survival
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Introduction
time from an initial event until death
Management
- guideline-recommended cardiovascular drugs (calcium-channel blockers, statins, beta-blockers, ACE inhibitors & ARBs) appear to confer a survival benefit in older adults with multiple comorbidities[2]*
* no survival benefit with SSRIss, SNRIs, clopidogrel, or metformin. The benefits of warfarin varied according to comorbidity.
* mean age, 77 years
* presence of at least 2 of 9 chronic conditions
- atrial fibrillation
- coronary artery disease
- depression
- diabetes
- heart failure
- hyperlipidemia
- hypertension
- thromboembolic disease
- chronic kidney disease
Notes
- Age, gender, & gait speed are factors associated with survival in community-dwelling elderly[3]
More specific terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
- ↑ 2.0 2.1 Tinetti ME et al Association between guideline recommended drugs and death in older adults with multiple chronic conditions: population based cohort study. BMJ 2015;351:h4984 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26432468 <Internet> http://www.bmj.com/content/351/bmj.h4984
Muth, C, Glasziou PP Guideline recommended treatments in complex patients with multimorbidity. BMJ 2015;351:h5145 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26431846 <Internet> http://www.bmj.com/content/351/bmj.h5145 - ↑ 3.0 3.1 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022