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December 1, 1985Journal of the American Geriatrics Society

Digitalis Withdrawal in Elderly Nursing Home Patients

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Key result

Withdrawal of digoxin in elderly nursing home patients with normal sinus rhythm was well tolerated, with 18 of 19 patients (94.7%) remaining clinically stable over 4 months.

Why the study?

Does digoxin withdrawal maintain clinical stability in elderly nursing home patients with normal sinus rhythm?

Population

19 elderly nursing home patients on maintenance digoxin with normal sinus rhythm

Design

Cohort

Follow-up

4 months

Authors

CWCharles WilkinsMKManbir S. Khurana

Discussion

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Overview

May support digoxin withdrawal in stable elderly nursing home residents; leaves open randomized confirmation before practice change.

Study Design

Type

Observational (n=19)

Structured PICO

Does digoxin withdrawal maintain clinical stability in elderly nursing home patients with normal sinus rhythm?

P
Population
19 elderly nursing home patients on maintenance digoxin with normal sinus rhythm (out of 64 total screened patients)
I
Intervention
Withdrawal of digoxin
O
Outcome
Clinical stability ('did well') after withdrawal

Withdrawal of maintenance digoxin in elderly nursing home patients with normal sinus rhythm appears safe and well-tolerated.

Cite This Study

Wilkins et al. (1985) conducted an observational in Elderly nursing home patients on digoxin with normal sinus rhythm (n=19). Digoxin withdrawal was evaluated on Doing well without digoxin. Withdrawal of digoxin in elderly nursing home patients with normal sinus rhythm was well tolerated, with 18 of 19 patients (94.7%) remaining clinically stable over 4 months.

synapsesocial.com/papers/6a16da702fcf950e00055d27https://doi.org/10.1111/j.1532-5415.1985.tb05438.x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Maintenance Digoxin in Elderly Patients1970 · 127 citations
  2. 2Digoxin Use in the Elderly1982 · 23 citations
  3. 3Digoxin Withdrawal After Cardiac Failure in Patients with Sinus Rhythm1983 · 93 citations
  4. 4The Clinical Value of Digoxin in Patients with Heart Failure and Sinus Rhythm1978 · 89 citations