Academic Journal
Physician decision-making and recommendations for stroke and myocardial infarction treatments in older adults with mild cognitive impairment.
| العنوان: | Physician decision-making and recommendations for stroke and myocardial infarction treatments in older adults with mild cognitive impairment. |
|---|---|
| المؤلفون: | Deborah A Levine, Kenneth M Langa, Angela Fagerlin, Lewis B Morgenstern, Brahmajee K Nallamothu, Jane Forman, Andrzej Galecki, Mohammed U Kabeto, Colleen D Kollman, Tolu Olorode, Bruno Giordani, Lynda D Lisabeth, Darin B Zahuranec |
| المصدر: | PLoS ONE, Vol 15, Iss 3, p e0230446 (2020) |
| بيانات النشر: | Public Library of Science (PLoS), 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Medicine LCC:Science |
| مصطلحات موضوعية: | Medicine, Science |
| الوصف: | Evidence suggests that older adults with mild cognitive impairment (MCI) might not receive evidence-based treatments. We explored the impact of patient MCI on physician decision-making and recommendations for acute ischemic stroke (AIS) and acute myocardial infarction (AMI) in a pilot concurrent mixed-methods study of physicians recruited from one academic center. The mailed survey included a clinical vignette of AIS or AMI where the patient cognitive status was randomized (normal cognition, MCI, or early-stage dementia). The primary outcome was a composite summary measure of the proportion of guideline-concordant treatments recommended. Linear regression compared the primary outcome across patient cognition groups adjusting for physician characteristics. Semi-structured interviews done with 18 physicians (4 cardiologists, 9 neurologists, 5 internists) using a standard guide. Survey response rate was 72% (82/114) (49/61 neurologists; 33/53 cardiologists). As patient cognition worsened, neurologists recommended less guideline-concordant treatments after AIS (Ptrend |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1932-6203 |
| Relation: | https://doaj.org/toc/1932-6203 |
| DOI: | 10.1371/journal.pone.0230446 |
| URL الوصول: | https://doaj.org/article/ddbc63bbeecb46668e1c5fe97c1f636b |
| رقم الانضمام: | edsdoj.bc63bbeecb46668e1c5fe97c1f636b |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19326203 |
|---|---|
| DOI: | 10.1371/journal.pone.0230446 |