Hyun-Joo Seong|Kyounghoon Lee|Bo-Hwan Kim|Youn?Jung Son
Cognitive Impairment Is Independently Associated with Non-Adherence to Antithrombotic Therapy in Older Patients with Atrial Fibrillation
Chung-Ang University|Gachon University|Gachon University|Chung-Ang University
atrial fibrillation af patients could reduce risk stroke using oral antithrombotic therapy however many older people af experience cognitive impairment limited health literacy lead nonadherence antithrombotic treatment study aimed investigate influence cognitive impairment health literacy nonadherence antithrombotic therapy study performed secondary analysis baseline data crosssectional survey af patients selfcare behaviors tertiary university hospital 2018 data collected total 277 af patients aged 65 years older selfreported questionnaires administered facetoface interviews approximately 502 patients nonadherent antithrombotic therapy multiple logistic regression analysis revealed cognitive impairment independently increased risk nonadherence antithrombotic therapy odds ratio 2628 95 confidence interval 14244848 adjustment confounding factors however health literacy associated nonadherence antithrombotic therapy cognitive impairment significant risk factor poor adherence antithrombotic therapy thus health professionals periodically assess cognitive function af diagnosis adherence medication older patients studies needed identify factors affect cognitive decline nonadherence among af patients