Abdulrahman Abdullah Qarh

Taibah University

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Mohammed Ali Aljohani

Taibah University

Muayad Albadrani

Taibah University

Yousef Omar Aljeelani

Taibah University

Safwan Hatem Farsi

Taibah University

Abdulrahman Alharbi

King Saud bin Abdulaziz University for Health Sciences

Hammad Ali Fadlalmola

Taibah University

Ahmed Saleh Aljohani

Taibah University

Ahmed Saleh Althubyani

Taibah University

Muhannad saud albadrani

King Fahad Hospital Jeddah

Turki Ammash AlMohammadi

Taibah University

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Taibah University

King Abdulaziz Medical City

Jazan University

Islamic University of Madinah

King Fahad Hospital Jeddah

Community Medical Center

King Fahd Medical City

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University of South Carolina

South Carolina Department of Health and Environmental Control

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Effect of medication adherence on quality of life, activation measures, and health imagine in the elderly people: a cross-sectional study

BMC Geriatrics (2024)

Muayad Albadrani Yousef Omar Aljeelani Safwan Hatem Farsi Mohammed Ali Aljohani Abdulrahman Abdullah Qarh

Abstract Background Usually, old age brings a poor quality of life due to illness and frailty. To prolong their lives and ensure their survival, all elderly patients with chronic diseases must adhere to their medications. In our study, we investigate medication adherence for elderly patients and its impact on the general health of the patient. Methods We implemented a cross-sectional survey‐based study with four sections in April 2022 in Saudi Arabia. Data about the participants’ demographic characteristics, the Morisky Medication Adherence Scale, Patient Activation Measure (PAM) 13, and EQ-5D-5 L. Results A total of 421 patients participated in this study, their mean age was 60.4 years, and most of them were males. Most of our population is living independently 87.9%. The vast majority of people have a low adherence record in the Morisky Medication Adherence Scale (8-MMAS) classes (score = < 6). Moreover, the average PAM13 score is 51.93 (Level2) indicating a low level of confidence and sufficient knowledge to take action. Our analysis showed a significant correlation between socioeconomic status and medication adherence. Also, there was an association between housing status and medication adherence. On the other hand, we found no correlation between medication adherence and quality of life (QOL) by EQ-5D-5 L. Conclusion Medication adherence is directly affected by living arrangements, as patients who live with a caretaker who can remind them to take their medications at the appropriate times have better medication adherence than those who live alone. Medication adherence was also significantly influenced by socioeconomic status, perhaps as a result of psychological effects and the belief of the lower-salaried population that they would be unable to afford the additional money required to cure any comorbidities that arose as a result of the disease. On the other hand, we did not find any correlation between medication adherence and quality of life. Finally, awareness of the necessity of adherence to medication for the elderly is essential.

Cross-sectional study

Medication Adherence

10.1186/s12877-024-05227-3

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Comparing the effectiveness of corticosteroid and surgery in managing chronic subdural hematoma: A systematic review and meta-analysis

Interdisciplinary Neurosurgery (2023)

Muayad Albadrani Saud Ghazi Almutairi Yousef Omar Aljeelani Safwan Hatem Farsi Malik Husain Alahmadi

The optimal treatment for Chronic Subdural Hematoma (CSDH), corticosteroids or surgery, remains controversial. This meta-analysis compares the efficacy and safety of these interventions. We searched four databases until July 2023 for relevant studies. Data extraction was independently performed by two authors. Risk ratios (RR) with a 95% confidence interval (CI) were calculated for dichotomous outcomes and mean difference (MD) with a 95% CI for continuous outcomes. Six studies involving 804 patients were included. Dexamethasone showed non-inferiority to surgery for good neurological outcomes (pooled RR = 1.02, 95% CI [0.95, 1.09], P = 0.60). No significant differences were found in mortality, recurrence rate, and hospital stay length between the two groups. Our analysis indicated that there was no statistically significant difference in terms of good neurological outcomes, length of hospital stay, mortality, and recurrence rate between the surgical interventions and dexamethasone. However, we noticed only clinical and numerical differences between the surgical interventions and dexamethasone regarding length of hospital stay, mortality, and recurrence rate. On the other hand, dexamethasone was associated with statistically higher complications compared to surgery. However, we should treat these results with caution as the only included RCT reported a high recurrence rate with dexamethasone indicating that surgery may be the first-line treatment for patients with CSDH.

Chronic Subdural Hematoma

10.1016/j.inat.2023.101842

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