Potentially inappropriate medications use and its association with health-related quality of life among elderly cardiac
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Potentially inappropriate medications use and its association with health‑related quality of life among elderly cardiac patients Muhammad Saqlain1 · Hussain Ali1 · Sohail Kamran1 · Muhammad Usman Munir2 · Shah Jahan3 · Faizan Mazhar4 Accepted: 12 May 2020 © Springer Nature Switzerland AG 2020
Abstract Background Previous studies identified alarming use of potentially inappropriate medications (PIMs) in Pakistani population but its effect on health-related quality of life (HRQoL) is still largely unknown. Objective This study aimed to determine the association between PIMs use and HRQoL among elderly cardiac outpatients. Method A descriptive, non-experimental, cross-sectional study was carried out from June 2018 to September 2018 in two outpatient departments of tertiary-care hospitals in the Punjab Province of Pakistan. The population under study were patients aged ≥ 65 years with at least one cardiovascular condition taking at ≥ 1 prescribed medication. Patients with PIMs were identified by using Beers criteria. HRQoL was assessed using EuroQoL-5 dimension (EQ-5D) and EuroQoL-visual analogue scale (EQ-VAS). The association of PIMs with HRQoL was analyzed using χ2 tests, independent sample t-test, and one-way ANOVA tests. Multiple linear regression analysis was used to determine how HRQoL varied by PIMs use after adjusting for patient-level covariates. Results Of 386 elderly cardiac patients, 260 (67.4%) patients were receiving at least one PIM. Mean EQ-5D scores were significantly lower among patients with PIMs (0.51) compared to patients without PIMs (0.65) (P
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