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July 1, 2016Open Access

Cognitive function and adherence to anticoagulation treatment in patients with atrial fibrillation.

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Why the study?

Does cognitive impairment affect the level of adherence to oral anticoagulation treatment in patients with atrial fibrillation?

Population

111 patients with atrial fibrillation treated with oral anticoagulants, mean age 73.5 ± 8.3 years.

Design

Cross-sectional

Authors

BJBeata Jankowska‐PolańskaWrocław University of Science and TechnologyKLKatarzyna LomperEdinburgh Napier UniversityALAlberska Lidia

Discussion

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Implication

Cognitive impairment may predict poor OAC adherence in AF; leaves open whether screening or interventions improve outcomes in trials.

Structured PICO

Does cognitive impairment affect the level of adherence to oral anticoagulation treatment in patients with atrial fibrillation?

P
Population
111 patients with atrial fibrillation treated with oral anticoagulants, mean age 73.5 ± 8.3 years.
I
Intervention
Cognitive function assessment using the Mini Mental State Examination (MMSE)
O
Outcome
Level of adherence to anticoagulation treatment assessed by the 8-item Morisky Medication Adherence Scale (MMAS-8)patient reported

Cognitive impairment and older age are significant independent predictors of poor adherence to oral anticoagulation therapy in patients with atrial fibrillation.

Cite This Study

Jankowska‐Polańska et al. (2016) studied this question.

synapsesocial.com/papers/6a871afe6fbb37794f7cb7d0https://doi.org/10.11909/j.issn.1671-5411.2016.07.006
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reasons Underlying Non-Adherence to and Discontinuation of Anticoagulation in Secondary Stroke Prevention among Patients with Atrial Fibrillation2015 · 56 citations
  2. 2Medication Adherence in Elderly Patients Receiving Home Health Services Following Hospital Discharge2001 · 168 citations
  3. 3Warfarin Discontinuation After Starting Warfarin for Atrial Fibrillation2010 · 188 citations
  4. 4Cognitive Function and Anticoagulation Control in Patients With Atrial Fibrillation2010 · 111 citations
  5. 5Pharmacological adherence to oral anticoagulant and factors that influence the international normalized ratio stability2011 · 28 citations