Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil
Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention...
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| Published in | Preventive medicine reports Vol. 29; p. 101973 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.10.2022
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2211-3355 2211-3355 |
| DOI | 10.1016/j.pmedr.2022.101973 |
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| Abstract | Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity. |
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| AbstractList | Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity. AbstractAdherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by the SUS and PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, of which three and one assisted PHCS and SUS users, respectively. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1% from the SUS and 55.9% from the PHCS. PHCS users showed a greater adherence to pharmacotherapy at both 30 and 180 (p=0.001) days after ACS with better results in all classes of medications (p<0.05) than did SUS users. They also showed better adherence to physical activity (p=0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity. Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity.Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity. |
| ArticleNumber | 101973 |
| Author | Silva, Danielle Góes da de Souza, Márcia Ferreira Cândido Abreu, Victoria Vieira Aidar, Felipe J. Sousa, Antônio Carlos Sobral Almeida-Santos, Marcos Antonio Silva, José Rodrigo Santos Baumworcel, Leonardo Almeida, Rebeca Rocha de Costa, Jamille Oliveira Oliveira, Joselina Luzia Meneses Oliveira, Victor Batista Pereira, Larissa Monteiro Costa de Andrade, Fabrício Anjos Voci, Silvia Maria de Carvalho Costa, Ingrid Maria Novais Barros Góes Jorge, Juliana de Alves, Luciana Vieira Sousa Oliveira, Larissa Marina Santana Mendonça de Martins, Larissa Santos |
| Author_xml | – sequence: 1 givenname: Ingrid Maria Novais Barros surname: de Carvalho Costa fullname: de Carvalho Costa, Ingrid Maria Novais Barros organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 2 givenname: Danielle Góes da surname: Silva fullname: Silva, Danielle Góes da organization: Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 3 givenname: Joselina Luzia Meneses surname: Oliveira fullname: Oliveira, Joselina Luzia Meneses organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 4 givenname: José Rodrigo Santos surname: Silva fullname: Silva, José Rodrigo Santos organization: Department of Statistics and Actuarial Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 5 givenname: Larissa Monteiro Costa surname: Pereira fullname: Pereira, Larissa Monteiro Costa organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 6 givenname: Luciana Vieira Sousa surname: Alves fullname: Alves, Luciana Vieira Sousa organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 7 givenname: Fabrício Anjos surname: de Andrade fullname: de Andrade, Fabrício Anjos organization: Primavera Hospital, Aracaju, Sergipe, Brazil – sequence: 8 givenname: Juliana de surname: Góes Jorge fullname: Góes Jorge, Juliana de organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 9 givenname: Larissa Marina Santana Mendonça de surname: Oliveira fullname: Oliveira, Larissa Marina Santana Mendonça de organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 10 givenname: Rebeca Rocha de surname: Almeida fullname: Almeida, Rebeca Rocha de email: rebeca_nut@hotmail.com organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 11 givenname: Victor Batista surname: Oliveira fullname: Oliveira, Victor Batista organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 12 givenname: Larissa Santos surname: Martins fullname: Martins, Larissa Santos organization: Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 13 givenname: Jamille Oliveira surname: Costa fullname: Costa, Jamille Oliveira organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 14 givenname: Márcia Ferreira Cândido surname: de Souza fullname: de Souza, Márcia Ferreira Cândido organization: Division of nutrition, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, Brazil – sequence: 15 givenname: Silvia Maria surname: Voci fullname: Voci, Silvia Maria organization: Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 16 givenname: Marcos Antonio surname: Almeida-Santos fullname: Almeida-Santos, Marcos Antonio organization: São Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil – sequence: 17 givenname: Victoria Vieira surname: Abreu fullname: Abreu, Victoria Vieira organization: Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil – sequence: 18 givenname: Felipe J. surname: Aidar fullname: Aidar, Felipe J. organization: Group of Studies and Research in Performance, Sport, Health and Paralympic Sports – GEPEPS, Federal University of Sergipe (UFS), São Cristóvão, Sergipe, Brazil – sequence: 19 givenname: Leonardo surname: Baumworcel fullname: Baumworcel, Leonardo organization: São Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil – sequence: 20 givenname: Antônio Carlos Sobral surname: Sousa fullname: Sousa, Antônio Carlos Sobral organization: Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil |
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| Snippet | Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified... AbstractAdherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian... |
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| StartPage | 101973 |
| SubjectTerms | Cardiovascular Exercise Global health Healthcare quality Internal Medicine Recurrence Regular |
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| Title | Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S2211335522002807 https://www.clinicalkey.es/playcontent/1-s2.0-S2211335522002807 https://dx.doi.org/10.1016/j.pmedr.2022.101973 https://www.ncbi.nlm.nih.gov/pubmed/36161134 https://www.proquest.com/docview/2718635043 https://pubmed.ncbi.nlm.nih.gov/PMC9502285 https://doaj.org/article/73b07cc8c026402fb6848a2f013a8eba |
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