Evidence map›Paper›PMID 24154649›Full record

ArticleThe journal of nutrition, health & aging2013

Relationship between anticholinergic drug use and one-year outcome among elderly people hospitalised in medical wards via emergency department: the SAFES cohort study.

D Narbey, D Jolly, R Mahmoudi, T Trenque, F Blanchard, J-L Novella, M Dramé

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in The journal of nutrition, health & aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02834728 (Frail Elderly Subjects), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02834728 completednot on this map

Frail Elderly Subjects: Inhospital Pathways and Adverse Outcome After Hospitalisation Via Emergency Department

TypeobservationalSponsorCHU de ReimsRan2001 to 2005Enrolled1,306ConditionsFrail Elderly PeopleArmstelephone interview
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Editorial: Frailty and Polypharmacy.The journal of nutrition, health & aging · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

D NarbeyMoustapha Dramé, MD, MPH, PhD, Department of Geriatrics and Internal Medicine, Reims University Hospitals, Maison Blanche Hospital, 45 rue Cognacq Jay - 51092 Reims cedex, France, Telephone: + 33 3 26 78 44 12 - Fax: + 33 3 26 78 41 08, E-mail: mdrame@chu-reims.fr.
D Jolly
R Mahmoudi
T Trenque
F Blanchard
J-L Novella
M Dramé
Centre Hospitalier Universitaire de Reims · FRUniversité de Reims Champagne-Ardenne · FRHôpital Maison Blanche · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the relationship between anticholinergic drug use and one-year outcome of elderly patients hospitalised via the emergency department.

methodsProspective, multicentre, cohort study of patients aged 75 years and older. Comprehensive geriatric evaluation was performed. We included in this analysis all patients for whom data on drug use was available. Anticholinergic drugs were coded using the online database "Thesorimed". One-year mortality and nursing home admission were analysed using a Cox model, with matching on the propensity to use anticholinergic drugs.

resultsIn total, 1176 subjects were included in this analysis, average age 85±6 years, 65% women. Overall, 144 (12%) were taking at least one anticholinergic drug. Mortality and nursing home admission at one year were respectively 29% and 30% in the anticholinergic group, and 34% and 33% respectively in subjects not taking anticholinergic drugs. No significant relationship was observed between anticholinergic drug use and the main endpoints.

conclusionAlthough we did not observed any statistically significant relationship between use of anticholinergic drugs and one-year outcome in elderly patients, the long-term use of anticholinergic drugs can have deleterious effects on memory and functional capacity, and therefore requires prescriptions to be reviewed regularly.

Indexed as

Cholinergic AntagonistsEmergency Service, HospitalHospitalizationMortalityNursing HomesAgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleProportional Hazards ModelsProspective StudiesCholinergic Antagonists

Identifiers

PMID24154649
PMCPMC12878866
OpenAlexW2074694660

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.