ArticleDrugs & aging2012
Age, dementia and care patterns after admission for acute coronary syndrome: an analysis from a nationwide cohort under the National Health Insurance coverage.
Article in Drugs & aging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- The independent impact of dementia in patients undergoing percutaneous coronary intervention for acute myocardial infarction.Clinical cardiology · 2023Article
- Developmental Trajectories and Predictors of Incident Dementia among Elderly Taiwanese People: A 14-Year Longitudinal Study.International journal of environmental research and public health · 2023Article
- Impact of Worsened Metabolic Syndrome on the Risk of Dementia: A Nationwide Cohort Study.Journal of the American Heart Association · 2017Article
- Determinants of invasive strategy in elderly patients with non-ST elevation myocardial infarction.Journal of geriatric cardiology : JGC · 2017Article
- Increased dementia risk predominantly in diabetes mellitus rather than in hypertension or hyperlipidemia: a population-based cohort study.Alzheimer's research & therapy · 2017Article
- Inequalities in care in patients with acute myocardial infarction.World journal of cardiology · 2015Review
- Cognitive dysfunction and poor health literacy are common in veterans presenting with acute coronary syndrome: insights from the MEDICATION study.Patient preference and adherence · 2015Article
- Care needs and clinical outcomes of older people with dementia: a population-based propensity score-matched cohort study.PloS one · 2015Article
- In-hospital mortality and coronary procedure use for individuals with dementia with acute myocardial infarction in the United States.Journal of the American Geriatrics Society · 2013Article
- [Hospitalization and dementia: what was new in 2012?: literature review].Zeitschrift fur Gerontologie und Geriatrie · 2013Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of elderly and the prevalence of dementia have grown considerably in recent years. Little is known about how aging and dementia affect care patterns after discharge for acute coronary syndrome (ACS).
objectiveThis study was designed to assess the impact of dementia on care patterns after admission for patients with ACS across different age groups.
methodsOf 87,321 patients hospitalized for ACS between 1 January 2006 and 31 December 2007, 1,835 patients with dementia and 3,670 matched patients without dementia (1:2 ratio, matched by age, sex and hospital level) were identified from Taiwan's National Health Insurance Research Database. Use of interventional therapies at hospitalization and guideline-recommended medications post-discharge were compared between patients with and without dementia across different age groups (≤65, 66-75, 76-85, ≥86 years). Multivariate logistic regression models were performed to examine the impact of dementia on care patterns.
resultsOverall, dementia was associated with a 27% lower likelihood of receipt of interventional therapies [adjusted odds ratio (OR) = 0.73; 95% CI 0.63, 0.83] and a 22% lower likelihood of guideline-recommended medications (adjusted OR = 0.78; 95% CI 0.68, 0.89) in ACS patients. The use of interventional therapies and guideline-recommended medications decreased with age, and interactions between age and dementia were found. The proportions of patients receiving interventional therapies were 39.4% (without dementia) versus 21.8% (with dementia) in the youngest age group and 18.6% (without dementia) versus 14.5% (with dementia) in the oldest age group. Patients with dementia (age ≤65 years 73.6%; age 66-75 years 82.3%; age 76-85 years 71.8%; age ≥86 years 55.6%) were less likely to receive guideline-recommended medications as compared with those without dementia (age ≤65 years 85.6%; age 66-75 years 87.5%; age 76-85 years 81.2%; age ≥86 years 62.0%).
conclusionDementia and aging were associated with decreased use of interventional therapies and guideline-recommended medications in ACS patients.
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