Effect of Hospitalization on Inappropriate Prescribing in Elderly Medicare Beneficiaries
Objectives To determine whether acute hospitalization is associated with a change in potentially inappropriate medication (PIM) use and whether use varies across geographic region. Design Observational. Setting Continental United States. Participants Medicare beneficiaries aged 65 and older hospital...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2015-04, Vol.63 (4), p.699-707 |
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| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
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| Zusammenfassung: | Objectives
To determine whether acute hospitalization is associated with a change in potentially inappropriate medication (PIM) use and whether use varies across geographic region.
Design
Observational.
Setting
Continental United States.
Participants
Medicare beneficiaries aged 65 and older hospitalized for acute myocardial infarction (AMI) during 2007–08.
Measurements
Potentially inappropriate medication use was defined according to the High‐Risk Medications in Elderly Adults quality indicator from the Healthcare Effectiveness Data and Information Set. Prevalence of outpatient PIM use was determined at admission and discharge and then used to identify medications discontinued during hospitalization and incident medications started during this period.
Results
Of 124,051 older adults hospitalized for AMI, 9,607 (7.7%) were outpatient PIM users at admission, which increased to 8.6% at discharge (P |
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| ISSN: | 0002-8614 1532-5415 |
| DOI: | 10.1111/jgs.13318 |