Abstract：
AIM:To assess whether in individuals aged 80years or older adherence to statins is accompanied by a reduced risk of all-cause mortality and major cardiovascular events. METHODS:A nested case-control study was carried out on a cohort of patients aged 80years or older (very elderly individuals), who were under treatment with statins between 2008 and 2009, using the database available for all citizenship (about 10 million) of Lombardy (Italy). Cases were the cohort members who experienced death or hospitalization for stroke, myocardial infarction or heart failure from the initial prescription until 2012. Up to five controls were randomly selected for each case. Logistic regression was used to model the outcome risk associated with the adherence to therapy with statins. Two younger patient cohorts aged 60 to 69years and 70 to 79years were taken for comparison. A set of sensitivity analyses was performed in order to account for sources of systematic uncertainty. RESULTS:Among very elderly individuals, those who had high adherence to statins showed significant risk reductions of death (56%; 95% Confidence Interval, 54% to 59%), myocardial infarction (15%; 5% to 24%), stroke (13%; 0% to 24%) and heart failure (30%; 23% to 36%) with respect to those at very low adherence. Adherence-related risk reductions were only slightly better for younger cohort members. CONCLUSIONS:Adherence to therapy with statins reduced the risk of both death and cardiovascular morbidity in patients aged 80years or older.
journal_name
Eur J Intern Medjournal_title
European journal of internal medicineauthors
Corrao G,Monzio Compagnoni M,Franchi M,Cantarutti A,Pugni P,Merlino L,Catapano AL,Mancia Gdoi
10.1016/j.ejim.2017.09.023subject
Has Abstractpub_date
2018-01-01 00:00:00pages
25-31eissn
0953-6205issn
1879-0828pii
S0953-6205(17)30372-2journal_volume
47pub_type
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