Evidence map›Paper›PMID 30569283›Full record

ArticleEuropean journal of clinical pharmacology2019

Longitudinal prevalence of potentially serious alcohol-medication interactions in community-dwelling older adults: a prospective cohort study.

Alice Holton, Fiona Boland, Paul Gallagher, Tom Fahey, Rose Anne Kenny, Gráinne Cousins

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Article in European journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 2 institutions in 1 country.

Alice HoltonSchool of Pharmacy, RCSI, St. Stephen's Green, Dublin 2, Ireland.
Fiona BolandHRB Centre for Primary Care Research, RCSI, St. Stephen's Green, Dublin 2, Ireland.
Paul GallagherSchool of Pharmacy, RCSI, St. Stephen's Green, Dublin 2, Ireland.
Tom FaheyDepartment of General Practice and HRB Centre for Primary Care Research, RCSI, St. Stephen's Green, Dublin 2, Ireland.
Rose Anne KennyThe Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland.
Gráinne CousinsSchool of Pharmacy, RCSI, St. Stephen's Green, Dublin 2, Ireland. gcousins@rcsi.ie.ORCID http://orcid.org/0000-0003-2985-7668
Royal College of Surgeons in Ireland · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to estimate (i) the prevalence of potentially serious alcohol-medication interactions in a nationally representative sample of older adults using the Potentially Serious Alcohol-Medication Interactions in Older adults (POSAMINO) criteria, and (ii) whether POSAMINO prevalence changes over time.

methodsA prospective cohort study of adults aged ≥ 65 years, using data from the first three waves of The Irish Longitudinal Study on Ageing (TILDA). All 38 POSAMINO criteria were applied at each wave using respondents' information on regular medications and alcohol consumption. Multilevel logistic regression and negative binomial models were used to investigate whether the prevalence of POSAMINO varied over time.

resultsThe overall prevalence of POSAMINO was 18% at baseline, with 8% at risk of one potentially serious alcohol-medication interaction, and 10% at risk of two or more. The most common POSAMINO involved cardiovascular (CVS) agents (15% baseline; 11% wave 2; 14% wave 3), followed by central nervous system (CNS) agents (4% baseline; 4% wave 2; 5% wave 3). Prevalence of any POSAMINO (AOR 0.94, 95% CI 0.81, 1.08) or number of POSAMINO criteria (AIRR 0.97, 95% CI 0.91, 1.04) did not change over time. Any POSAMINO and number of POSAMINO were associated with younger age, male sex and number of medications and chronic conditions.

conclusionsPotentially serious alcohol-medication interactions occurred in 18% of older adults in this study. Alcohol screening and brief interventions should be considered for high-risk groups at the point of prescribing, particularly among younger older adults, men and as patients receive more medications or develop additional illnesses.

Indexed as

AgedAge FactorsAlcohol DrinkingCohort StudiesDrug InteractionsEthanolFemaleHumansInappropriate PrescribingIndependent LivingIrelandLongitudinal StudiesMalePrescription DrugsProspective StudiesEthanolPrescription DrugsAlcoholAlcohol-medication interactionGeriatric medicineOlder adultsPOSAMINO

Identifiers

PMID30569283
OpenAlexW2904233684

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.