Incidence and Predictors of Aspirin Discontinuation in Older Adult Veteran Nursing Home Residents at End of Life.

ABSTRACT:

Objectives

Continuation of aspirin for secondary prevention in persons with limited life expectancy (LLE) is controversial. We sought to determine the incidence and predictors of aspirin discontinuation in veterans with LLE and/or advanced dementia (LLE/AD) who were taking aspirin for secondary prevention at nursing home admission, stratified by whether their limited prognosis (LP) was explicitly documented at admission.

Design

Retrospective cohort study using linked Veterans Affairs (VA) and Medicare clinical/administrative data and Minimum Data Set resident assessments.

Setting

All VA nursing homes (referred to as community living centers [CLCs]) in the United States.

Participants

Older (≥65 y) CLC residents with LLE/AD, admitted for 7 days or longer in fisca

SUBMITTER: Springer SP 

PROVIDER: S-EPMC7837284 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature