Evidence map›Paper›PMID 40294982›Full record

ArticleIn vivo (Athens, Greece)

Relationship Between Frailty and Drug Burden Index in Older Hospitalized Patients.

Yukako Morisaki, Misuzu Takashima, Ayako Maeda-Minami, Sayaka Izumi, Masanori Suzuki, Ryohkan Funakoshi, Yasunari Mano

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

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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.

Yukako MorisakiFaculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Japan.
Misuzu TakashimaFaculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Japan.
Ayako Maeda-MinamiFaculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Japan; ayako.maeda@rs.tus.ac.jp.
Sayaka IzumiDepartment of Pharmacy, Kameda Medical Center, Kamogawa, Japan.
Masanori SuzukiDepartment of Pharmacy, Kameda Medical Center, Kamogawa, Japan.
Ryohkan FunakoshiDepartment of Pharmacy, Kameda Medical Center, Kamogawa, Japan.
Yasunari ManoFaculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimIn a super-aging society, understanding the prescription status of drug burden index (DBI) drugs that have anticholinergic and sedative effects in patients with frailty to consider proper medical intervention and promote appropriate drug use for older adults is important. This study evaluated the association between frailty and the use of DBI drugs in older hospitalized patients using hospital electronic medical records. PATIENTS AND

methodsThis cross-sectional study included patients admitted to the Kameda Medical Center between October 1, 2016 and October 31, 2017. Patients with a Barthel Index of <90 or Mini-Mental State Examination score of <18 or otherwise were classified into the frailty and non-frailty groups, respectively. DBI drugs fall into nine categories based on previous studies, and 162 drugs marketed in Japan were included. Patients using DBI drugs were considered DBI drug users; otherwise, patients were considered DBI drug non-users. Comparisons of the DBI drug proportions in both groups were performed using logistic regression analysis while adjusting for patient background factors and calculating the adjusted odds ratios and 95% confidence intervals.

resultsThe proportion of DBI drug users was significantly lower in the frailty group compared to the non-frailty group (adjusted odds ratio=0.32, 95% confidence interval=0.24-0.42,

conclusionHospitalized older patients with frailty in Japan may be associated with a lower risk of DBI drug use and may use drugs with caution. In clinical practice, drug treatment for older patients may be implemented in consideration of various patient backgrounds, including frailty.

Indexed as

Frail ElderlyFrailtyAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHospitalizationHumansJapanMaleOdds RatioPolypharmacydrug burden indexFrailtymild frailtyolder hospitalized patientssevere frailty

Identifiers

PMID40294982
PMCPMC12041994

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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.