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. 2024 Apr 25;19(4):e0302300. doi: 10.1371/journal.pone.0302300

Table 3. Factors associated with polypharmacy among patients with dementia (n = 57,346).

Variable Polypharmacy (5+) Excessive polypharmacy (10+)
OR 95% CI P-value OR 95% CI P-value
Sex Male (ref.)            
Female 1.052 1.010–1.095 0.0143 0.937 0.897–0.979 0.0034
Age 60–64 (ref.)
65–69 1.189 1.061–1.332 0.0030 1.180 1.026–1.358 0.0208
70–74 1.458 1.312–1.619 <0.0001 1.519 1.337–1.726 <0.0001
75–79 1.690 1.530–1.866 <0.0001 1.661 1.470–1.875 <0.0001
80–84 1.543 1.399–1.703 <0.0001 1.483 1.313–1.674 <0.0001
85–89 1.216 1.099–1.345 0.0001 1.152 1.016–1.306 0.0269
90–91 1.002 0.887–1.132 0.9724 0.920 0.789–1.072 0.2851
Disability Severe 0.858 0.803–0.916 <0.0001 0.959 0.893–1.030 0.2479
Mild 1.245 1.184–1.309 <0.0001 1.316 1.252–1.383 <0.0001
None (ref)            
Region Seoul-Metro (ref)
Chungcheong 0.909 0.856–0.964 0.0016 0.966 0.905–1.032 0.3045
Honam 0.884 0.837–0.933 <0.0001 1.145 1.081–1.213 <0.0001
Gyeongsang 0.937 0.895–0.982 0.0060 1.038 0.987–1.092 0.1512
Gangwon-Jeju 0.911 0.835–0.993 0.0332 0.928 0.844–1.022 0.1285
Income level Medical Aid 1.206 1.135–1.281 <0.0001 1.688 1.590–1.792 <0.0001
NHI 1st 0.934 0.882–0.988 0.0172 1.079 1.012–1.149 0.0191
NHI 2nd 0.901 0.838–0.968 0.0044 1.015 0.935–1.103 0.7163
NHI 3rd 0.953 0.896–1.014 0.1292 1.018 0.949–1.091 0.6229
NHI 4th 0.998 0.944–1.055 0.9471 1.033 0.972–1.099 0.2972
NHI 5th (richest, ref.)            
Type of long-term care benefits Institutional care 1.366 1.287–1.451 <0.0001 0.986 0.924–1.051 0.6588
Home care 1.266 1.212–1.323 <0.0001 1.193 1.139–1.250 <0.0001
None (ref.)            
Duration of dementia (years) <1 (ref.)            
1–3 1.187 1.128–1.249 <0.0001 1.194 1.130–1.262 <0.0001
3–10 1.216 1.163–1.272 <0.0001 1.208 1.151–1.268 <0.0001
≥10 1.263 1.156–1.380 <0.0001 1.270 1.157–1.393 <0.0001
CCI ≤2 (ref.)
3–4 1.960 1.878–2.046 <0.0001 2.477 2.341–2.620 <0.0001
≥5 2.910 2.775–3.052 <0.0001 4.524 4.280–4.782 <0.0001

Ref.: reference

NHI: National Health Insurance, CCI: Charlson comorbidity index