Evidence map›Paper›PMID 39978317›Full record

ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2025

Surveillance of Corrected QT Interval-Prolonging Medications upon Admission throughout Hospitalization in a Tertiary Care Geriatric Ward.

Ivana Baralić Knežević, Milena Kovačević, Katarina Stefanović, Predrag Erceg, Gordana Mihajlović, Jovana Aćimović, Katarina M Vučićević

Abstract read
In one paragraph

Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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.

Ivana Baralić KneževićDepartment of Pharmacy, Zvezdara University Medical Center, Belgrade, Serbia.
Milena KovačevićDepartment of Pharmacokinetics and Clinical Pharmacy, University of Belgrade - Faculty of Pharmacy, Belgrade, Serbia.
Katarina StefanovićClinical Department of Geriatrics, Zvezdara University Medical Center, Belgrade, Serbia.
Predrag ErcegClinical Department of Geriatrics, Zvezdara University Medical Center, Belgrade, Serbia.
Gordana MihajlovićClinical Department of Geriatrics, Zvezdara University Medical Center, Belgrade, Serbia.
Jovana AćimovićDepartment of Pharmacokinetics and Clinical Pharmacy, University of Belgrade - Faculty of Pharmacy, Belgrade, Serbia.
Katarina M VučićevićDepartment of Pharmacokinetics and Clinical Pharmacy, University of Belgrade - Faculty of Pharmacy, Belgrade, Serbia.

Funding

University of Belgrade – Faculty of Pharmacy NO 451-03-136/2025-03/200161University of Belgrade – Faculty of Pharmacy NO. 451-03-137/2025-03/200161
6 · The paper itself

Abstract

objectiveLong QT syndrome (LQTS) poses a significant risk of torsade de pointes, particularly in older patients due to age-related changes in cardiac repolarization and increased susceptibility to medication-induced QTc interval prolongation. Despite the increased risk, data on medication-related LQTS remain limited, leading to this study on its prevalence, characteristics, and risk factors, along with QT-prolonging drug use in older patients. The study aimed to identify clinical and medication-related predictors of LQTS and evaluate the burden of co-prescribed QT-prolonging medications in this population. SUBJECTS AND

methodsThis prospective study at a tertiary care hospital included initial and follow-up ECGs, with medication details were collected. Statistical analyses compared variables, including QTc intervals and medication use, between patients with and without LQTS.

resultsThe study included 128 adults aged 65 or older, with 27.3% presenting LQTS on admission, increasing to 42.2% after 7 days of hospitalization. Patients with LQTS had a higher prevalence of QTc interval-prolonging medications, list 1 medications, and atrial fibrillation. Laboratory changes and medication use were observed, with significant increases in QTc interval and list 1 medication administration. Male sex and amiodarone use were identified as predictors of LQTS during hospitalization.

conclusionThe study reports a high prevalence of prolonged QTc interval and LQTS in older inpatients. Proton pump inhibitors were frequently prescribed despite their QTc-prolonging potential. This underscores the need of close monitoring and awareness of QTc prolongation risks in older patients, advocating for routine ECG assessments and vigilant management of modifiable risk factors, especially the electrolytes.

Indexed as

HospitalizationLong QT SyndromeAgedAged, 80 and overElectrocardiographyFemaleHumansMalePrevalenceProspective StudiesRisk FactorsTertiary Care CentersTorsades de PointesCorrected QT prolongationDrug-induced long QT syndromeECGOlder patientsRisk factors

Identifiers

PMID39978317
PMCPMC12133123

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