R. Balkrishnan et Db. Christensen, Inhaled corticosteroid nonadherence and immediate avoidable medical eventsin older adults with chronic pulmonary ailments, J ASTHMA, 37(6), 2000, pp. 511-517
This study examined the association between nonadherence to inhaled cortico
steroids and risk of an immediate avoidable medical event (emergency depart
ment visit and hospitalization) in elderly patients with chronic pulmonary
ailments. The study comprised a cross-sectional analysis comparing patients
with and without avoidable medical event occurrence in each year for adher
ence preceding the event, and a case-crossover analysis examining the same
patient's adherence in years with and without events. The cross-sectional s
tudy showed risk odds reductions of nearly 20% in the partially adherent pa
tient, and 40% in the adherent patient compared to the nonadherent patient,
after controlling for potential group differences.