Prevalence of Appropriate and Inappropriate Indications for Use of Digoxin in Older Patients at the Time of Admission to a Nursing Home

Aronow, Wilbert S.

doi:10.1111/j.1532-5415.1996.tb01448.x

Cited by 32 publications

(17 citation statements)

References 18 publications

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Section: Discussionmentioning

confidence: 99%

“…8 Forty-five of these 96 patients (47%) had an inappropriate indication for the use of digoxin. 8 Of 376 hospitalized patients with heart failure receiving digoxin, 223 (37%) had no appropriate indication for its use. 9 Therapeutic concentrations of digoxin do not decrease the frequency of episodes of paroxysmal AF or the duration of episodes of paroxysmal AF diagnosed by 24-h ambulatory electrocardiograms.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Inappropriate Use of Digoxin in 136 Patients on Digoxin and Prevalence of Use of Warfarin or Aspirin in 89 Patients With Persistent or Paroxysmal Atrial Fibrillation

Lleva

Aronow²,

Gutwein³

2009

American Journal of Therapeutics

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Of 136 patients, mean age 72 years, receiving digoxin in the hospital or in the medical clinic, 47 (35%) had heart failure with reduced left ventricular ejection fraction and symptoms despite optimal medical therapy, 82 (60%) had persistent atrial fibrillation (AF), and 7 (5%) had paroxysmal AF. The prevalence of inappropriate use of digoxin was 5%. Of 89 patients with persistent or paroxysmal AF, 70 (79%) were being treated with warfarin to maintain an International Normalized Ratio between 2.0 and 3.0, 15 (17%) were being treated with aspirin 325 mg daily, and 4 (4%) were not being treated with warfarin or aspirin. The prevalence of nonuse of warfarin or aspirin in patients with persistent or paroxysmal AF was 4%.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Inappropriate Use of Digoxin in 136 Patients on Digoxin and Prevalence of Use of Warfarin or Aspirin in 89 Patients With Persistent or Paroxysmal Atrial Fibrillation

Lleva

Aronow²,

Gutwein³

2009

American Journal of Therapeutics

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“…Digoxin toxicity is also difficult to recognize in older patients (31) and often occurs in the presence of a normal serum digoxin level (32). Studies have demonstrated inappropriate use of digoxin in older community-dwelling adults (33) and in long-term care facilities (15). To our knowledge, no study has examined the factors associated with inappropriate use of digoxin in older hospitalized heart failure patients.…”

mentioning

confidence: 81%

“…Among these patients, a higher admission pulse rate was associated with initiation of digoxin therapy. Other investigators also demonstrated high rates of inappropriate digoxin use (15,33,36,37).…”

Section: Discussionmentioning

confidence: 99%

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Inappropriate Use of Digoxin in Older Hospitalized Heart Failure Patients

Ahmed

Allman²,

DeLong³

2002

The Journals of Gerontology Series A: Biological Sciences and M

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A Survey of Long‐Term Antiarrhythmic Therapy in Elderly Patients with Atrial Fibrillation

Bajorek

Krass

Ogle³

et al. 2001

The Australian Journal of Hospital Pharmacy

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Aim: To investigate the use of long-term antiarrhythmic (rhythm-control [RHY] and rate-control [RAC]) therapy for the management of atrial fibrillation (AF) in elderly patients. Method: Data were collected retrospectively from the medical records of255 patients with AF who were ;:::65 years of age and were admitted to Royal North Shore Hospital in the period 1 July 1996 to 30 June 1997. Results: Overall, 192 (75%) patients were discharged on antiarrhythmic therapy for the long-term management of AF. Sixty-six patients (26%) received RHY only, 90 (35%) received RAC only, 36 (14%) were prescribed the combination of RHY + RAC therapy, and 63 (25%) received no therapy.Patients ;::so years of age were equally likely to receive longterm antiarrhythmic therapy as those

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Prevalence of Appropriate and Inappropriate Indications for Use of Digoxin in Older Patients at the Time of Admission to a Nursing Home

Abstract: The prevalence of digoxin use was 19% in older patients at the time of admission to the nursing home. Almost half of patients (47%) receiving digoxin at the time of admission had an inappropriate indication for digoxin use at that time.

Cited by 32 publications

References 18 publications

Prevalence of Inappropriate Use of Digoxin in 136 Patients on Digoxin and Prevalence of Use of Warfarin or Aspirin in 89 Patients With Persistent or Paroxysmal Atrial Fibrillation

Prevalence of Inappropriate Use of Digoxin in 136 Patients on Digoxin and Prevalence of Use of Warfarin or Aspirin in 89 Patients With Persistent or Paroxysmal Atrial Fibrillation

Inappropriate Use of Digoxin in Older Hospitalized Heart Failure Patients

A Survey of Long‐Term Antiarrhythmic Therapy in Elderly Patients with Atrial Fibrillation

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