Evidence map›Paper›PMID 33053050›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina

Evidence of association between the use of drugs and community-dwelling older people frailty: a cross-sectional study.

Marcos Kaic Lopes Alves, Nayara Gomes Nunes Oliveira, Maycon Sousa Pegorari, Darlene Mara Dos Santos Tavares, Maria Cristina Soares Rodrigues, Alisson Fernandes Bolina

Abstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Quality of life in older adults according to race/color: a cross-sectional study.Sao Paulo medical journal = Revista paulista de medicina
    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

6 authors.

Marcos Kaic Lopes AlvesBSc. Pharmacist, Universidade de Brasília - Campus Darcy Ribeiro (UnB), Brasília (DF) Brazil.ORCID http://orcid.org/0000-0003-0808-300X
Nayara Gomes Nunes OliveiraPhD. Nurse, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0003-4170-8761
Maycon Sousa PegorariPhD. Physiotherapist and Adjunct Professor, Physiotherapy Course, Universidade Federal do Amapá (UNIFAP), Macapá (AP), Brazil.ORCID http://orcid.org/0000-0003-4015-9895
Darlene Mara Dos Santos TavaresPhD. Nurse and Associate Professor, Department of Nursing Education and Community Health Nursing Undergraduate Program, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0001-9565-0476
Maria Cristina Soares RodriguesPhD. Nurse and Pharmacist, Associate Professor, Universidade de Brasília - Campus Darcy Ribeiro (UnB). Brasília (DF), Brazil.ORCID http://orcid.org/0000-0003-0206-4238
Alisson Fernandes BolinaPhD. Nurse and Adjunct Professor, Universidade de Brasília - Campus Darcy Ribeiro (UnB), Brasília (DF), Brazil.ORCID http://orcid.org/0000-0002-1364-0176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe scientific literature has shown that an association between polypharmacy and frailty exists. However, few studies have also considered drug interactions and the use of potentially inappropriate medications.

objectiveTo evaluate the association between the use of drugs and frailty among community-dwelling older people. DESIGN AND

settingCross-sectional study carried out among 580 older people in Uberaba (MG).

methodsData were collected at these older people's homes using instruments validated in Brazil. Descriptive, bivariate and binary logistic regression analyses were performed (P < 0.05).

resultsMost of these individuals were classified as pre-frail (55.7%), while 13.1% were frail. It was found that 31.7% of them presented polypharmacy, 41.7% had drug interactions and 43.8% were using potentially inappropriate medications. In the initial model, polypharmacy (odds ratio, OR = 1.91; confidence interval, CI = 1.27-2.86) and use of potentially inappropriate medications (OR = 2.45; CI = 1.68-3.57) increased the chance that these older people would be pre-frail or frail. In the final adjusted model, use of potentially inappropriate drugs remained associated with the outcome (OR = 2.26; CI = 1.43-3.57).

conclusionUse of potentially inappropriate medications was the independent variable that explained the occurrence of frailty in a representative sample of community-dwelling older adults.

Indexed as

Frail ElderlyFrailtyPotentially Inappropriate Medication ListAgedBrazilCross-Sectional StudiesHumansIndependent Living

Identifiers

PMID33053050
PMCPMC9685580

What OpenQuestion holds

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LicenceCC BY
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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.