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Cross-Sectional Study Shows Rising PPI Use in Chinese ACS and AF Patients at Discharge

Cross-Sectional Study Shows Rising PPI Use in Chinese ACS and AF Patients at Discharge
Photo by Dmytro Vynohradov / Unsplash
Key Takeaway
Note increasing PPI prescription rates in Chinese ACS and AF patients, though safety and outcomes are not reported.

This cross-sectional study analyzed prescription patterns among 531 Chinese patients diagnosed with acute coronary syndrome and atrial fibrillation. The research was conducted at the Cardiovascular Center of Beijing Tongren Hospital. The primary objective was to evaluate trends and influencing factors regarding proton pump inhibitor administration at discharge. No specific follow-up duration was reported for this observational analysis. Results spanned 2010 to 2018.

The study compared patients receiving proton pump inhibitor administration at discharge against a non-PPI group. Results indicated an increasing trend in PPI administration rates over time. Specifically, the rate rose from 21.3% during the 2010–2012 period to 63.5% during the 2016–2018 period. Overall, 47.8% of the cohort, representing 254 out of 531 patients, received a proton pump inhibitor. The p-value associated with the trend is listed as p in the source data. Prescribing behavior shifted significantly during the study period.

Safety data were not reported in this analysis. Adverse events, serious adverse events, discontinuations, and tolerability information were not reported. The study limitations were not explicitly detailed in the provided input. As a cross-sectional design, this evidence describes associations rather than causal relationships between PPI use and clinical outcomes. Practice relevance is limited by the lack of outcome data beyond prescription patterns. Clinicians should interpret these findings as descriptive trends within a specific hospital setting rather than generalizable guidelines. Generalizability is restricted to this single center.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundThe real-world status of proton pump inhibitor (PPI) administration in patients with acute coronary syndrome (ACS) and atrial fibrillation (AF) remains largely unknown.ObjectivesThis study aimed to analyze the prescription pattern, trends and influencing factors of PPIs among Chinese patients with ACS and AF at discharge.MethodsThis single-center, retrospective, cross-sectional study included patients with ACS and AF who were hospitalized at the Cardiovascular Center of Beijing Tongren Hospital from January 2010 to December 2018. All patients were subsequently categorized into two groups based on PPI administration at discharge (i.e., the PPI and non-PPI group), after which factors influencing PPI use were analyzed.ResultsThis study included 531 patients diagnosed with ACS and AF, with a median age of 73 years, 61.4% of these patients were male. Among them, 254 patients (47.8%) were administered PPIs. A significant increasing trend in PPI administration was observed from 21.3% (2010–2012) to 63.5% (2016–2018) (p 
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