BACKGROUND: @entity1 nonadherence to cardiac medications following @entity1187 ( @entity1187 ) is associated with increased risk of recurrent events. However, the prevalence of @entity73 and poor health literacy among @entity1187 @entity1 and their association with medication nonadherence are poorly understood. METHODS: We assessed rates of @entity73 and poor health literacy among @entity1 of a clinical trial that tested the effectiveness of an intervention to improve medication adherence in @entity1 hospitalized with @entity1187 . Of 254 @entity1 , 249 completed the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) survey, an assessment of risk for poor literacy, and the St Louis University Mental Status (SLUMS) exam, a tool assessing for @entity149 , during @entity1187 hospitalization. We assessed if SLUMS or REALM-R scores were associated with medication adherence. RESULTS: Based on SLUMS score, 14% of @entity1 were categorized as having @entity303 , and 52% with @entity149 ( @entity149 ). Based on REALM-R score of  <=6, 34% of @entity1 were categorized as at risk for poor health literacy. There was no association between poor health literacy and medication nonadherence. Of those with @entity149 , 35.5% were nonadherent, compared to 17.5% with normal cognitive function and 6.7% with @entity303 . In multivariable analysis, @entity73 was associated with medication nonadherence (P=0.007), mainly due to an association between @entity149 and nonadherence (odds ratio =12.2, 95% confidence interval =1.9 to 243; P=0.007). Cognitive status was not associated with adherence in @entity1 randomized to the intervention. CONCLUSION: @entity73 and risk for poor health literacy are common in @entity1 hospitalized with @entity1187 . We found an association between @entity149 and medication nonadherence in the usual care group but not in the intervention group. These findings suggest efforts to screen for @entity149 are needed during @entity1187 hospitalization to identify @entity1 at risk for nonadherence and who may benefit from an adherence intervention.

XXXX and poor health literacy are common in veterans presenting with @entity1187 : insights from the MEDICATION study.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'Patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['ACS', 'acute coronary syndrome'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive dysfunction', 'Cognitive dysfunction'] @entity149 :: ('MESH:D002493', 'Disease') :: ['MNCD', 'mild neurocognitive disorder', 'neurocognitive deficits']
@entity73 :: (MESH:D003072,Disease) :: ['Cognitive dysfunction']
