Factors influencing adherence to medication in patients using anticoagulant drug

Abstract Funding Acknowledgements Type of funding sources: None. Main funding source(s): Researcher Introduction Anticoagulant drugs are quite narrow in their therapeutic range, which should be closely monitored throughout the treatment. In addition to monitoring the responses to the drug in patients who are taking anticoagulant medication, informing the patient and his family is one of the important responsibilities of the nurse within the scope of the counseling and training roles. Aim The aim of this comparative study is to investigate the factors affecting drug compliance in young adult (18-65 years) and elderly (over 65 years) patients who using anticoagulant drugs. Method This research was carried out descriptively and cross-sectionally in a public hospital between October 1 and December 31, 2018, and was conducted with 100 patients in Cardiovascular Surgery and Cardiology outpatient clinics and clinics. Research data was obtained by; Patient Information Form (55 questions) and Morisky Medication Adherence Scale (9 questions). Results 56% of the patients were female and 44% were male, the mean age of the patients was 63.3 ± 14.67 years. The mean scale score of young adult patients was 5.41 ± 2.44 (compatible) and the mean scale score of elderly patients was found to be 8.95 ± 2.21 (incompatible). 48.2% of the female patients and 54.5% of the male patients were found to be compatible with the treatment. When the relationship between the knowledge level of anticoagulant drugs and their compliance with the treatment according to age group is evaluated; patients in all age groups who expressed their own level of knowledge inadequately, were found to be incompatible with treatment. 46.2% of young adult patients who stated that they had hospitalization due to the drug and 64.3% of young adult patients who stated that they applied to the emergency department, were highly compatible; 93.8% of elderly patients who stated that they had hospitalized and 88.6% of the elderly patients who stated that they applied to the emergency department, had a low compliance. (p ˂0,05) Conclusions and Recommendations: Many factors such as age, education, other people who they live together, level of knowledge about anticoagulant medication, forgetting to use the drug, thinking the treatment damages themselves or not wanting the treatment, carrying information about medication beside themselves and using other medications without asking a doctor were found as many cases which affect the compliance with the treatment. It was found that compliance with treatment in older patients was found to be more incompatible with treatment compared to young adult patients. It is recommended that healthcare professionals in healthcare environments in our country specialize in anticoagulant therapy management and establish certification programs. It is suggested to provide effective continuity of these programs by planning trainings for patients receiving anticoagulant therapy by specialized healthcare professionals.

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Sporadic neuroendocrine neoplasms in young-adult patients: Differences in natural history, prognosis and treatment compared to adult-elderly patients

Endocrine Abstracts ◽

10.1530/endoabs.70.aep622 ◽

2020 ◽

Author(s):

Barbara Altieri ◽

Roberta Modica ◽

Filomena Bottiglieri ◽

Cicco Federica de ◽

Antongiulio Faggiano ◽

...

Keyword(s):

Young Adult ◽

Natural History ◽

Elderly Patients ◽

Adult Patients ◽

Neuroendocrine Neoplasms

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Clinical evaluation of young adult patients with ischemic stroke applying to emergency department

Bozok Tıp Dergisi ◽

10.16919/bozoktip.538702 ◽

2019 ◽

Cited By ~ 1

Author(s):

Özcan Yavaşi ◽

Ömer Lütfi Gündoğdu

Keyword(s):

Emergency Department ◽

Ischemic Stroke ◽

Young Adult ◽

Clinical Evaluation ◽

Adult Patients

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94 Young Adult Patients With Chest Pain: Utility of the Emergency Department Observation Unit

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2011.06.120 ◽

2011 ◽

Vol 58 (4) ◽

pp. S208-S209

Author(s):

J. Holly ◽

E. Johnson ◽

D. Hamilton ◽

K. Black ◽

R. Robbins ◽

...

Keyword(s):

Emergency Department ◽

Chest Pain ◽

Young Adult ◽

Adult Patients ◽

Observation Unit

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Ulcerative Colitis: Comparison Between Elderly and Young Adult Patients and Between Elderly Patients with Late-Onset and Long-Standing Disease

Digestive Diseases and Sciences ◽

10.1007/s10620-012-2517-5 ◽

2013 ◽

Vol 58 (5) ◽

pp. 1306-1312 ◽

Cited By ~ 14

Author(s):

Satohiro Matsumoto ◽

Hiroyuki Miyatani ◽

Yukio Yoshida

Keyword(s):

Ulcerative Colitis ◽

Young Adult ◽

Elderly Patients ◽

Late Onset ◽

Adult Patients

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A cross-sectional survey of healthcare professionals to determine what they believe constitutes ‘specialist’ care for teenage and young adult patients with cancer

BMJ Open ◽

10.1136/bmjopen-2012-002346 ◽

2013 ◽

Vol 3 (5) ◽

pp. e002346 ◽

Cited By ~ 5

Author(s):

Rebecca J Birch ◽

Eva J A Morris ◽

Robert M West ◽

Dan P Stark ◽

Ian Lewis ◽

...

Keyword(s):

Young Adult ◽

Healthcare Professionals ◽

Adult Patients ◽

Specialist Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Patients With Cancer

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Analysis of the Efficacy of Iloprost Treatment in Amputations Due to Burn

Journal of Burn Care & Research ◽

10.1093/jbcr/iraa121 ◽

2020 ◽

Author(s):

Fehim Can Sevil ◽

Hülya Sevil ◽

Mehmet Tort ◽

Mehmet Öztürk

Keyword(s):

Emergency Department ◽

Vascular Injury ◽

Social Impacts ◽

Demographic Characteristics ◽

Adult Patients ◽

Burn Patients ◽

Medical Treatments ◽

The Mean ◽

The Individual

Abstract The aim of our study was to demonstrate the decrease in amputation rates with iloprost treatment in patients who develop vascular injury due to burns. The data of 366 adult burn patients who were admitted to the emergency department of our hospital between 2016 and 2019 were analyzed. Demographic characteristics, burn factors, vascular examination findings, medical treatments, amputation rates, and levels were recorded. The amputation rates of the patients who were treated with iloprost and who were not treated with iloprost were compared. The mean age of 366 adult patients treated for burns was 37.8 ± 16.4 years, and of these patients, 220 (59.9%) were under 40 years of age. Although heat burns (n = 331.85%) were the most common burn etiology, it was found that the incidence of vascular injury was higher in burns caused by electricity (11.7%) and cold (3.3%) (P < 0.001). Vascular injury was detected in 60 (16.3%) of the patients and 21 (35%) of these patients were treated with iloprost. Amputation was observed in 20 (5.5%) of all burn patients, but only one of the patients treated with iloprost underwent amputation (P < .001). The individual and social impacts of amputations caused by burns are unquestionable. The authors are of the opinion that iloprost treatment is effective in reducing amputations due to burns.

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Systemic EBV+ T-cell lymphoma in elderly patients: comparison with children and young adult patients

Virchows Archiv ◽

10.1007/s00428-008-0640-7 ◽

2008 ◽

Vol 453 (2) ◽

pp. 155-163 ◽

Cited By ~ 10

Author(s):

Sanghui Park ◽

Kihyun Kim ◽

Won Seog Kim ◽

Keon Hee Yoo ◽

Hong-Hoe Koo ◽

...

Keyword(s):

T Cell ◽

Young Adult ◽

Elderly Patients ◽

Cell Lymphoma ◽

T Cell Lymphoma ◽

Adult Patients

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The evaluation of safety and efficacy of percutaneous nephrostomy in young adult patients with severe hydronephrosis due to uretropelvic junction obstructions

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20193613 ◽

2019 ◽

Vol 7 (9) ◽

pp. 3260

Author(s):

Mahesh Chandra ◽

Nikhil Bachches ◽

Anish Bhattacharya ◽

Ashok Attri

Keyword(s):

Renal Function ◽

Young Adult ◽

Young Patients ◽

Percutaneous Nephrostomy ◽

Adult Patients ◽

Safety And Efficacy ◽

Renal Function Recovery ◽

Function Recovery ◽

The Mean ◽

Functioning Kidney

Background: Majority of poorly functioning kidney (PFK) due to primary ureteropelvic junction obstructions (UPJO) in young adult have potential to recover after an attempted percutaneous nephrostomy (PCN). The split renal function measured by nuclear renal scan may not be sufficient enough to predict recovery of such kidney. Therefore, this study was undertaken to determine the functional recovery and potential salvageability of PFK due UPJO. Objective of the study was to evaluate safety and efficacy of PCN in adult patients with severe hydronephrosis due to PUJO.Methods: A total of 25 (10 male and 15 female) young adult patients of severe hydronephrosis due to PUJO and SRF<20% underwent PCN procedures. Only, those who had significant improvement in their SRF ≥10% and developed PCN output ≥400 ml/day underwent Anderson-Hyenas pyeloplasty and rest underwent nephrectomy.Results: Both male and female young patients had significantly improvement after 6 weeks of PCN, their mean pre-PCN SRF changed from 16.30% and 12.27% to became 28.10±08.41% and 18.53±09.89%, respectively. Those with age <30 years improved most with ≥10% increase in the mean SRF and in 72% patients average PCN output increased from 279.80±93.90 ml/day to 445.20±160.341 ml/day at 6 weeks period. Overall, the patients with average PCN output ≥400 ml/day had a mean improvement of 10.33±05.48% in SRF. However, 5(20%) developed haematuria, 8% fever, 16% displaced PCN tip with no major puncture site bleed.Conclusions: The trial of PCN before definite surgery in young adult patients with poorly functioning kidney due to UPJO not only predicts renal renal function recovery but also prevent unwarranted renal loss.

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Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients

Journal of Neurosurgery ◽

10.3171/2014.10.jns14915 ◽

2015 ◽

Vol 123 (4) ◽

pp. 1065-1069 ◽

Cited By ~ 17

Author(s):

Kimihiko Yokosuka ◽

Masaaki Uno ◽

Kohei Matsumura ◽

Hiroki Takai ◽

Hirotaka Hagino ◽

...

Keyword(s):

Elderly Patients ◽

Scale Score ◽

Endoscopic Surgery ◽

Subdural Hematoma ◽

Clinical Symptoms ◽

Operation Time ◽

Intracerebral Hematoma ◽

Hematoma Evacuation ◽

Invasive Method ◽

The Mean

OBJECT Endoscopic surgery was performed for acute or subacute subdural hematoma (SDH), and its effectiveness and safety in elderly patients were evaluated. METHODS Between September 2007 and November 2013, endoscopic surgery was performed in 11 elderly patients with acute SDH (8 patients) and subacute SDH (3 patients). The criteria for surgery were as follows: 1) the presence of clinical symptoms; 2) age older than 70 years; 3) no brain injury (intracerebral hematoma, brain contusion); 4) absence of an enlarging SDH; and 5) no high risk of bleeding. Hematoma evacuation was performed with a 4-mm rigid endoscope with a 0° lens and a malleable irrigation suction cannula. RESULTS Endoscopic surgery was performed under local anesthesia. The mean age of the patients was 82.6 years (range 73–91 years). There were 5 female and 6 male patients. The mean preoperative Glasgow Coma Scale score was 12, and 5 patients had been receiving antithrombotic drug therapy. The mean operation time was 85 minutes. Only 1 patient had rebleeding, and reoperation with the same technique was performed uneventfully in this individual. A total of 7 patients had a good recovery (modified Rankin Scale Score 0–2) at discharge. CONCLUSIONS Endoscopic hematoma evacuation of acute and subacute SDH is a safe and effective method of clot removal that minimizes operative complications. This technique may be a less invasive method for treating elderly patients with acute and subacute SDHs.

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