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Titolo:
Clinical correlates and drug treatment of residents with stroke in long-term care
Autore:
Quilliam, BJ; Lapane, KL;
Indirizzi:
Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 lth Care Res, Providence, RI 02912 USA Brown Univ, Dept Community Hlth, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 mmunity Hlth, Providence, RI 02912 USA
Titolo Testata:
STROKE
fascicolo: 6, volume: 32, anno: 2001,
pagine: 1385 - 1392
SICI:
0039-2499(200106)32:6<1385:CCADTO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
MINIMUM DATA SET; NURSING-HOME RESIDENTS; ATRIAL-FIBRILLATION; RISK-FACTORS; ISCHEMIC STROKE; GERIATRIC PHARMACOEPIDEMIOLOGY; LEHIGH-VALLEY; SAGE DATABASE; PREVENTION; RECURRENCE;
Keywords:
anticoagulants; cerebrovascular accident; nursing homes; platelet aggregation inhibitors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
66
Recensione:
Indirizzi per estratti:
Indirizzo: Quilliam, BJ Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 Providence, RI 02912 USA
Citazione:
B.J. Quilliam e K.L. Lapane, "Clinical correlates and drug treatment of residents with stroke in long-term care", STROKE, 32(6), 2001, pp. 1385-1392

Abstract

Background and Purpose-Stroke incidence increases with age, and stroke survivors often require nursing home placement. Characteristics of these residents and factors associated with the secondary drug prevention of stroke innursing homes have yet to be explored. Methods-We used a population-based data set of all nursing home residents in 5 states (1992 to 1995); We identified 53 829 (20.4%) with a diagnosis of stroke on the Minimum Data Set assessment. We considered aspirin, dipyridamole, ticlopidine, or warfarin alone or in combination as secondary drug prevention. We used logistic regression modeling to identify independent predictors of drug treatment. Results-Sixty-seven percent of stroke survivors were not receiving drug therapy for stroke prevention, Among those treated, most received aspirin alone (16%) or warfarin alone (10%). Independent predictors of drug treatment included comorbid conditions (eg, hypertension, atrial fibrillation, depression, Alzheimer's disease, dementia, gastrointestinal bleeding, and peptic ulcer disease). Those over the age of 85 years were less likely to be treated than those 65 to 74 years of age (odds ratio [OR], 0.86; 95% confidence interval [CI], 0.82 to 0.91); black residents were less likely to be treated than whites (OR, 0.80; 95% CI, 0.75 to 0.85); and those with severe cognitive (OR, 0.63; 95% CI, 0.60 to 0.67) or physical impairment (OR, 0.69; 95%CI, 0.64 to 0.75) were also less likely to receive drug treatment. Conclusions-Stroke is highly prevalent in long-term care. Despite the increased risk of subsequent stroke in the elderly, many are not being treated. The choice to treat or not to treat may be influenced by age, comorbidity,race/ethnicity, and cognitive or physical functioning.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/01/20 alle ore 19:03:00