Key result
Among 41 elderly nursing home residents taking digoxin, 37 were prescribed 0.0625 mg daily, resulting in subtherapeutic serum concentrations in 20 of 32 measured patients.
Why the study?
What is the prevalence and appropriateness of digoxin prescribing in elderly nursing home residents?
Population
Elderly patients residing in five private nursing homes who were taking digoxin (n=41)
Design
Cross-sectional
Authors
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Frequent subtherapeutic digoxin levels with 0.0625 mg daily in elderly residents; leaves open optimal dosing and monitoring strategies.
Cross-Sectional (n=41)
Yes
What is the prevalence and appropriateness of digoxin prescribing in elderly nursing home residents?
Routine prescription of very low dose digoxin (0.0625 mg daily) in elderly nursing home residents frequently results in subtherapeutic serum concentrations and inadequate rate control.
Nolan et al. (1989) conducted a cross-sectional in Elderly nursing home residents taking digoxin (n=41). Digoxin was evaluated on Serum digoxin concentrations and ventricular rate control. Among 41 elderly nursing home residents taking digoxin, 37 were prescribed 0.0625 mg daily, resulting in subtherapeutic serum concentrations in 20 of 32 measured patients.
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