November 1, 1991Archives of Internal Medicine
Clinical Issues Related to Discontinuing Digoxin Therapy in Elderly Nursing Home Patients
Why the study?
Does discontinuing digoxin cause clinical deterioration in elderly nursing home patients with normal systolic function and normal sinus rhythm?
Population
47 elderly nursing home patients receiving long-term digoxin therapy
Comparison
Discontinuation of digoxin vs Continuation of digoxin
Design
Cohort
Authors
Discussion
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Member takes
Implication
May support digoxin discontinuation without deterioration in selected elderly patients; leaves open randomized confirmation before practice change.
Structured PICO
Does discontinuing digoxin cause clinical deterioration in elderly nursing home patients with normal systolic function and normal sinus rhythm?
P
Population
47 elderly nursing home patients receiving long-term digoxin therapy
I
Intervention
Discontinuation of digoxin
C
Comparator
Continuation of digoxin (physician refusal to stop)
O
Outcome
Clinical deterioration
Discontinuing digoxin in elderly nursing home patients with preserved systolic function and normal sinus rhythm appears safe and does not lead to clinical deterioration.
Cite This Study
Daniel E. Forman (1991) studied this question.