Table 4.
Prevalence of PIM and crude and adjusted analyses of this outcome according to demographic and health variables, type of healthcare system and polypharmacy in elderly patients with Alzheimer's disease. (n = 234).
Variables | % PIM | Crude analyses prevalence ratio (95% CI) | P valor | Adjusted analyses P (95% CI) | P | |
Sex | .467∗ | .559∗ | ||||
1st level | Male | 72.0 | 1.00 | 1.00 | ||
Female | 63.8 | 0.89 (0.64–1.23) | 0.90 (0.65–1.25) | |||
Age, y | .715∗∗ | .754∗∗ | ||||
65–74 | 65.5 | 1.00 | 1.00 | |||
75–84 | 72.6 | 1.11 (0.74–1.66) | 1.12 (0.75–1.67) | |||
>85 | 61.7 | 0.94 (0.61–1.45) | 0.95 (0.62–1.47) | |||
Time since diagnosis, y | .805∗∗ | .761∗∗ | ||||
<1 | 55.6 | 1.00 | 1.00 | |||
1–2 | 66.7 | 1.20 (0.60–2.40) | 1.16 (0.56–2.41) | |||
>2–5 | 69.0 | 1.24 (0.63–2.45) | 1.20 (0.59–2.47) | |||
>5 | 65.3 | 1.18 (0.60–2.32) | 1.17 (0.57–2.48) | |||
Hypertension | .070∗ | .338∗ | ||||
No | 57.6 | 1.00 | 1.00 | |||
Yes | 77.1 | 1.34 (0.98–1.83) | 1.18 (0.84–1.64) | |||
2nd level | Depression | <.001∗ | .010∗ | |||
No | 51.6 | 1.00 | 1.00 | |||
Yes | 98.7 | 1.91 (1.40–2.62) | 1.57 (1.11–2.20) | |||
Psychosis | .025∗∗ | .288∗ | ||||
No | 62.3 | 1.00 | 1.00 | |||
Yes | 100.0 | 1.05 (1.01–1.10) | 1.03 (0.98–1.08) | |||
Comorbidities (n) | <.001∗∗ | .005∗∗ | ||||
0–1 | 31.4 | 1.00 | 1.00 | |||
2 | 72.6 | 2.31 (1.39–3.85) | 2.03 (1.20–3.43) | |||
3 | 82.6 | 2.62 (1.55–4.44) | 2.20 (1.27–3.82) | |||
4 or + | 91.1 | 2.90 (1.76–4.78) | 2.35 (1.39–4.02) | |||
Level of autonomy (0–10) | .929∗∗ | .545∗∗ | ||||
None (0) | 70.0 | 1.00 | 1.00 | |||
1–5 | 65.1 | 0.93 (0.51–1.71) | 0.74 (0.40–1.40) | |||
6–9 | 65.8 | 0.94 (0.53–1.66) | 0.76 (0.42–1.38) | |||
10 | 66.7 | 0.95 (0.45–1.99) | 0.72 (0.33–1.57) | |||
Type of health care | .981∗ | .531∗ | ||||
Public | 66.2 | 1.00 | 1.00 | |||
3rd level | Private and public | 66.5 | 1.00 (0.70–1.44) | 0.89 (0.62–1.28) | ||
Polypharmacy | <.001∗ | .158∗ | ||||
No (≤4 medications) | 46.9 | 1.00 | 1.00 | |||
Yes (≥5 medications) | 90.6 | 1.93 (1.40–2.67) | 1.38 (0.88–2.17) |
CI = confidence interval, PIM = potentially inappropriate medications.
Wald test for heterogeneity.
Wald test for linear trend.