Hospitalization Risk and Potentially Inappropriate Medications among Medicare Home Health Nursing Patients

Lohman, Matthew C.; Cotton, Brandi Parker; Zagaria, Alexandra B.; Bao, Yuhua; Greenberg, Rebecca; Fortuna, Karen L.; Bruce, Martha L.

doi:10.1007/s11606-017-4157-0

Cited by 32 publications

(29 citation statements)

References 41 publications

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“…Even though the number of applied criteria was limited (n = 24), significant associations with relevant outcome were found. Also, other authors in previous studies made partial use of the PIM criteria for pragmatic reasons and the criteria applied in this study matched with the most prevalent cardiovascular PIM criteria in other studies . Due to the limitations of the database specifications and the limitations originating from the electronic selection of the criteria, underuse was assessed with only one criterion.…”

Section: Discussionmentioning

confidence: 98%

“…In this study, we used the PIM tool to focus on the cardiovascular medication use, which represents one of the most commonly used medication groups in the population over 65 years old . Additionally, other studies described the cardiovascular PIM criterion as one of the most frequently occurring PIMs …”

Section: Introductionmentioning

confidence: 99%

“…Few studies have explored the feasibility of electronic assessments of PIM criteria in field research databases or in primary care database from general practices. And a number of studies examined the association of high medication and PIM use with hospitalisation and mortality . The first aim of this study was to explore the feasibility of an electronic assessment of PIM criteria in a large administrative database enriched with clinical information in an older population in Stockholm County, Sweden.…”

Section: Introductionmentioning

confidence: 99%

“…21 Additionally, other studies described the cardiovascular PIM criterion as one of the most frequently occurring PIMs. 20,[22][23][24][25] Potential misuse of the cardiovascular medications can cause exacerbation of the cardiovascular diseases, adverse effects or cause cardiovascular diseases in predisposed patients, and increase the risk of mortality and hospitalisation. 26,27 On the other hand, some cardiovascular medications, such as β-blockers, have known beneficial effects on morbidity and mortality in the treatment of the cardiovascular diseases, and their underuse may lead to increased risk of mortality and hospitalisation.…”

Section: Introductionmentioning

confidence: 99%

“…And a number of studies examined the association of high medication and PIM use with hospitalisation and mortality. 5,20,22,32 The first aim of this study was to explore the feasibility of an electronic assessment of PIM criteria in a large administrative database enriched with clinical information in an older population in Stockholm County, Sweden. The second aim was to explore the associations of the number of medications and cardiovascular PIM use, with different clinical outcome such as mortality, unplanned hospitalisation and emergency department (ED) visit.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Electronic assessment of cardiovascular potentially inappropriate medications in an administrative population database

Ivanova

Elseviers

Wettermark

et al. 2018

Basic Clin Pharma Tox

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Electronic assessment of cardiovascular potentially inappropriate medications in an administrative population database

Ivanova

Elseviers

Wettermark

et al. 2018

Basic Clin Pharma Tox

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Prevalence of Use of Potentially Inappropriate Medications Among Older Adults Worldwide

Tian,

Chen,

Zeng

et al. 2023

JAMA Netw Open

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ImportanceThe use of potentially inappropriate medications (PIMs) is widespread yet continues to receive little attention in outpatient services.ObjectiveTo estimate the overall prevalence of PIM use in outpatient services.Data SourcesPubMed, Embase, and Web of Science were searched to identify relevant studies published from January 1, 1990, to November 21, 2022.Study SelectionObservational studies that reported the prevalence of PIM use among older patients in outpatient services were screened.Data Extraction and SynthesisTwo reviewers independently selected eligible articles, extracted data, and assessed the risk of bias. A random-effects meta-analysis was conducted to pool the prevalence estimates.Main Outcomes and MeasuresThe global patterns in the prevalence of PIM use among older patients in outpatient services were estimated, and the temporal trends and regional differences in PIM use were investigated.ResultsA total of 94 articles with 132 prevalence estimates were analyzed, including nearly 371.2 million older participants from 17 countries. Overall, the pooled prevalence of PIM use was 36.7% (95% CI, 33.4%-40.0%). Africa had the highest prevalence of PIM use (47.0%; 95% CI, 34.7%-59.4%), followed by South America (46.9%; 95% CI, 35.1%-58.9%), Asia (37.2%; 95% CI, 32.4%-42.2%), Europe (35.0%; 95% CI, 28.5%-41.8%), North America (29.0%; 95% CI, 22.1%-36.3%), and Oceania (23.6%; 95% CI, 18.8%-28.8%). In addition, the prevalence of PIM use is highest in low-income areas. Use of PIMs among older patients has become increasingly prevalent in the past 2 decades.Conclusions and RelevanceThis study of patterns of PIM use by different groups, such as geographic regions and World Bank countries, suggests noticeable geographic environment and economic income differences in the burden of PIMs in outpatient services. Furthermore, the high prevalence trend in the past 2 decades indicates that the global burden of PIM use continues to be worthy of attention.

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Exploring Australian pharmacists' views toward reducing the risk of medicines‐related harm in aged care residents

Curtain

Peterson

Salahudeen

2023

Pharmacology Res & Perspec

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Medicines‐related harm is common in older people living in residential aged care facilities (RACFs). Pharmacists offering services in the aged care sector may play a key role in reducing medicines‐related injury. This study aimed to explore Australian pharmacists' views toward reducing the risk of medicines‐related harm in older residents. Qualitative, semi‐structured interviews were conducted with 15 Pharmacists across Australia providing services (e.g., through the provision of medication reviews, supplying medications, or being an embedded pharmacist) to RACFs identified via convenience sampling. Data were analyzed by thematic analysis using an inductive approach. Medicines‐related harm was thought to occur due to polypharmacy, inappropriate medicines, anticholinergic activity, sedative load, and lack of reconciliation of medicines. Pharmacists reported that strong relationships, education of all stakeholders, and funding for pharmacists were facilitators in reducing medicines‐related harm. Pharmacists stated that renal impairment, frailty, staff non‐engagement, staff burnout, family pressure, and underfunding were barriers to reducing medicines‐related harm. Additionally, the participants suggested pharmacist education, experience, and mentoring improve aged care interactions. Pharmacists believed that the irrational use of medicines increases harm in aged care residents, and medicines‐specific (e.g., sedative load) and patient‐specific risk factors (e.g., renal impairment) are associated with injuries in residents. To reduce medicines‐related harm, the participants highlighted the need for increased funding for pharmacists, improving all stakeholders' awareness about medicines‐associated harms through education, and ensuring collaboration between healthcare professionals caring for older residents.

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Hospitalization Risk and Potentially Inappropriate Medications among Medicare Home Health Nursing Patients

Cited by 32 publications

References 41 publications

Electronic assessment of cardiovascular potentially inappropriate medications in an administrative population database

Electronic assessment of cardiovascular potentially inappropriate medications in an administrative population database

Prevalence of Use of Potentially Inappropriate Medications Among Older Adults Worldwide

Exploring Australian pharmacists' views toward reducing the risk of medicines‐related harm in aged care residents

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