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email article A third of elderly people with severe dementia and atrial fibrillation received an anticoagulant drug during the last 6 months of their life, an analysis of Medicare patients showed. Nursing home length of stay and not having Medicaid were more strongly associated with anticoagulant use compared with stroke risk (CHA 2-VASc score), reported Gregory Ouellet, MD, MHS, of Yale University in New Haven, Connecticut, and co-authors. Greater bleeding risk (ATRIA score) was also associated with greater odds of anticoagulant use, they noted in a Anticoagulants are often continued in patients with atrial fibrillation even when they have advanced dementia, profound cognitive and functional impairments, and limited life expectancy, Ouellet said. ....
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