ArticleJournal of the American Geriatrics Society2021
Geriatric Syndromes and Atrial Fibrillation: Prevalence and Association with Anticoagulant Use in a National Cohort of Older Americans.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 37 citations in OpenAlex.
- Anticoagulation Outcomes in Nursing Home Residents With Atrial Fibrillation and ADL Disability.JAMA network open · 2026Article
- Clinical outcomes of coagulation disorders in elderly Africans: a review of risk, diagnosis, and management.Annals of medicine and surgery (2012) · 2026Review
- Geriatric syndromes in elderly hospitalized patients in China: a cross-sectional study.Frontiers in medicine · 2026Article
- Low Vitamin D Status and Post-Stroke Depression, Falls, and Functional Recovery in Older Adults with Nonvalvular Atrial Fibrillation-Associated Ischemic Stroke.Clinical interventions in aging · 2026Article
- Cerebral Microbleeds, Anemia, and Estimated Net Benefit of DOACs versus Warfarin in Older Atrial Fibrillation: A Single-Center MRI-Selected Cohort.Clinical interventions in aging · 2026Observational
- Profiles of Geriatric Syndromes and Resources in Older Patients with Atrial Fibrillation.Journal of clinical medicine · 2024Article
- Estimating Vitamin K Antagonist Anticoagulation Benefit in People With Atrial Fibrillation Accounting for Competing Risks: Evidence From 12 Randomized Trials.Circulation. Cardiovascular quality and outcomes · 2024Article
- Multiple geriatric syndromes in community-dwelling older adults in China.Scientific reports · 2024Article
- Initiation of oral anticoagulation in US older adults newly diagnosed with atrial fibrillation during hospitalization.Journal of the American Geriatrics Society · 2023Article
- Patients with geriatric syndromes and anti-amyloid therapies: lack of consideration? An exploratory analysis of the literature.Frontiers in aging neuroscience · 2023Article
- Long-term functional outcomes and mortality after hospitalization for extracranial hemorrhage.Journal of hospital medicine · 2022Article
- Long-term individual and population functional outcomes in older adults with atrial fibrillation.Journal of the American Geriatrics Society · 2021Article
- Anticoagulation Patterns Among Community-Dwelling Older Adults With Atrial Fibrillation.Journal of primary care & community healthArticle
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5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAlthough guidelines recommend focusing primarily on stroke risk to recommend anticoagulants in atrial fibrillation (AF), physicians report that geriatric syndromes (e.g., falls and disability) are important when considering anticoagulants. Little is known about the prevalence of geriatric syndromes in older adults with AF or the association with anticoagulant use.
methodsWe performed a cross-sectional analysis of the 2014 Health and Retirement Study, a nationally representative study of older Americans. Participants were asked questions to assess domains of aging, including function, cognition, and medical conditions. We included participants 65 years and older with 2 years of continuous Medicare enrollment who met AF diagnosis criteria by claims codes. We examined five geriatric syndromes: one or more falls within the last 2 years, receiving help with activities of daily living (ADLs) or instrumental ADLs (IADL), experienced incontinence, and cognitive impairment. We determined the prevalence of geriatric syndromes and their association with anticoagulant use, adjusting for ischemic stroke risk (i.e., CHA
resultsIn this study of 779 participants with AF (median age = 80 years; median CHA
conclusionMost older adults with AF had at least one geriatric syndrome, and geriatric syndromes were associated with reduced anticoagulant use. The high prevalence of geriatric syndromes may explain the lower than expected anticoagulant use in older adults.
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