hospital in Banjarmasin during 2016-2020, as a whole and based on age, gender, hypercholesterolemia, and percutaneous coronary intervention (PCI) management.

Methods: This was a descriptive drug utilization study with data sources from medical records of myocardial infarction patients in a general hospital in Banjarmasin during 2016-2020. The profile of statin usage, both for the whole statins and based on statin intensity and patient characteristics, during 2016-2020 was analyzed descriptively and shown in the forms of tables and graphs.

Results: The subjects of this study were 887 patients, with most of the patients were less than 75 years old (94.8%) and males (77.3%). Results showed that the proportion of statin usage in post-myocardial infarction patients during 2016-2020 was 78.2%, with the highest use in 2017 (82.3%) and the lowest in 2016 (73.3%). The intensity of statins used was low and moderate, with an increasing use of moderate-intensity statins was observed with the advancing years. Based on patient characteristics, those aged 18-74 years (78.5%), having prior hypercholesterolemia (100%), and PCI therapy (89.8%) were more likely to receive statin therapy, while gender category did not tend to be associated with differences in statin usage.

Conclusions: It can be concluded that not every post-myocardial infarction patient in a general hospital in Banjarmasin during 2016-2020 received statin therapy, and age category, previous hypercholesterolemia, and previous PCI therapy tended to be associated with the differences in statin usage.