scholarly journals Anticholinergic burden and most common anticholinergic-acting medicines in older general practice patients

2018 ◽  
Vol 57 (3) ◽  
pp. 140-147 ◽  
Author(s):  
Eva Gorup ◽  
Janez Rifel ◽  
Marija Petek šter
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
General Practice ◽  
Cross Sectional Study ◽  
Ambulatory Setting ◽  
Anticholinergic Medication ◽  
Cross Sectional ◽  
Primary Care Population ◽  
Anticholinergic Medications ◽  
Anticholinergic Burden

AbstractIntroductionAnticholinergic burden in older adults has been correlated with cognitive decline, delirium, dizziness and confusion, falls and hospitalisations. Nevertheless, anticholinergic-acting medications remain commonly prescribed in up to a third of older adults in primary care population. Our aim was to study the anticholinergic burden in older adults in Slovenian ambulatory setting and explore the most commonly involved medications which could be avoided by the physicians.MethodsA cross-sectional study was conducted in 30 general practices in Slovenia as part of a larger trial. Data on prescribed medications were collected for randomly chosen adults of over 65 years of age visiting general practice, who were taking at least one regularly prescribed medication. Anticholinergic burden was calculated using Duran’s scale and Drug Burden Index.ResultsAltogether, 622 patients were included, 356 (57.2%) female, average age of 77.2 (±6.2), with an average of 5.6 medications. At least one anticholinergic medication was present in 78 (12.5 %) patients. More than half (N=41, 52.6%) of anticholinergic prescriptions were psychotropic medications. Most common individual medications were diazepam (N=10, 1.6%), quetiapine (N=9, 1.4%) and ranitidine (N=8, 1.3%).ConclusionsThough the prevalence of anticholinergic medications was low compared to international research, the most commonly registered anticholinergic prescriptions were medications that should be avoided according to guidelines of elderly prescriptions. It would be probably clinically feasible to further decrease the anticholinergic burden of older adults in Slovenian primary care setting by avoiding or replacing these medications with safer alternatives.

scholarly journals Multimorbidity and patterns of chronic conditions in a primary care population in Switzerland: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (6) ◽  
pp. e013664 ◽  
Author(s):  
Anouk Déruaz-Luyet ◽  
A Alexandra N'Goran ◽  
Nicolas Senn ◽  
Patrick Bodenmann ◽  
Jérôme Pasquier ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Care Population

Anticholinergic medication use is associated with globus pharyngeus

2016 ◽  
Vol 130 (12) ◽  
pp. 1125-1129 ◽  
Author(s):  
S Haft ◽  
R M Carey ◽  
D Farquhar ◽  
N Mirza
Keyword(s):  
Medication Use ◽  
Cross Sectional Study ◽  
Anticholinergic Medication ◽  
Severity Scale ◽  
Cross Sectional ◽  
Globus Pharyngeus ◽  
Anticholinergic Medications ◽  
Considerable Portion ◽  
Previous Diagnosis ◽  
And Gender

AbstractBackground:Globus pharyngeus has been linked to salivary hypofunction. We hypothesise that a considerable portion of the globus experienced by patients is due to a drying effect secondary to anticholinergic medication use; this study aimed to determine their association.Methods:A cross-sectional study was conducted of 270 patients who presented to a laryngology practice over 6 months. Participants rated globus sensation on a 5-point severity scale, with those scoring 0 considered as controls (non-globus). Participants were excluded if they had a likely cause of globus. Scores were compared with participants’ medication lists, co-morbidities, age and gender, and evaluated using multivariate analysis, with significance set at p < 0.05.Results:Any participant taking at least 2 anticholinergic medications had a 3.52 increased odds (p = 0.02) of experiencing globus. A previous diagnosis of gastroesophageal reflux disease was also significantly associated with globus (p = 0.004), with an odds ratio of 3.75.Conclusion:A substantial portion of idiopathic globus may be due to anticholinergic use or reflux. The findings implicate medication use as a risk factor for globus. An awareness of these associations is invaluable for identifying cause and treating globus.

Incontinence and loneliness among Chinese older adults with multimorbidity in primary care: A cross-sectional study

2019 ◽  
Vol 127 ◽  
pp. 109863 ◽  
Author(s):  
Dexing Zhang ◽  
Carmen Wong ◽  
Regina W.S. Sit ◽  
Wen Sun ◽  
Baoliang Zhong ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chinese Older Adults

scholarly journals Robust older adults in primary care: factors associated with successful aging

2020 ◽  
Vol 54 ◽  
pp. 35
Author(s):  
Luciana Colares Maia ◽  
Figueiredo Braga Colares ◽  
Edgar Nunes de Moraes ◽  
Simone De Melo Costa ◽  
Antônio Prates Caldeira
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Activities Of Daily Living ◽  
Successful Aging ◽  
Daily Living ◽  
Vulnerability Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

OBJECTIVE: To estimate the prevalence of robustness among older adults assisted in primary health care and identify factors in successful aging. METHODS: This is a cross-sectional study conducted with older adults in Northern Minas Gerais, Brazil. Two questionnaires were used for data collection: the Brazilian Older Americans Resources and Services Multidimensional Function Assessment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index IVCF-20). The adjusted prevalence ratios were obtained by robust Poisson regression. Statistical analysis was performed for older adults in general (60 to 107 years) and stratified by age: from 60 to 79 years and 80 years or more. RESULTS: A total of 1,750 older adults aged 60 to 107 years participated; between them, 48.7% were robust. Older adults aged 60 to 79 years (n = 1,421) and 80 years or more (n = 329) had a prevalence of robustness of 55.4% and 19.3%, respectively. Some factors associated with successful aging were: positive self-perception of health, dancing habits, walking habits, absence of cognitive impairment, absence of depressive symptoms and polypathology, as well as daily life independence. After adjustment by age, the absence of polypathology and independence for activities of daily living stand out for robustness between 60 and 79 years; in those aged 80 years and over, independence for activities of daily living and dance practice presented greater strength of association. CONCLUSION: The prevalence of robust older adults in primary care is considered satisfactory for the older population in general but decreases with age and is associated with the absence of diseases and disabilities. These results denote the need to redesign the health care system, focusing on promoting and preventing clinical-functional vulnerability.

scholarly journals The quality of COPD care in German general practice—A cross-sectional study

2020 ◽  
Vol 17 ◽  
pp. 147997312096481
Author(s):  
Stefan Heinmüller ◽  
Emmily Schaubroeck ◽  
Luca Frank ◽  
Anina Höfle ◽  
Michael Langer ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Quality Of Care ◽  
Pneumococcal Vaccination ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Network

Objectives: Chronic Obstructive Pulmonary Disease (COPD) is a common health problem to be dealt with in primary care. Little is known about the quality of care provided for patients with COPD in Germany. Therefore, we wanted to assess the current quality of care delivered by a primary care network (PCN) for patients with COPD. Methods: A cross-sectional study was conducted in collaboration with a primary care network (PCN). All patients of the PCN aged 40 years and older with a diagnosis of COPD were identified through electronic health records (EHR). A set of quality indicators (QIs) developed in accordance with current COPD-guidelines were appraised through numerical data retrieved from the EHR. Results: In total, 2,568 patients with COPD were identified. Their mean age was 67 (SD±12) years, 49% were male. Thirty-five percent had a parallel diagnosis of asthma. There was no documentation of any spirometry for 54% of patients; 29% had a spirometry within the previous year. An influenza vaccination was documented for 37% within the preceding 12 months; 12% received a pneumococcal vaccination in the last 6 years. Smoking status was documented for 44% within the last year. Conclusion: The quality of care for patients with COPD in the PCN seemed suboptimal, despite the presence of a Disease Management Program (DMP). This finding is likely to apply widely to German general practice. Quality assessment through currently available EHR data was challenging due to non-standardized and insufficient documentation.

scholarly journals Patient factors associated with SSRI dose for depression treatment in general practice: a primary care cross sectional study

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Chris F Johnson ◽  
Nadine J Dougall ◽  
Brian Williams ◽  
Stephen A MacGillivray ◽  
Alasdair I Buchanan ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Cross Sectional Study ◽  
Depression Treatment ◽  
Sectional Study ◽  
Patient Factors ◽  
Cross Sectional ◽  
Factors Associated
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