Use of Potentially Inappropriate Medications in People With Dementia in Vietnam and Its Associated Factors
This study examined the use of potentially inappropriate medicines that may affect cognition (PIMcog) in people with dementia and its associated factors. Medical records of all outpatients with dementia attending a tertiary hospital in Vietnam between January 1, 2015, and December 31, 2016, were exa...
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| Veröffentlicht in: | American journal of Alzheimer's disease and other dementias 2018-11, Vol.33 (7), p.423-432 |
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| container_title | American journal of Alzheimer's disease and other dementias |
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| creator | Nguyen, Tuan Anh Pham, Thang Vu, Huyen Thi Thanh Nguyen, Thanh Xuan Vu, Trinh Thi Nguyen, Binh Thi Thanh Nguyen, Ngoc Quynh Nguyen, Binh Thanh Nguyen, Binh Thanh Nguyen, Tam Ngoc Phan, Sinh Viet Nguyen, Anh Trung Pham, Tuan Le Dang, Ha Thu Kalisch-Ellett, Lisa Gillam, Marianne Pratt, Nicole Qiang, Sun Wang, Haipeng Kanjanarach, Tipaporn Hassali, Mohamed Azmi Ahmad Babar, Zaheer-Ud-Din Razak, Asrenee Ab Chinwong, Dujrudee Roughead, Elizabeth E. |
| description | This study examined the use of potentially inappropriate medicines that may affect cognition (PIMcog) in people with dementia and its associated factors. Medical records of all outpatients with dementia attending a tertiary hospital in Vietnam between January 1, 2015, and December 31, 2016, were examined. Medicine use was assessed against a list of PIMcog. Variables associated with having a PIMcog were assessed using a multiple logistic regression. Of the 128 patients, 41% used a PIMcog, 39.1% used cholinesterase inhibitors (CEIs) concomitantly with anticholinergics, and 18% used antipsychotics. The number of hospital visits (adjusted odds ratio [OR]: 1.08; 95% confidence interval [CI]: 1.02-1.16) and number of treating specialists (adjusted OR: 0.61; 95% CI: 0.45-0.83) were associated with PIMcog use. This study highlights a high-level use of medicines that can further impair cognition or reduce the effectiveness of CEIs in people with dementia. Efforts to improve quality use of medicines for this population are warranted. |
| doi_str_mv | 10.1177/1533317518768999 |
| format | Article |
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Medical records of all outpatients with dementia attending a tertiary hospital in Vietnam between January 1, 2015, and December 31, 2016, were examined. Medicine use was assessed against a list of PIMcog. Variables associated with having a PIMcog were assessed using a multiple logistic regression. Of the 128 patients, 41% used a PIMcog, 39.1% used cholinesterase inhibitors (CEIs) concomitantly with anticholinergics, and 18% used antipsychotics. The number of hospital visits (adjusted odds ratio [OR]: 1.08; 95% confidence interval [CI]: 1.02-1.16) and number of treating specialists (adjusted OR: 0.61; 95% CI: 0.45-0.83) were associated with PIMcog use. This study highlights a high-level use of medicines that can further impair cognition or reduce the effectiveness of CEIs in people with dementia. Efforts to improve quality use of medicines for this population are warranted.</description><identifier>ISSN: 1533-3175</identifier><identifier>ISSN: 1938-2731</identifier><identifier>EISSN: 1938-2731</identifier><identifier>DOI: 10.1177/1533317518768999</identifier><identifier>PMID: 29642720</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Antipsychotic Agents - administration & dosage ; Antipsychotic Agents - adverse effects ; Cholinergic Antagonists - administration & dosage ; Cholinergic Antagonists - adverse effects ; Cholinesterase Inhibitors - administration & dosage ; Cholinesterase Inhibitors - adverse effects ; Cognition - drug effects ; Current Topics in Management ; Dementia - epidemiology ; Female ; Humans ; Male ; Potentially Inappropriate Medication List - standards ; Vietnam - epidemiology</subject><ispartof>American journal of Alzheimer's disease and other dementias, 2018-11, Vol.33 (7), p.423-432</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018 2018 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-89e6520b85f04832fb0b932f3540b853882e69bc5999bb3c001a3ec73f4fd3383</citedby><cites>FETCH-LOGICAL-c435t-89e6520b85f04832fb0b932f3540b853882e69bc5999bb3c001a3ec73f4fd3383</cites><orcidid>0000-0002-9528-9278</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852524/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852524/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,21971,27858,27929,27930,44950,45338,53796,53798</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1533317518768999?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29642720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nguyen, Tuan Anh</creatorcontrib><creatorcontrib>Pham, Thang</creatorcontrib><creatorcontrib>Vu, Huyen Thi Thanh</creatorcontrib><creatorcontrib>Nguyen, Thanh Xuan</creatorcontrib><creatorcontrib>Vu, Trinh Thi</creatorcontrib><creatorcontrib>Nguyen, Binh Thi Thanh</creatorcontrib><creatorcontrib>Nguyen, Ngoc Quynh</creatorcontrib><creatorcontrib>Nguyen, Binh Thanh</creatorcontrib><creatorcontrib>Nguyen, Binh Thanh</creatorcontrib><creatorcontrib>Nguyen, Tam Ngoc</creatorcontrib><creatorcontrib>Phan, Sinh Viet</creatorcontrib><creatorcontrib>Nguyen, Anh Trung</creatorcontrib><creatorcontrib>Pham, Tuan Le</creatorcontrib><creatorcontrib>Dang, Ha Thu</creatorcontrib><creatorcontrib>Kalisch-Ellett, Lisa</creatorcontrib><creatorcontrib>Gillam, Marianne</creatorcontrib><creatorcontrib>Pratt, Nicole</creatorcontrib><creatorcontrib>Qiang, Sun</creatorcontrib><creatorcontrib>Wang, Haipeng</creatorcontrib><creatorcontrib>Kanjanarach, Tipaporn</creatorcontrib><creatorcontrib>Hassali, Mohamed Azmi Ahmad</creatorcontrib><creatorcontrib>Babar, Zaheer-Ud-Din</creatorcontrib><creatorcontrib>Razak, Asrenee Ab</creatorcontrib><creatorcontrib>Chinwong, Dujrudee</creatorcontrib><creatorcontrib>Roughead, Elizabeth E.</creatorcontrib><title>Use of Potentially Inappropriate Medications in People With Dementia in Vietnam and Its Associated Factors</title><title>American journal of Alzheimer's disease and other dementias</title><addtitle>Am J Alzheimers Dis Other Demen</addtitle><description>This study examined the use of potentially inappropriate medicines that may affect cognition (PIMcog) in people with dementia and its associated factors. Medical records of all outpatients with dementia attending a tertiary hospital in Vietnam between January 1, 2015, and December 31, 2016, were examined. Medicine use was assessed against a list of PIMcog. Variables associated with having a PIMcog were assessed using a multiple logistic regression. Of the 128 patients, 41% used a PIMcog, 39.1% used cholinesterase inhibitors (CEIs) concomitantly with anticholinergics, and 18% used antipsychotics. The number of hospital visits (adjusted odds ratio [OR]: 1.08; 95% confidence interval [CI]: 1.02-1.16) and number of treating specialists (adjusted OR: 0.61; 95% CI: 0.45-0.83) were associated with PIMcog use. This study highlights a high-level use of medicines that can further impair cognition or reduce the effectiveness of CEIs in people with dementia. 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Medical records of all outpatients with dementia attending a tertiary hospital in Vietnam between January 1, 2015, and December 31, 2016, were examined. Medicine use was assessed against a list of PIMcog. Variables associated with having a PIMcog were assessed using a multiple logistic regression. Of the 128 patients, 41% used a PIMcog, 39.1% used cholinesterase inhibitors (CEIs) concomitantly with anticholinergics, and 18% used antipsychotics. The number of hospital visits (adjusted odds ratio [OR]: 1.08; 95% confidence interval [CI]: 1.02-1.16) and number of treating specialists (adjusted OR: 0.61; 95% CI: 0.45-0.83) were associated with PIMcog use. This study highlights a high-level use of medicines that can further impair cognition or reduce the effectiveness of CEIs in people with dementia. Efforts to improve quality use of medicines for this population are warranted.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>29642720</pmid><doi>10.1177/1533317518768999</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-9528-9278</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1533-3175 |
| ispartof | American journal of Alzheimer's disease and other dementias, 2018-11, Vol.33 (7), p.423-432 |
| issn | 1533-3175 1938-2731 1938-2731 |
| language | eng |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Aged Aged, 80 and over Antipsychotic Agents - administration & dosage Antipsychotic Agents - adverse effects Cholinergic Antagonists - administration & dosage Cholinergic Antagonists - adverse effects Cholinesterase Inhibitors - administration & dosage Cholinesterase Inhibitors - adverse effects Cognition - drug effects Current Topics in Management Dementia - epidemiology Female Humans Male Potentially Inappropriate Medication List - standards Vietnam - epidemiology |
| title | Use of Potentially Inappropriate Medications in People With Dementia in Vietnam and Its Associated Factors |
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