Changes in Statin Prescription Patterns in Patients Admitted to an Australian Geriatric Subacute Unit
| Autor: | C. Goh, William Chan, Sheri Abramovic, Edward D Janus, C. Long, Christopher Neil, O. Al-mukhtar, Samer Noaman, Hanin Mohammed, Nicholas Cox |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Decision Making Population 030204 cardiovascular system & hematology Drug Prescriptions 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Medical prescription education Geriatric Assessment Retrospective Studies Aged 80 and over education.field_of_study Mini–Mental State Examination medicine.diagnostic_test business.industry Medical record Australia Retrospective cohort study medicine.disease Comorbidity Functional Independence Measure Discontinuation Hospitalization Primary Prevention Cardiovascular Diseases Emergency medicine Female Hydroxymethylglutaryl-CoA Reductase Inhibitors Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Heart, Lung and Circulation. 28:423-429 |
| ISSN: | 1443-9506 |
| Popis: | Background Assessment of demographic and clinical factors influencing the decision of statin discontinuation in the elderly population admitted to subacute geriatric unit. The aim of this study is to assess the clinical factors impacting the decision-making process of statin discontinuation in the elderly. Methods We retrospectively assessed changes in statin discontinuation and prescription among patients (≥60 years old) discharged from a geriatric evaluation and management unit by reviewing hospital digital medical records at Western Health – The Williamstown Hospital over a 12-month period from 4 February 2012 until 4 February 2013 inclusive. The main outcome of the study was to determine the independent predictors of statin discontinuation using logistic regression analysis. Results Of the studied population, 46% were already prescribed statins prior to their admission. Statins were discontinued in 17.5% of patients at discharge. Predictors of statin de-prescription included octogenarian status, primary prevention indication, poor functional recovery, residential care facility discharge destination and lower cognitive function. The presence of previous cardiovascular disease history and the burden of comorbidities were not predictors of statin discontinuation. Conclusions We observed that factors that conveyed poor prognosis such as advanced age, poor functional recovery, worse cognitive function, being discharged to a residential care facility as well as primary prevention indication for statin prescription are predictors of statin discontinuation in the geriatric unit. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect