P Stather N Dattani D Sidloff On Behalf of VERN Background Abdominal Aortic Aneurysm AAA increases cardiovascular CV risk NAAASP recommends BP and lipid control ESVS recommends antiplatelet ID: 485772
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A Multicentre Audit of Best Medical Therapy for Aneurysm Surveillance Patients
P Stather, N Dattani, D SidloffOn Behalf of VERNSlide2
Background
Abdominal Aortic Aneurysm (AAA) increases cardiovascular (CV) riskNAAASP recommends BP and lipid control
ESVS recommends antiplatelet
Screening provides an opportunity to optimise best medical therapy
AIM: To determine the proportion of patients with small AAA receiving best medical therapy (BMT)Slide3
Methods
Multicentre auditPromoted through VERNRetrospective reviewPatients undergoing AAA surveillanceAortic diameter >
3cm
Data collected
Age
Medications
Smoking status
Documented advice
BMT definition
On antiplatelet
On statin (or alt)
Not smokingSlide4
Results
986 patientsMedian age 75.6 years25.7% not on antiplatelet22.8% not on statin25.1% current smokersOverall, only 51.3% of patients were non-smokers on antiplatelet and statin therapySlide5
ResultsSubgroup analysis for patients
not on BMT79.1% offered advice to start antiplatelet agent75.3% offered advice to start statin62.7% offered smoking cessation adviceIn total, regarding BMT advice 67.3% of patients were given full advice10.8% were given partial advice
21.9% were given no adviceSlide6
ConclusionsNearly 50% of AAA surveillance patients not on BMT
Significant number additionally not offered proper adviceRecommendationsClearer instructions from NAAASP to General Practitioners regarding instigation of BMTFor patients not on BMT, local hospital guidelines to start BMT