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