Comparison of anticholinergic burden with chronic polypharmacy on functional decline and mortality in Korean older people: a retrospective nationwide cohort study Article Swipe
Youn Huh
,
Ye‐Jee Kim
,
Jung‐Yeon Choi
,
Ji Eun Lee
,
Hee‐Won Jung
,
Cheol Min Shin
,
Chang Won Won
,
Ki Young Son
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12877-024-04692-0
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12877-024-04692-0
Background We aimed to evaluate the association of anticholinergic burden and chronic polypharmacy with the incidence of functional decline and all-cause mortality, and to determine the difference between anticholinergic burden and chronic polypharmacy among Korean older people. Methods This nationwide cohort study included 42,132 older people aged ≥ 65 years who underwent Korean National Health Insurance Service health examinations from 2007 to 2008. Odds ratios (ORs) and 95% confidence intervals (CIs) for abnormal Timed Up and Go (TUG) test results were assessed using multivariate logistic regression analyses. Hazard ratios (HRs) and 95% CIs for all-cause mortality until the end of 2015 were estimated using multivariable Cox proportional hazards regression analysis. Results Of the participants, 37.19% had abnormal TUG test results, and 7.66% of those died during the 5.7-year mean follow-up. The abnormal TUG test results OR increased by 27% among individuals with Korean Anticholinergic Burden Scale (KABS) scores ≥ 3 (OR 1.27, 95% CI 1.02–1.58) compared to those with KABS scores of 0. The HRs for all-cause mortality increased for individuals with higher KABS scores (P for trend < 0.001) or chronic polypharmacy (P for trend < 0.001) compared to those for individuals without these conditions. The combination of a higher KABS or chronic polypharmacy and abnormal TUG test results increased the risk of all-cause mortality (All P for trend < 0.001). Conclusion Anticholinergic drug burden shows a better association with functional decline than chronic polypharmacy, and the use of medications and functional decline may be important risk factors for all-cause mortality among older people.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12877-024-04692-0
- https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/s12877-024-04692-0
- OA Status
- gold
- Cited By
- 4
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391124987
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Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4391124987Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12877-024-04692-0Digital Object Identifier
- Title
-
Comparison of anticholinergic burden with chronic polypharmacy on functional decline and mortality in Korean older people: a retrospective nationwide cohort studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-23Full publication date if available
- Authors
-
Youn Huh, Ye‐Jee Kim, Jung‐Yeon Choi, Ji Eun Lee, Hee‐Won Jung, Cheol Min Shin, Chang Won Won, Ki Young SonList of authors in order
- Landing page
-
https://doi.org/10.1186/s12877-024-04692-0Publisher landing page
- PDF URL
-
https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/s12877-024-04692-0Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/s12877-024-04692-0Direct OA link when available
- Concepts
-
Polypharmacy, Medicine, Anticholinergic, Hazard ratio, Logistic regression, Internal medicine, Cohort, Odds ratio, Deprescribing, Proportional hazards model, Timed Up and Go test, Confidence interval, Beers Criteria, Cohort study, Geriatrics, Gerontology, Physical therapy, Psychiatry, Balance (ability)Top concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 2Per-year citation counts (last 5 years)
- References (count)
-
30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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