Journal article
Medications and cognitive risk in Aboriginal primary care: a cross-sectional study
M Holdaway, Z Hyde, JA Hughson, R Malay, A Stafford, K Fulford, K Radford, L Flicker, K Smith, D Pond, S Russell, D Atkinson, I Blackberry, D LoGiudice
Internal Medicine Journal | Published : 2024
DOI: 10.1111/imj.16323
Abstract
Background: Aboriginal and Torres Strait Islander people are ageing with high rates of comorbidity, yet little is known about suboptimal prescribing in this population. Aim: The prevalence of potentially suboptimal prescribing and associated risk factors were investigated among older patients attending primary care through Aboriginal Community Controlled Health Services (ACCHSs). Methods: Medical records of 420 systematically selected patients aged ≥50 years attending urban, rural and remote health services were audited. Polypharmacy (≥ 5 prescribed medications), potentially inappropriate medications (PIMs) as per Beers Criteria and anticholinergic burden (ACB) were estimated and associated ..
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Awarded by Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne
Funding Acknowledgements
The authors would like to thank our three co-researching ACCHS partners who generously agreed to participate in this extra nested study as part of the Let's CHAT Dementia project. We would also like to acknowledge the contributions from the Let's CHAT Dementia Indigenous Reference Group, who guided data collection processes to ensure cultural appropriateness, the Let's CHAT Dementia project management group and Professor Ngaire Kerse for valuable advice on a draft version of the manuscript. The Let's CHAT Dementia project is funded by the National Health and Medical Research Council of Australia. This nested study about medications formed the first author's (MH) Master student thesis in the Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne.