Use of heart failure medications in older individuals and associations with cognitive impairment
Abstract Background To achieve the best treatment of heart failure, it is important to use all recommended drugs at their target doses. Given that underuse of medications can occur in individuals with cognitive impairment, we investigated the filled prescriptions and target doses of heart failure me...
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ftdoajarticles:oai:doaj.org/article:d4fbc4ef1213402d8c80ba633c12fd88 2023-10-09T21:54:37+02:00 Use of heart failure medications in older individuals and associations with cognitive impairment Linnea Abramsson Annica Backman Hugo Lövheim David Edvardsson Maria Gustafsson 2023-08-01T00:00:00Z https://doi.org/10.1186/s12877-023-04223-3 https://doaj.org/article/d4fbc4ef1213402d8c80ba633c12fd88 EN eng BMC https://doi.org/10.1186/s12877-023-04223-3 https://doaj.org/toc/1471-2318 doi:10.1186/s12877-023-04223-3 1471-2318 https://doaj.org/article/d4fbc4ef1213402d8c80ba633c12fd88 BMC Geriatrics, Vol 23, Iss 1, Pp 1-9 (2023) Cognitive impairment Heart failure Target doses Filled prescriptions Geriatrics RC952-954.6 article 2023 ftdoajarticles https://doi.org/10.1186/s12877-023-04223-3 2023-09-10T00:43:08Z Abstract Background To achieve the best treatment of heart failure, it is important to use all recommended drugs at their target doses. Given that underuse of medications can occur in individuals with cognitive impairment, we investigated the filled prescriptions and target doses of heart failure medication for older individuals with and without cognitive impairment as well as associated factors. Methods The study was based on two separate datasets. The first dataset, which was based on data from questionnaires sent to nursing homes in Sweden, included 405 individuals with heart failure. The data were linked with the Swedish Prescribed Drug Register and the National Patient Register to obtain information regarding filled prescriptions of heart failure medications and heart failure diagnoses among the population. In the second dataset, medical records of individuals aged 75 years or older admitted to a hospital in northern Sweden were reviewed and individuals with heart failure were identified. Target doses of heart failure medications were evaluated in 66 individuals who lived at home. Results Filled prescriptions of mineralocorticoid receptor antagonists and loop diuretics were significantly more common in individuals without cognitive impairment (OR 1.087; 95% CI 1.026–1.152, p < 0.05) and (OR 1.057; 95% CI 1.017–1.098, p < 0.05), respectively. There were no significant differences between individuals with and without cognitive impairment in terms of achieving target doses for any of the drug classes. A higher age was associated with fewer filled prescriptions and less ability to reach the target doses of beta blockers (OR 0.950; 95% CI 0.918–0.984, p < 0.05) and (OR 0.781; 95% CI 0.645–0.946, p < 0.05), respectively. Conclusions Our results suggest that individuals with cognitive impairment are partly undertreated for heart failure in that they had fewer filled prescriptions of important heart medications. Separately, the relatively low proportion of older individuals reaching target doses is an ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles BMC Geriatrics 23 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Cognitive impairment Heart failure Target doses Filled prescriptions Geriatrics RC952-954.6 |
spellingShingle |
Cognitive impairment Heart failure Target doses Filled prescriptions Geriatrics RC952-954.6 Linnea Abramsson Annica Backman Hugo Lövheim David Edvardsson Maria Gustafsson Use of heart failure medications in older individuals and associations with cognitive impairment |
topic_facet |
Cognitive impairment Heart failure Target doses Filled prescriptions Geriatrics RC952-954.6 |
description |
Abstract Background To achieve the best treatment of heart failure, it is important to use all recommended drugs at their target doses. Given that underuse of medications can occur in individuals with cognitive impairment, we investigated the filled prescriptions and target doses of heart failure medication for older individuals with and without cognitive impairment as well as associated factors. Methods The study was based on two separate datasets. The first dataset, which was based on data from questionnaires sent to nursing homes in Sweden, included 405 individuals with heart failure. The data were linked with the Swedish Prescribed Drug Register and the National Patient Register to obtain information regarding filled prescriptions of heart failure medications and heart failure diagnoses among the population. In the second dataset, medical records of individuals aged 75 years or older admitted to a hospital in northern Sweden were reviewed and individuals with heart failure were identified. Target doses of heart failure medications were evaluated in 66 individuals who lived at home. Results Filled prescriptions of mineralocorticoid receptor antagonists and loop diuretics were significantly more common in individuals without cognitive impairment (OR 1.087; 95% CI 1.026–1.152, p < 0.05) and (OR 1.057; 95% CI 1.017–1.098, p < 0.05), respectively. There were no significant differences between individuals with and without cognitive impairment in terms of achieving target doses for any of the drug classes. A higher age was associated with fewer filled prescriptions and less ability to reach the target doses of beta blockers (OR 0.950; 95% CI 0.918–0.984, p < 0.05) and (OR 0.781; 95% CI 0.645–0.946, p < 0.05), respectively. Conclusions Our results suggest that individuals with cognitive impairment are partly undertreated for heart failure in that they had fewer filled prescriptions of important heart medications. Separately, the relatively low proportion of older individuals reaching target doses is an ... |
format |
Article in Journal/Newspaper |
author |
Linnea Abramsson Annica Backman Hugo Lövheim David Edvardsson Maria Gustafsson |
author_facet |
Linnea Abramsson Annica Backman Hugo Lövheim David Edvardsson Maria Gustafsson |
author_sort |
Linnea Abramsson |
title |
Use of heart failure medications in older individuals and associations with cognitive impairment |
title_short |
Use of heart failure medications in older individuals and associations with cognitive impairment |
title_full |
Use of heart failure medications in older individuals and associations with cognitive impairment |
title_fullStr |
Use of heart failure medications in older individuals and associations with cognitive impairment |
title_full_unstemmed |
Use of heart failure medications in older individuals and associations with cognitive impairment |
title_sort |
use of heart failure medications in older individuals and associations with cognitive impairment |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12877-023-04223-3 https://doaj.org/article/d4fbc4ef1213402d8c80ba633c12fd88 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Geriatrics, Vol 23, Iss 1, Pp 1-9 (2023) |
op_relation |
https://doi.org/10.1186/s12877-023-04223-3 https://doaj.org/toc/1471-2318 doi:10.1186/s12877-023-04223-3 1471-2318 https://doaj.org/article/d4fbc4ef1213402d8c80ba633c12fd88 |
op_doi |
https://doi.org/10.1186/s12877-023-04223-3 |
container_title |
BMC Geriatrics |
container_volume |
23 |
container_issue |
1 |
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1779318281674424320 |