Evidence map›Paper›PMID 36547272›Full record

ArticleGeriatrics (Basel, Switzerland)2022

Association between Polypharmacy and Cardiovascular Autonomic Function among Elderly Patients in an Urban Municipality Area of Kolkata, India: A Record-Based Cross-Sectional Study.

Shambo Samrat Samajdar, Saibal Das, Sougata Sarkar, Shatavisa Mukherjee, Ashish Pathak, Cecilia Stålsby Lundborg, Indranil Saha, Santanu Kumar Tripathi, Jyotirmoy Pal, Nandini Chatterjee and 1 more

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

11 authors at 6 institutions in 2 countries.

Shambo Samrat SamajdarDepartment of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata 700 073, India.ORCID 0000-0002-9199-0905
Saibal DasIndian Council of Medical Research-Centre for Ageing and Mental Health, Kolkata 700 091, India.ORCID 0000-0002-3153-4166
Sougata SarkarDepartment of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata 700 073, India.
Shatavisa MukherjeeDepartment of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata 700 073, India.ORCID 0000-0001-9524-1525
Ashish PathakDepartment of Global Public Health, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0002-7576-895X
Cecilia Stålsby LundborgDepartment of Global Public Health, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0001-6525-1861
Indranil SahaIndian Council of Medical Research-Centre for Ageing and Mental Health, Kolkata 700 091, India.ORCID 0000-0001-6622-7695
Santanu Kumar TripathiDepartment of Pharmacology, Netaji Subhas Medical College and Hospital, Patna 801 106, India.ORCID 0000-0002-4494-7760
Jyotirmoy PalDepartment of Medicine, RG Kar College and Hospital, Kolkata 700 004, India.
Nandini ChatterjeeDepartment of Medicine, Institute of Postgraduate Medical Education and Research and SSKM Hospital, Kolkata 700 020, India.
Shashank R JoshiJoshi Clinic, Mumbai 400 050, India.
Karolinska Institutet · SEIndian Council of Medical Research · INInstitute of Post Graduate Medical Education and Research · INJoshi Hospital · INNetaji Subhash Chandra Bose Medical College · INR. G. Kar Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed the association between polypharmacy and cardiovascular autonomic function among community-dwelling elderly patients having chronic diseases. Three hundred and twenty-one patients from an urban municipality area of Kolkata, India were studied in August 2022. The anticholinergic burden and cardiac autonomic function (Valsalva ratio, orthostatic hypotension, change in diastolic blood pressure after an isometric exercise, and heart rate variability during expiration and inspiration) were evaluated. Binary logistic regression analysis was performed to find out the association of polypharmacy and total anticholinergic burden with cardiac autonomic neuropathy. A total of 305 patients (age, 68.9 ± 3.4; 65.9% male) were included. Of these patients, 81 (26.6%) were on polypharmacy. Out of these 81 patients, 42 patients were on ninety-eight potential inappropriate medications. The anticholinergic burden and the proportion of patients with cardiac autonomic neuropathy were significantly higher among patients who were on polypharmacy than those who were not (8.1 ± 2.3 vs. 2.3 ± 0.9; p = 0.03 and 56.8% vs. 44.6%; p = 0.01). The presence of polypharmacy and a total anticholinergic burden of > 3 was significantly associated with cardiac autonomic neuropathy (aOR, 2.66; 95% CI, 0.91−3.98 and aOR, 2.51; 95% CI, 0.99−3.52, respectively). Thus, polypharmacy was significantly associated with cardiac autonomic neuropathy among community-dwelling elderly patients.

Indexed as

autonomic functioncardiacelderlymedicationpolypharmacy

Identifiers

PMID36547272
PMCPMC9778147
OpenAlexW4310379529

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.