Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. School of Medicine / 醫學系
  4. Age, Dementia and Care Patterns after Admission for Acute Coronary Syndrome An Analysis from a Nationwide Cohort under the National Health Insurance Coverage
 
  • Details

Age, Dementia and Care Patterns after Admission for Acute Coronary Syndrome An Analysis from a Nationwide Cohort under the National Health Insurance Coverage

Resource
Drugs Aging, 29(10), 819-828
Journal
Drugs Aging
Pages
819-828
Date Issued
2012
Date
2012
Author(s)
Lin C.F.
FE-LIN LIN WU  
SHU-WEN LIN  
Bai C.H.
DING-CHENG CHAN  
Gau C.S.
FEI-YUAN HSIAO  
LI-JIUAN SHEN  
DOI
10.1007/s40266-012-0011-6
URI
http://ntur.lib.ntu.edu.tw//handle/246246/259146
Abstract
Background The number of elderly and the prevalence of dementia have grown considerably in recent years. Little is known about how aging and dementia affect care patterns after discharge for acute coronary syndrome (ACS).
Objective This study was designed to assess the impact of dementia on care patterns after admission for patients with ACS across different age groups. Methods Of 87,321 patients hospitalized for ACS between 1 January 2006 and 31 December 2007, 1,835 patients with dementia and 3,670 matched patients without dementia (1:2 ratio, matched by age, sex and hospital level) were identified from Taiwan's National Health Insurance Research Database. Use of interventional therapies at hospitalization and guideline-recommended medications post-discharge were compared between patients with and without dementia across different age groups (<= 65, 66-75, 76-85, >= 86 years). Multivariate logistic regression models were performed to examine the impact of dementia on care patterns. Results Overall, dementia was associated with a 27 % lower likelihood of receipt of interventional therapies [adjusted odds ratio (OR) = 0.73; 95 % CI 0.63, 0.83] and a 22 % lower likelihood of guideline-recommended medications (adjusted OR = 0.78; 95 % CI 0.68, 0.89) in ACS patients. The use of interventional therapies and guideline-recommended medications decreased with age, and interactions between age and dementia were found. The proportions of patients receiving interventional therapies were 39.4 % (without dementia) versus 21.8 % (with dementia) in the youngest age group and 18.6 % (without dementia) versus 14.5 % (with dementia) in the oldest age group. Patients with dementia (age <= 65 years 73.6 %; age 66-75 years 82.3 %; age 76-85 years 71.8 %; age >= 86 years 55.6 %) were less likely to receive guideline-recommended medications as compared with those without dementia (age <= 65 years 85.6 %; age 66-75 years 87.5 %; age 76-85 years 81.2 %; age >= 86 years 62.0 %). Conclusion Dementia and aging were associated with decreased use of interventional therapies and guideline-recommended medications in ACS patients.
SDGs

[SDGs]SDG3

Other Subjects
acute coronary syndrome; age; aged; article; cohort analysis; dementia; economics; female; hospital admission; human; male; middle aged; patient care; public health; statistics; Taiwan; very elderly; Acute Coronary Syndrome; Age Factors; Aged; Aged, 80 and over; Cohort Studies; Dementia; Female; Humans; Male; Middle Aged; National Health Programs; Patient Admission; Patient Care; Taiwan
File(s)
Loading...
Thumbnail Image
Name

index.html

Size

23.17 KB

Format

HTML

Checksum

(MD5):0aca0b0329d46a0cc319e7a878368ae2

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science