Chinese Journal of Pharmacovigilance ›› 2022, Vol. 19 ›› Issue (3): 302-305.
DOI: 10.19803/j.1672-8629.2022.03.15

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Current medications and influencing factors for senile patients with NVAF

CHAI Xiaoli1, ZHANG Chen1, FENG Qingchun1, LIU Huan2   

  1. 1Department of Cardiology, Hunan Brain Hospital, Changsha Hunan 410015,China;
    2Hunan University of Traditional Chinese Medicine, Changsha Hunan 410015, China
  • Received:2020-05-22 Online:2022-03-15 Published:2022-03-16

Abstract: Objective To investigate current medications for elderly patients with non-valvular atrial fibrillation (NVAF) and the effect on anticoagulant therapies. Methods A total of 482 elderly patients with NVAF hospitalized in cardiovascular departments of five big hospitals in Changsha between March 2015 and March 2019 were selected as the subjects. A self-designed questionnaire was used to investigate the demographic data that was compared between the two groups. The usage of antithrombotic therapies and multiple drugs (≥5 drugs) was evaluated, and the influencing factors of multiple drugs were analyzed by logistic regression analysis. Results Among the 482 patients, 250 (51.87%) were properly treated, 58 (12.05%) were over-treated, 37 (7.68%) were undertreated, and 137 (28.42%) were left untreated. Logistic regression analysis showed that levels of education, type of medical insurance, hypertension, diabetes, coronary heart disease and heart failure were independent risk factors for multiple drug use (P<0.05). Conclusion Multiple medication is common in elderly NVAF patients, and the proportion of anticoagulant therapies needs to be improved.

Key words: advanced age, non-valvular atrial fibrillation, multiple drug use, anticoagulation

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