社区居住的老年人与心房的抗凝模式
Meaghan Costello1,2, Ericka E Tung1, Karen M Fischer1
1Mayo Clinic, Rochester, MN, USA.
Journal of primary care & community health
|April 2, 2024
概括
许多患有心房或心房 (AF/F) 的老年人没有接受抗凝药. 痴呆症和跌倒等老年综合征影响了这种处方做法,表明需要更好的风险评估.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 心房动或心房动 (AF/F) 是老年人常见的心律失常,增加中风风险.
- 抗凝剂是AF/F中风预防的基石治疗.
- 在老年人群中,对抗凝血剂的处方模式需要持续评估.
研究的目的:
- 评估非膜AF/F的老年人抗凝药处方实践.
- 在这个人口群体中确定与不接受抗凝药相关的因素.
主要方法:
- 对3832名65岁以上非膜性AF/AF患者的成年人进行了回顾性队列研究.
- 评估的口服抗凝剂利用率.
- 检查了抗凝剂使用与并发症/老年综合征之间的关联.
主要成果:
- 70.3%的患者接受了口服抗凝剂 (维生素K抗剂或直接作用的口服抗凝剂).
- 较高的老年风险评估 (ERA) 评分,痴呆症和跌倒史与较少的抗凝血药物相关.
- 没有抗凝药的患者的ERA得分更高,痴呆和跌倒的发病率更高.
结论:
- 很大一部分患有AF/F的老年人没有被处方抗凝药.
- 老年综合征,包括虚弱,痴呆和跌倒,似乎会影响抗凝决定.
- 临床实践可能会在患有AF/AF的易受伤害的老年人中不足利用抗凝剂.
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