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Table 1 Baseline demographic and clinical characteristics, by highest ACH polypharmacy exposure attained

From: Anticholinergic exposure and its association with dementia/Alzheimer's disease and mortality in older adults

  

Anticholinergic Polypharmacy

Variables

Total

1 medication

2 medications

3 medications

4 + medications

P value

N

12,209

7,153

3,708

1,001

347

 

Age, mean [SD]

72.2 [5.6]

72.3 [5.5]

72.0 [5.7]

72.3 [5.8]

72.4 [6.1]

0.0049

Gender, n(%)

 Female

7,038 (57.6)

4,089 (57.2)

2,138 (57.7)

602 (60.1)

209 (60.2)

0.2429

 Male

5,168 (42.3)

3,063 (42.8)

1,569 (42.3)

398 (39.8)

138 (39.8)

 

Race/Ethnicity, n(%)

 White

9,843 (80.6)

5,712 (79.9)

3,007 (81.1)

826 (82.5)

298 (85.9)

0.0182

 Black

1,497 (12.3)

927 (13.0)

424 (11.4)

112 (11.2)

34 (9.8)

 

 Other/unknown

869 ( 7.1)

514 (7.2)

277 (7.5)

63 (6.3)

15 (4.3)

 

Geographic Region, n(%)

 Northeast

295 (2.4)

184 (2.6)

77 (2.1)

26 (2.6)

 < 10

0.0177

 Midwest

2,192 (18.0)

1,245 (17.4)

694 (18.7)

176 (17.6)

77 (22.2)

 

 South

8,150 (66.8)

4,792 (67.0)

2,443 (65.9)

677 (67.7)

238 (68.6)

 

 West

1,569 (12.9)

931 (13.0)

493 (13.3)

121 (12.1)

24 (6.9)

 

Low Income/ Dual Eligibility Status, n(%)

 Low income subsidy (LIS) Only

565 (4.6)

323 (4.5)

163 (4.4)

51 (5.1)

28 (8.1)

 < 0.001

 Dual eligibility (DE) Only

 < 10

 < 10

 < 10

 < 10

0 (0.0)

 

 LIS and DE

1,608 (13.2)

874 (12.2)

482 (13.0)

170 (17.0)

82 (23.6)

 

Elixhauser comorbidity index, mean [SD]

1.7 [1.8]

1.6 [1.7]

1.8 [1.8]

2.0 [2.0]

2.5 [2.5]

 < 0.001

Rx Risk-V score, mean [SD]

3.4 [2.2]

3.3 [2.1]

3.6 [2.2]

3.7 [2.4]

3.7 [2.7]

 < 0.001

Non-ACH high-risk medication usea, n(%)

6,249 (51.2)

3,547 (49.6)

1,981 (53.4)

545 (54.4)

176 (50.7)

 < 0.001

Pre-index inpatient visit n (%)

1,282 (10.5)

705 (9.9)

381 (10.3)

138 (13.8)

58 (16.7)

 < 0.001

Pre-index emergency department visit n(%)

2,901 (23.8)

1,631 (22.8)

903 (24.4)

264 (26.4)

103 (29.7)

0.002

  1. ACH Anticholinergic, SD Standard deviation
  2. aNon-ACH high-risk medications included anxiolytic benzodiazepines, anticonvulsant benzodiazepines, antidepressants, anti-convulsants, anti-psychotics, barbiturate hypnotics, sedative hypnotics, anti-Parkinson drugs and anti-nausea/vertigo agents not included on the ACB scale