Sunil Kripalani|Kathryn Goggins|Sam Nwosu|Jonathan S. Schildcrout|Amanda S. Mixon|Candace D. McNaughton|Amanda M. Scott|Kenneth A. Wallston
Medication Nonadherence Before Hospitalization for Acute Cardiac Events
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|VA Tennessee Valley Healthcare System|Geriatric Research Education and Clinical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center
medication nonadherence increases risk hospitalization poor outcomes particularly among patients cardiovascular disease purpose study examine characteristics associated medication nonadherence among adults hospitalized cardiovascular disease patients vanderbilt inpatient cohort study admitted acute coronary syndrome heart failure completed validated assessments selfreported medication adherence adherence refills medications scale demographic characteristics health literacy numeracy social support depressive symptoms health competence modeled independent predictors nonadherence hospitalization standardizing estimated effects predictors interquartile range among 1967 patients studied 707 indicated least degree medication nonadherence leading hospitalization adherence significantly lower among patients lower health literacy 018point change adherence score per interquartile range change health literacy lower numeracy 028 lower health competence 030 depressive symptoms 052 younger age nonwhite race male gender less social support medication nonadherence period hospitalization prevalent among patients lower health literacy numeracy intervenable psychosocial factors addressing factors coordinated care model may reduce hospitalization rates