Risk of Mortality Associated with Non-selective Antimuscarinic medications in Older Adults with Dementia: a Retrospective Study.

Author: AparasuRajender R, ChenHua, HolmesHolly M, JohnsonMichael L, KachruNandita

Paper Details 
Original Abstract of the Article :
BACKGROUND: Selective antimuscarinics may offer a favorable safety profile over non-selective antimuscarinics for the management of overactive bladder (OAB) in patients with dementia. OBJECTIVE: To test the hypothesis that non-selective antimuscarinics are associated with increased risk of mortalit...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7351941/

データ提供:米国国立医学図書館(NLM)

Antimuscarinics and Dementia: Navigating a Delicate Desert

Dementia, a condition that affects cognitive abilities, is like a vast and confusing desert, where memories fade and clarity becomes elusive. For those with dementia who also struggle with overactive bladder (OAB), finding effective and safe medications can be a challenge, akin to searching for a reliable water source in a parched landscape. This study, like a skilled desert guide, investigates the risks and benefits of different types of antimuscarinic medications in this vulnerable population.

The authors, like meticulous desert explorers, examined the effects of non-selective and selective antimuscarinics on mortality in older adults with dementia and OAB. They found that non-selective antimuscarinics were associated with a 50% higher risk of mortality within 180 days compared to selective agents. This finding, like discovering a hidden danger in a seemingly safe oasis, highlights the importance of carefully considering medication choices for this population.

The study also emphasizes the need for optimized use of antimuscarinic medications in older adults with dementia. This underscores the importance of a personalized approach to treatment, similar to tailoring a camel caravan to the specific terrain it will traverse.

A Careful Choice for Dementia Patients

The study reveals a significant risk associated with non-selective antimuscarinics in older adults with dementia and OAB. This finding, like a warning sign in the desert, highlights the importance of carefully considering medication choices for this vulnerable population.

Navigating the Desert of OAB Treatment

This study provides valuable guidance for healthcare providers treating older adults with dementia and OAB. It emphasizes the need for a cautious approach to antimuscarinic medication use, prioritizing selective agents whenever possible. This, like a map guiding a camel caravan through a treacherous desert, ensures the best possible outcomes for patients.

Dr.Camel's Conclusion

This research, like a well-prepared camel caravan venturing into a challenging desert, highlights the importance of careful medication choices for patients with dementia and OAB. The study reveals a significant risk associated with non-selective antimuscarinics, emphasizing the need for a more personalized and cautious approach to medication management in this vulnerable population.

Date :
  1. Date Completed 2021-05-14
  2. Date Revised 2021-07-02
Further Info :

Pubmed ID

32026255

DOI: Digital Object Identifier

PMC7351941

Related Literature

SNS
PICO Info
in preparation
Languages

English

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