Aspirin is associated with lower risks of severe covid-19 disease: a population-based study

Abstract: Abstracts 210 Emmanouela Kampouraki. 10.1136/heartjnl-2023-BCS.210 Introduction It is estimated that statin non-adherence reaches 50% in patients with hyperlipidaemia. Factors related to the healthcare system, among others, play an important role in statin non-adherence. We designed and tested a modified version of the MYMEDS© tool (1), called The My Experience of Taking Statin Medicines (mySTATINmed) online questionnaire, which examined the presence of modifiable barriers to adherence to support patients on statins. The impact of consultation experience with healthcare professionals on the display of potential or actual barriers to adherence was extracted from the questionnaire. Methods The mySTATINmed questionnaire explored patient perspectives on the main modifiable factors that are likely to be associated with statin non-adherence, including the consultation experience with healthcare professionals and the level of information received during consultations. Information included the mechanism of action of statins, their expected benefit, treatment duration, expected side effects, management of side effects and lifestyle changes needed. The quality of consultation experience and the level of information received during consultation were analysed in relation to the display of potential or actual barriers to adherence. Chi-squared test was used to compare the frequencies. Results The mySTATINmed questionnaire was responded by 466 patients [59% males; age mean±SD (range): 65±11 (2186) years] across 29 GP Practices in Leeds. Based on responses in four questionnaire domains (shown in Table 1), the level of display of potential or actual barriers to adherence was scored. Based on this score, patients were then dichotomised between adherent (54%) and non-adherent (46%). Overall, the mySTATINmed detected that 46% of participants displayed some level of actual or potential barriers to statin adherence based on their responses. A greater proportion of patients in the adherent versus the non-adherent group rated their consultation experience highly (72% v 57% respectively; p<0.001) and reported having received enough Abstract 210 Table 1 Core mySTATINmed domains which were included in the display of potential or actual barriers to adherence score. Comparison of adherent/non-adherent scores per domain Questionnaire domain and Non-adherent Adherent p-value (chi-sq score (%) (%) test) <0.001 information during consultations (56% v 43% respectively; p=0.003). The type and level of information shared during consultations and the quality of consultation positively correlated with adherence (Table 1). Conclusions The mySTATINmed is a simple tool which identified the level of display of potential or actual barriers to statin adherence, which in turn can inform a better structured, personalised statin consultation. A good consultation experience is associated with better statin adherence. Conflict of Interest None 211 ASPIRIN IS ASSOCIATED WITH LOWER RISKS OF SEVERE COVID-19 DISEASE: A POPULATION-BASED STUDY 1 Gary Tse, 2Qingpeng Zhang, 3Abraham Wai, 4Emma King, 5Keith Leung, 6Sharen Lee, Carlin Chang, 3Ian Wong, 3Bernard Cheung, 8Jiandong Zhou, 9Tong Liu, 3Hok Him Pui. 1 Hong Kong Metropolitan University; 2City University of Hong Kong; 3The University of Hong Kong; 4Cardiovascular Analytics Group; 5Aston University / The University of Hong Kong; 6Chinese University of Hong Kong; 7Queen Mary Hospital; 8University of Oxford; 9 Second..