当前位置： SCI文献检索 > JOURNAL OF GENERAL INTERNAL MEDICINE期刊下所有文献 > Psychosocial risk factors for adverse outcomes in patients with nonvalvular atrial fibrillation receiving warfarin.

Psychosocial risk factors for adverse outcomes in patients with nonvalvular atrial fibrillation receiving warfarin.

Abstract：

OBJECTIVE:Our goal was to establish whether psychosocial risk factors for nonadherence, previously identified as negative predictors of warfarin prescribing, are predictors of adverse events for patients with nonvalvular atrial fibrillation receiving warfarin. DESIGN:Retrospective cohort analysis. SETTING:Ohio Medicaid administrative database. PATIENTS:We studied Ohio Medicaid recipients with nonvalvular atrial fibrillation receiving warfarin to determine whether a history of substance abuse, psychiatric illness, or social factors (identified as conditions perceived to be barriers to adherence) are predictors of adverse events, including stroke, intracranial hemorrhage, and gastrointestinal bleeding. Multivariable risk ratios were calculated for each risk factor using Cox proportional hazards models. RESULTS:9,345 patients were identified as having nonvalvular atrial fibrillation and receiving 2 or more warfarin prescriptions between 1997 and 2002. The event rates for the sample as a whole were 1.5 strokes, 0.7 intracranial hemorrhages, and 4.3 gastrointestinal bleeds per 100 person-years of follow-up. Subjects with substance abuse had the highest adjusted risk ratio, 2.4 (95% confidence interval [CI]: 1.4, 4.0) for an intracranial hemorrhage while receiving warfarin, followed by subjects with psychiatric illness, adjusted risk ratio of 1.5 (95% CI: 1.04, 2.1). Subjects with psychiatric illness also had an adjusted risk ratio of 1.4 (95% CI: 1.1, 1.7) for stroke. Patients in all 3 identified risk groups were at a significantly increased risk of gastrointestinal bleeding. CONCLUSION:Patients with nonvalvular atrial fibrillation treated with warfarin who have psychosocial risk factors for nonadherence have an increased risk of adverse events.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Schauer DP,Moomaw CJ,Wess M,Webb T,Eckman MH

doi

10.1111/j.1525-1497.2005.0242.x

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1114-9

issue

12

eissn

0884-8734

issn

1525-1497

pii

JGI242

journal_volume

20

pub_type

杂志文章

相关文献

JOURNAL OF GENERAL INTERNAL MEDICINE文献大全
  • Providers' perceptions of relationships and professional roles when caring for patients who leave the hospital against medical advice.

    abstract：BACKGROUND:Patients who leave hospitals against medical advice (AMA) may be at risk for adverse health outcomes. Their decision to leave may not be clearly understood by providers. This study explored providers' experiences with and attitudes toward patients who leave the hospital AMA. OBJECTIVE:To explore providers' ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-008-0728-4

    authors： Windish DM,Ratanawongsa N

    更新日期：2008-10-01 00:00:00

  • Perceptions of financial payment for research participation among African-American drug users in HIV studies.

    abstract：BACKGROUND:Financial compensation for participating in research is controversial, especially when participants are recruited from economically disadvantaged and/or marginalized populations such as drug users. Little is known about these participants' own views regarding payment for research participation. OBJECTIVE:Th...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-007-0319-9

    authors： Slomka J,McCurdy S,Ratliff EA,Timpson S,Williams ML

    更新日期：2007-10-01 00:00:00

  • The diagnostic performance of multi-slice coronary computed tomographic angiography: a systematic review.

    abstract：BACKGROUND:The use of coronary computed tomographic angiography (CCTA) for evaluation of patients with suspected coronary artery disease (CAD) is growing rapidly, yet questions remain regarding its diagnostic accuracy and its impact on clinical decision-making and patient outcomes. METHODS:A systematic literature revi...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-010-1556-x

    authors： Ollendorf DA,Kuba M,Pearson SD

    更新日期：2011-03-01 00:00:00

  • Dual use of veterans health administration and Indian Health Service: healthcare provider and patient perspectives.

    abstract：BACKGROUND:Many American Indian and Alaska Native veterans are eligible for healthcare from Veterans Health Administration (VHA) and from Indian Health Service (IHS). These organizations executed a Memorandum of Understanding in 2003 to share resources, but little was known about how they collaborated to deliver health...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-009-0962-4

    authors： Kramer BJ,Vivrette RL,Satter DE,Jouldjian S,McDonald LR

    更新日期：2009-06-01 00:00:00

  • The accuracy of clinician perceptions of "usual" blood pressure control.

    abstract：BACKGROUND:The term "clinical inertia" is used to describe the failure to manage a chronic condition aggressively enough to bring it under control. The underlying mechanisms for clinical inertia remain poorly understood. OBJECTIVE:To describe one potential mechanism for clinical inertia, seen through the lens of clini...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-007-0464-1

    authors： Rose AJ,Shimada SL,Rothendler JA,Reisman JI,Glassman PA,Berlowitz DR,Kressin NR

    更新日期：2008-02-01 00:00:00

  • Beliefs about asthma and complementary and alternative medicine in low-income inner-city African-American adults.

    abstract：BACKGROUND:The gap in asthma prevalence, morbidity, and mortality is increasing in low-income racial/ethnic minority groups as compared with Caucasians. In order to address these disparities,alternative beliefs and behaviors need to be identified. OBJECTIVE:To identify causal models of asthma and the context of conven...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1111/j.1525-1497.2006.00624.x

    authors： George M,Birck K,Hufford DJ,Jemmott LS,Weaver TE

    更新日期：2006-12-01 00:00:00

  • Prevention in medical education: an uncertain future.

    abstract：:There is reason for pessimism about the incorporation of prevention into medical education. In addition to what might be called the standard reasons for resistance to prevention, there are at least three other structural barriers: the destabilization of the health care system, the loss of interest in careers in primar...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02600854

    authors： Fried RA

    更新日期：1990-09-01 00:00:00

  • Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness.

    abstract：BACKGROUND:The permanent supported housing model is known to improve housing outcomes, but there has been sparse research on the effects of supported housing on physical health. Various organizations including the National Academy of Sciences have called for research in this area. OBJECTIVE:This observational multi-si...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-019-05070-y

    authors： Tsai J,Gelberg L,Rosenheck RA

    更新日期：2019-09-01 00:00:00

  • Physicians, social media, and conflict of interest.

    abstract：:Physicians and patients increasingly use social media technologies, such as Facebook, Twitter, and weblogs (blogs), both professionally and personally. Amidst recent reports of physician misbehavior online, as well as concerns about social media's potential negative effect on trust in the medical profession, several n...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-012-2251-x

    authors： Decamp M

    更新日期：2013-02-01 00:00:00

  • Antibiotic treatment of acute bronchitis in smokers: a systematic review.

    abstract：OBJECTIVE:Community physicians in the United States prescribe antibiotics to 80% to 90% of smokers with acute bronchitis. We performed a systematic review of the literature to determine the efficacy of antibiotics for smokers with acute bronchitis. DESIGN:A medline search was done using the keywords bronchitis, cough,...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1046/j.1525-1497.2002.10405.x

    authors： Linder JA,Sim I

    更新日期：2002-03-01 00:00:00

  • Examination of Post-discharge Follow-up Appointment Status and 30-Day Readmission.

    abstract：BACKGROUND:Post-hospital discharge follow-up appointments are intended to evaluate patients' recovery following a hospitalization, but it is unclear how appointment statuses are associated with readmissions. OBJECTIVE:To examine the association between post-discharge ambulatory follow-up status, (1) having a scheduled...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-020-06569-5

    authors： Coppa K,Kim EJ,Oppenheim MI,Bock KR,Conigliaro J,Hirsch JS

    更新日期：2021-01-19 00:00:00

  • Valdecoxib for treatment of primary dysmenorrhea. A randomized, double-blind comparison with placebo and naproxen.

    abstract：OBJECTIVE:To compare the analgesic efficacy of valdecoxib with placebo and naproxen sodium for relieving menstrual cramping and pain due to primary dysmenorrhea. DESIGN:Single-center, double-blind study with a 4-period, 4-sequence crossover design. Patients assessed pain intensity and pain relief at regular intervals ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1525-1497.2004.30052.x

    authors： Daniels SE,Torri S,Desjardins PJ

    更新日期：2005-01-01 00:00:00

  • Hospital discharge instructions: comprehension and compliance among older adults.

    abstract：BACKGROUND:Little is known regarding the prevalence or risk factors for non-comprehension and non-compliance with discharge instructions among older adults. OBJECTIVE:To quantify the prevalence of non-comprehension and non-compliance with discharge instructions and to identify associated patient characteristics. RESE...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-014-2956-0

    authors： Albrecht JS,Gruber-Baldini AL,Hirshon JM,Brown CH,Goldberg R,Rosenberg JH,Comer AC,Furuno JP

    更新日期：2014-11-01 00:00:00

  • Mental status changes and stroke.

    abstract：OBJECTIVE:To determine the frequency with which an acute confusional state is caused by a stroke and to evaluate the usefulness of obtaining computed tomography scans in this setting. DESIGN:Retrospective analysis. SETTING:Tertiary referral center. PATIENTS:The authors reviewed 127 neurology consultations requested ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02599217

    authors： Benbadis SR,Sila CA,Cristea RL

    更新日期：1994-09-01 00:00:00

  • Health care utilization as a marker for suicidal behavior on an American Indian Reservation.

    abstract：OBJECTIVE:Overall suicide mortality rates are higher among American Indians than in the general population and are particularly high among Indians residing in the upper Midwest. The identification, during encounters with health care providers, of individuals at high risk of suicide is a potential intervention strategy....

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02599598

    authors： Mock CN,Grossman DC,Mulder D,Stewart C,Koepsell TS

    更新日期：1996-09-01 00:00:00

  • A transitional opioid program to engage hospitalized drug users.

    abstract：BACKGROUND:Many opioid-dependent patients do not receive care for addiction issues when hospitalized for other medical problems. Based on 3 years of clinical practice, we report the Transitional Opioid Program (TOP) experience using hospitalization as a "reachable moment" to identify and link opioid-dependent persons t...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-010-1311-3

    authors： Shanahan CW,Beers D,Alford DP,Brigandi E,Samet JH

    更新日期：2010-08-01 00:00:00

  • Teaching Medical Students to Help Patients Quit Smoking: Outcomes of a 10-School Randomized Controlled Trial.

    abstract：BACKGROUND:Early in medical education, physicians must develop competencies needed for tobacco dependence treatment. OBJECTIVE:To assess the effect of a multi-modal tobacco dependence treatment curriculum on medical students' counseling skills. DESIGN:A group-randomized controlled trial (2010-2014) included ten U.S. ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s11606-015-3508-y

    authors： Ockene JK,Hayes RB,Churchill LC,Crawford SL,Jolicoeur DG,Murray DM,Shoben AB,David SP,Ferguson KJ,Huggett KN,Adams M,Okuliar CA,Gross RL,Bass PF 3rd,Greenberg RB,Leone FT,Okuyemi KS,Rudy DW,Waugh JB,Geller AC

    更新日期：2016-02-01 00:00:00

  • Use of interpreters by physicians for hospitalized limited English proficient patients and its impact on patient outcomes.

    abstract：BACKGROUND:Few studies have examined the impact of inpatient interpreter use for limited English proficient (LEP) patients on length of stay (LOS), 30-day post discharge emergency department (ED) visits and 30-day hospital readmission rates for LEP patients. METHODS:A retrospective cohort analysis was conducted of all...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-015-3213-x

    authors： López L,Rodriguez F,Huerta D,Soukup J,Hicks L

    更新日期：2015-06-01 00:00:00

  • Excellent Patient Care Processes in Poor Hospitals? Why Hospital-Level and Patient-Level Care Quality-Outcome Relationships Can Differ.

    abstract：:Studies finding weak or nonexistent relationships between hospital performance on providing recommended care and hospital-level clinical outcomes raise questions about the value and validity of process of care performance measures. Such findings may cause clinicians to question the effectiveness of the care process pr...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-015-3564-3

    authors： Finney JW,Humphreys K,Kivlahan DR,Harris AH

    更新日期：2016-04-01 00:00:00

  • Annual Spending per Patient and Quality in Hospital-Owned Versus Physician-Owned Organizations: an Observational Study.

    abstract：BACKGROUND:Recent studies that compared patient spending in hospital-owned physician practices versus physician-owned groups did not compare quality of care. Past studies had incomplete measures of physician-hospital integration, or lacked patient-level data. OBJECTIVE:To measure the association between physician-hosp...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05312-z

    authors： Ho V,Metcalfe L,Vu L,Short M,Morrow R

    更新日期：2020-03-01 00:00:00

  • A practical guide to developing effective web-based learning.

    abstract：OBJECTIVE:Online learning has changed medical education, but many "educational" websites do not employ principles of effective learning. This article will assist readers in developing effective educational websites by integrating principles of active learning with the unique features of the Web. DESIGN:Narrative revie...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1111/j.1525-1497.2004.30029.x

    authors： Cook DA,Dupras DM

    更新日期：2004-06-01 00:00:00

  • The average lifespan of patients discharged from hospital with heart failure.

    abstract：BACKGROUND:There are no life-tables quantifying the average life-spans of post-hospitalized heart failure populations across various strata of risk. OBJECTIVE:To quantify the life-expectancies (i.e., average life-spans) of heart failure patients at the time of hospital discharge according to age, gender, predictive 30...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s11606-012-2072-y

    authors： Alter DA,Ko DT,Tu JV,Stukel TA,Lee DS,Laupacis A,Chong A,Austin PC

    更新日期：2012-09-01 00:00:00

  • Advance Care Planning Prior to Death in Older Adults with Hip Fracture.

    abstract：BACKGROUND:Although hip fractures in older adults are associated with a high degree of mortality and disability, the use of advance care planning (ACP) in this population is unknown. OBJECTIVE:To determine the prevalence of ACP and need for surrogate decision-making prior to death in older adults with hip fracture and...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-020-05644-1

    authors： Kata A,Cenzer I,Sudore RL,Covinsky KE,Tang VL

    更新日期：2020-07-01 00:00:00

  • Treating and precepting with RESPECT: a relational model addressing race, ethnicity, and culture in medical training.

    abstract：BACKGROUND:In 2000 a diverse group of clinicians/educators at an inner-city safety-net hospital identified relational skills to reduce disparities at the point of care. DESCRIPTION:The resulting interviewing and precepting model helps build trust with patients as well as with learners. RESPECT adds attention to the re...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-010-1274-4

    authors： Mostow C,Crosson J,Gordon S,Chapman S,Gonzalez P,Hardt E,Delgado L,James T,David M

    更新日期：2010-05-01 00:00:00

  • Evaluating the Concordance of Clinician Antiretroviral Prescribing Practices and HIV-ASSIST, an Online Clinical Decision Support Tool.

    abstract：BACKGROUND:Individualized selection of antiretroviral (ARV) therapy is complex, considering drug resistance, comorbidities, drug-drug interactions, and other factors. HIV-ASSIST (www.hivassist.com) is a free, online tool that provides ARV decision support. HIV-ASSIST synthesizes patient and virus-specific attributes to...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05531-4

    authors： Ramirez JA,Maddali MV,Budak JZ,Li JZ,Lampiris H,Shah M

    更新日期：2020-05-01 00:00:00

  • Hormones and the bone marrow: panhypopituitarism and pancytopenia in a man with a pituitary adenoma.

    abstract：:In rare cases, pancytopenia results from hormonal deficiencies that arise in the setting of panhypopituitarism. Here we describe the unusual case of a 60-year-old man who presented with progressive fatigue and polyuria, and whose laboratory workup revealed a deficiency of the five hormones associated with the action o...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-014-3161-x

    authors： Lang D,Mead JS,Sykes DB

    更新日期：2015-05-01 00:00:00

  • First Opioid Prescription and Subsequent High-Risk Opioid Use: a National Study of Privately Insured and Medicare Advantage Adults.

    abstract：BACKGROUND:National guidelines make recommendations regarding the initial opioid prescriptions, but most of the supporting evidence is from the initial episode of care, not the first prescription. OBJECTIVE:To examine associations between features of the first opioid prescription and high-risk opioid use in the 18 mon...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-018-4628-y

    authors： Zhang Y,Johnson P,Jeng PJ,Reid MC,Witkin LR,Schackman BR,Ancker JS,Bao Y

    更新日期：2018-12-01 00:00:00

  • The adoption of preventive care practice guidelines by primary care physicians: do actions match intentions?

    abstract：OBJECTIVE:To measure primary care physicians' familiarity with, attitudes toward, and confidence in preventive care practice guidelines for the elderly and to determine whether their attitudes are associated with implementation of guidelines into clinical practice. DESIGN:A self-administered survey of physicians emplo...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02599668

    authors： Weingarten S,Stone E,Hayward R,Tunis S,Pelter M,Huang H,Kristopaitis R

    更新日期：1995-03-01 00:00:00

  • Hospitalized patients' satisfaction with caregivers' conduct and physical surroundings.

    abstract：:The study examined the relative contribution of caregivers' conduct and physical conditions of the hospital setting to patients' global satisfaction with health care, while controlling for self-assessed health status. The study was performed in the Soroka Medical Center, which is the only inpatient facility for a popu...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02598274

    authors： Pilpel D

    更新日期：1996-05-01 00:00:00

  • Latino access to the patient-centered medical home.

    abstract：BACKGROUND:Disparities can be caused by minorities receiving care in low-quality settings. The patient-centered medical home (PCMH) has been identified as a model of high-quality primary care that can eliminate disparities. However, Latinos are less likely to have PCMHs. OBJECTIVE:To identify Latino subgroup variation...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-009-1119-1

    authors： Beal A,Hernandez S,Doty M

    更新日期：2009-11-01 00:00:00