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Statin utilisation patterns in older Australians living in residential care: 1‐year prevalence study
Authors:D. Gnjidic  N. Wilson  L. March  R. G. Cumming  I. D. Cameron  S. N. Hilmer
Affiliation:1. Faculty of Pharmacy, Sydney Medical School, Sydney, New South Wales, Australia;2. Royal North Shore Hospital and Kolling Institute of Medical Research, Sydney Medical School, Sydney, New South Wales, Australia;3. Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia;4. John Walsh Centre for Rehabilitation Research and Kolling Institute of Medical Research, Sydney Medical School, Sydney, New South Wales, Australia
Abstract:
Despite controversy over the risks and benefits of statin therapy, statins continue to be commonly used medicines by older people. In a cohort study of participants aged ≥70 years (n = 540) living in residential care, Sydney, we found that the proportion of statin users decreased gradually from the baseline of 33.1% to 31.3% at 6 months (P = 0.13) and to 28.7% over 1 year (P = 0.002). Prevalence of statin use decreased with increasing age, with individuals aged ≥90 years being more likely to discontinue or deprescribe statins. The patterns of statin use did not change according to increasing baseline dose or baseline indication.
Keywords:statin  older people  limited life expectancy  deprescribing  residential care
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