Discontinuation of Statins in Veterans Admitted to Nursing Homes near the End of Life.

ABSTRACT:

Background/objectives

Geriatric guidelines recommend against statin use in older adults with limited life expectancy (LLE) or advanced dementia (AD). This study examined resident and facility factors predicting statin discontinuation after nursing home (NH) admission in veterans with LLE/AD taking statins for secondary prevention.

Design

Retrospective cohort study of Veterans Affairs (VA) bar code medication administration records, Minimum Data Set (MDS) assessments, and utilization records linked to Medicare claims.

Setting

VA NHs, known as community living centers (CLCs).

Participants

Veterans aged 65 and older with coronary artery disease, stroke, or diabetes mellitus, type II, admitted in fiscal years 2009 to 2015, who met criteria for LLE/AD on their admis

SUBMITTER: Thorpe CT 

PROVIDER: S-EPMC8008499 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature