Abstract:
BACKGROUND:More than half of the hospitalized older adults discharged to skilled nursing facilities (SNFs) have more than 3 geriatric syndromes. Pharmacotherapy may be contributing to geriatric syndromes in this population. OBJECTIVES:Develop a list of medications associated with geriatric syndromes and describe their prevalence in patients discharged from acute care to SNFs. DESIGN:Literature review and multidisciplinary expert panel discussion, followed by cross-sectional analysis. SETTING:Academic medical center in the United States PARTICIPANTS: One hundred fifty-four hospitalized Medicare beneficiaries discharged to SNFs. MEASUREMENTS:Development of a list of medications that are associated with 6 geriatric syndromes. Prevalence of the medications associated with geriatric syndromes was examined in the hospital discharge sample. RESULTS:A list of 513 medications was developed as potentially contributing to 6 geriatric syndromes: cognitive impairment, delirium, falls, reduced appetite or weight loss, urinary incontinence, and depression. Medications included 18 categories. Antiepileptics were associated with all syndromes, whereas antipsychotics, antidepressants, antiparkinsonism, and opioid agonists were associated with 5 geriatric syndromes. In the prevalence sample, patients were discharged to SNFs with an overall average of 14.0 (±4.7) medications, including an average of 5.9 (±2.2) medications that could contribute to geriatric syndromes, with falls having the most associated medications at discharge at 5.5 (±2.2). CONCLUSIONS:Many commonly prescribed medications are associated with geriatric syndromes. Over 40% of all medications ordered upon discharge to SNFs were associated with geriatric syndromes and could be contributing to the high prevalence of geriatric syndromes experienced by this population. Journal of Hospital Medicine 2016;11:694-700. © 2016 Society of Hospital Medicine.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Saraf AA,Petersen AW,Simmons SF,Schnelle JF,Bell SP,Kripalani S,Myers AP,Mixon AS,Long EA,Jacobsen JM,Vasilevskis EEdoi
10.1002/jhm.2614subject
Has Abstractpub_date
2016-10-01 00:00:00pages
694-700issue
10eissn
1553-5592issn
1553-5606journal_volume
11pub_type
杂志文章abstract:BACKGROUND:Little is known about management of hyperglycemia in inpatients. OBJECTIVE:To gain insight into caring for hospitalized patients with hyperglycemia. DESIGN:Retrospective analysis. SETTING:Teaching hospital. PATIENTS:Data on all patients discharged between January 1, 2001, and December 31, 2004 with a dia...
journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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更新日期:2012-02-01 00:00:00
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journal_title:Journal of hospital medicine
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更新日期:2016-07-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2010-05-01 00:00:00
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更新日期:2017-02-01 00:00:00
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更新日期:2013-12-01 00:00:00
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journal_title:Journal of hospital medicine
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更新日期:2015-11-01 00:00:00
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更新日期:2019-02-01 00:00:00
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更新日期:2017-12-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2012-05-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2007-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2015-04-01 00:00:00
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journal_title:Journal of hospital medicine
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更新日期:2012-11-01 00:00:00
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更新日期:2016-09-01 00:00:00
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