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November 13, 2023Saudi Pharmaceutical JournalOpen Access

Prevalence of polypharmacy in heart failure patients: A retrospective cross-sectional study in a tertiary hospital in Saudi Arabia

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Key result

Comorbid diabetes in HF is linked to ~6.6-fold higher odds of polypharmacy.

  • AOR 6.55
  • 95% CI 3.71-11.56
  • n=331

Why the study?

This study aimed to evaluate the prevalence and predictors of polypharmacy in patients with heart failure.

Population

331 adult outpatients with heart failure in Saudi Arabia

Design

Retrospective cross-sectional study

Authors

MAMohammed M. AlsultanKing Fahd Medical CityRARabab AlamerImam Abdulrahman Bin Faisal UniversityFAFatimah AlammarImam Abdulrahman Bin Faisal University

Discussion

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Implication

May warrant polypharmacy review in HF patients with diabetes; hypothesis-generating observational data requiring prospective confirmation.

Study Design

Type

Cross-Sectional (n=331)

Multicenter

No

Structured PICO

P
Population
331 adult outpatients with heart failure, excluding those with cancer, evaluated for the prevalence and predictors of polypharmacy.
O
Outcome
Prevalence of polypharmacy (defined as the use of eight or more medications)

Main Result

Odds Ratio: 6.55 (95% CI 3.71–11.56)

Polypharmacy is highly prevalent (39.88%) among heart failure outpatients, with comorbid diabetes mellitus being a strong predictor of using eight or more medications.

Cite This Study

Alsultan et al. (2023) conducted a cross-sectional in Heart failure (n=331). Diabetes mellitus vs. Without diabetes mellitus was evaluated on Polypharmacy (use of eight or more medications) (AOR 6.55, 95% CI 3.71-11.56). Among patients with heart failure, comorbid diabetes mellitus was associated with a significantly higher odds of polypharmacy (AOR 6.55; 95% CI 3.71-11.56).

synapsesocial.com/papers/6a484db0a567c8cbc92f7d91https://doi.org/10.1016/j.jsps.2023.101875
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Also Consider

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  1. 1The heart failure in Internal Medicine in Tuscany: the SMIT Study2015 · 11 citations
  2. 2Potential impact of single-risk-factor versus total risk management for the prevention of cardiovascular events in Seychelles2011 · 63 citations
  3. 3Polypharmacy in Older Adults Hospitalized for Heart Failure2020 · 183 citations
  4. 4Polypharmacy and risk of mortality among patients with heart failure following hospitalization: a nested case–control study2022 · 40 citations
  5. 5The development of polypharmacy. A longitudinal study2000 · 348 citations