Incidence and characteristics of poisonings in older adults with and without dementia: a matched cohort study using Swedish registry data.

Introduction Poisonings are a global public health challenge, especially for older adults with dementia. This study examined the incidence, types and medications involved at the time of poisoning among older people with and without dementia in Sweden. Methods Using linked Swedish national registries...

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Publicado en:Age & Ageing Vol. 55; no. 7; pp. 1 - 11
Autores principales: Wojt, Ilsa R, Hoang, Minh Tuan, Wastesson, Jonas W, Johnell, Kristina, Cairns, Rose, Garcia-Ptacek, Sara, Eriksdotter, Maria, Tan, Edwin C K
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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        10.1093/ageing/afag211
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        atl: Incidence and characteristics of poisonings in older adults with and without dementia: a matched cohort study using Swedish registry data.
      aug:
        au:
          Wojt, Ilsa R
          Hoang, Minh Tuan
          Wastesson, Jonas W
          Johnell, Kristina
          Cairns, Rose
          Garcia-Ptacek, Sara
          Eriksdotter, Maria
          Tan, Edwin C K
        affil:
          School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
          Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenDepartment of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, SwedenFaculty of Public Health, the University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam
          Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden
          Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
          Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, SwedenAging and Inflammation Theme, Karolinska University Hospital, Stockholm, Sweden
          School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaKolling Institute of Medical Research, Faculty of Medicine and Health, The University of Sydney and the Northern Local Health District, St Leonards, New South Wales, AustraliaCharles Perkins Centre, The University of Sydney, Camperdown, New South Wales, Australia
      su:
        Sweden
        Drug side effects
        Psychiatric drugs
        Old age
        Risk assessment
        Drug toxicity
        Research funding
        Reporting of diseases
        Descriptive statistics
        Fibrinolytic agents
        Longitudinal method
        Kaplan-Meier estimator
        Dementia
        Confidence intervals
        Data analysis software
        Poisoning
        Dementia patients
        Cardiovascular agents
        Disease complications
      sug:
        subj:
          Drug side effects
          Psychiatric drugs
          Old age
          Sweden
          Risk assessment
          Drug toxicity
          Research funding
          Reporting of diseases
          Descriptive statistics
          Fibrinolytic agents
          Longitudinal method
          Kaplan-Meier estimator
          Dementia
          Confidence intervals
          Data analysis software
          Poisoning
          Dementia patients
          Cardiovascular agents
          Disease complications
      keyword:
        adverse drug reaction
        adverse effects of medication
        aged
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        https://dx.doi.org/10.1093/ageing/afag211
        inLanguage:en
        medication use
        older people
        pharmacoepidemiology
        poisoning
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42497097/
        adverse drug reaction
        adverse effects of medication
        aged
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        https://dx.doi.org/10.1093/ageing/afag211
        inLanguage:en
        medication use
        older people
        pharmacoepidemiology
        poisoning
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42497097/
      ab: Introduction Poisonings are a global public health challenge, especially for older adults with dementia. This study examined the incidence, types and medications involved at the time of poisoning among older people with and without dementia in Sweden. Methods Using linked Swedish national registries, we conducted a matched cohort study of individuals ≥65 years with dementia diagnosed between 2014 and 2018, matched 1:3 to controls by age and sex, and followed until December 2019. Poisonings were identified via International Classification of Disease-10 codes. Incidence rates (IR) and hazard ratios (HR) were estimated using survival models. Results Among 415 016 participants, dementia was associated with higher poisoning incidence (IR 100.3 vs 76.4 per 100 000 person-months; HR at 6 months 1.48). Risks were greatest for unintentional poisonings, toxic pharmaceutical effects and adverse drug reactions within 6 months postdiagnosis. Psychotropics, antithrombotics and cardiovascular medications were the most commonly used. Discussion Dementia is associated with poisoning risk, warranting cautious prescribing and prevention strategies.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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