Relationship of number of medications to functional status, health, and quality of life for the frail home-based older adult

被引:9
作者
Classen, S [1 ]
Mann, W
Wu, SS
Tomita, MR
机构
[1] Univ Florida, Dept Occupat Therapy, Gainesville, FL 32611 USA
[2] Univ Florida, Program Rehabil Sci PhD, Gainesville, FL 32611 USA
[3] Univ Florida, Rehabil Engn Res Ctr Aging, Gainesville, FL USA
[4] Univ Florida, Coll Med, Dept Stat, Gainesville, FL USA
[5] SUNY Buffalo, Dept Rehabil Sci, Buffalo, NY 14260 USA
关键词
older adults; instrumental activities of daily living; medication management;
D O I
10.1177/153944920402400405
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Number of medications and its relationship to functional status, health, and quality of life in 1,099 frail home-based older adults were examined. Using a general linear model, the number Of medications was significant to cognition (P = .004; beta = 0.16), instrumental activities of daily living (P < .0001; beta = 0.13), and health (beta = .0001; odds ratio = 0.92, 95% confidence interval = 0.83 to 0.96). But increased age (P < .0001; beta = -.12) and male gender (P < .0001; beta = -1.9), inversely associated with cognition, point to the emergence of a high-risk group who have a greater need for occupational therapy intervention, specifically medication management.
引用
收藏
页码:151 / 160
页数:10
相关论文
共 51 条
[41]  
Rogers JC, 1998, WILLARD SPACKMANS OC, P185
[42]   A RANDOMIZED, CONTROLLED TRIAL OF OUTPATIENT GERIATRIC EVALUATION AND MANAGEMENT IN A LARGE PUBLIC HOSPITAL [J].
RUBIN, CD ;
SIZEMORE, MT ;
LOFTIS, PA ;
DEMOLA, NL .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1993, 41 (10) :1023-1028
[43]  
Ruiz Jorge G., 1996, Am J Ther, V3, P784, DOI 10.1097/00045391-199611000-00008
[44]   Medication use patterns among demented, cognitively impaired and cognitively intact community-dwelling elderly people [J].
Schmader, KE ;
Hanlon, JT ;
Fillenbaum, GG ;
Huber, M ;
Pieper, C ;
Horner, R .
AGE AND AGEING, 1998, 27 (04) :493-501
[45]   Clinically significant drug interactions with antidepressants in the elderly [J].
Spina, E ;
Scordo, MG .
DRUGS & AGING, 2002, 19 (04) :299-320
[46]   Risk factors for functional status decline in community-living elderly people:: a systematic literature review [J].
Stuck, AE ;
Walthert, JM ;
Nikolaus, T ;
Büla, CJ ;
Hohmann, C ;
Beck, JC .
SOCIAL SCIENCE & MEDICINE, 1999, 48 (04) :445-469
[47]   Multidimensionality in instrumental and basic activities of daily living [J].
Thomas, VS ;
Rockwood, K ;
McDowell, I .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1998, 51 (04) :315-321
[48]  
*US CENS BUR, 2002, PROJ TOT RES POP 5 Y
[49]   Adverse drug reactions and polypharmacy in the elderly in general practice [J].
Veehof, LJG ;
Stewart, RE ;
Meyboom-de Jong, B ;
Haaijer-Ruskamp, FM .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1999, 55 (07) :533-536
[50]   A strategy to reduce cardiovascular disease by more than 80% [J].
Wald, NJ ;
Law, MR .
BMJ-BRITISH MEDICAL JOURNAL, 2003, 326 (7404) :1419-1423