Better prescribing could prevent thousands of strokes

Improving the prescribing of anticoagulants, lipid-lowerers and antihypertensives in primary care could prevent about 12,000 first strokes a year in the UK, a new analysis estimates.

Researchers analysed a primary care database and identified 29,043 adults (median age 74 years) who had experienced their first stroke or transient ischaemic attack (TIA). Of these, 61 per cent had a clinical indication for at least one of the following: anticoagulants, lipid-lowerers and antihypertensives.

At least one of these was not prescribed when clinically indicated in 54 per cent of stroke and TIA patients.

Specifically, 52 per cent were not prescribed anticoagulants when indicated, 49 per cent were not prescribed lipid-lowerers and 25 per cent antihypertensives.

Extrapolating the findings across the UK suggests that 41,405 patients who experience a first stroke were eligible for, but not prescribed, lipid-lowerers, anticoagulants or antihypertensives.

“These findings suggest a number of missed opportunities,” says study author Grace Turner from the University of Birmingham. “Optimal prescribing could prevent an estimated 11,823 first strokes a year.”

PLoS Med doi: 10.1371/journal.pmed.1002169

Latest discussions

  1. Are pharmacists guinea pigs for covid19

    I work in GP dispensery and was a tech, ...

  2. Are pharmacists guinea pigs for covid19

    Looks like we are! Surgeries and dentist...

This website is for healthcare professionals, people who work in pharmacy and pharmacy students. By clicking into any content, you confirm this describes you and that you agree to Pharmacy Magazine's Terms of Use and Privacy Policy.

We use essential, performance, functional and advertising cookies to give you a better web experience. Find out how to manage these cookies here. We also use Interest Based Advertising Cookies to display relevant advertisements on this and other websites based on your viewing behaviour. By clicking "Accept" you agree to the use of these Cookies and our Cookie Policy.