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Home Medication Regimens Increase in Complexity After Admission for Fall in the Older Trauma Patient

التفاصيل البيبلوغرافية
العنوان: Home Medication Regimens Increase in Complexity After Admission for Fall in the Older Trauma Patient
المؤلفون: Stanley, Samuel P., DeMario, Belinda S., Beel, Kevin T., Lee, Michelle S., Petitt, Jordan C., Brown, Laura R., Tseng, Esther S., Ho, Vanessa P.
المصدر: The American Surgeon; November 2023, Vol. 89 Issue: 11 p4438-4444, 7p
مستخلص: Background Hospitalization for the older trauma patient is an opportunity to assess polypharmacy. We hypothesized that medication regimen complexity (RxCS) and pain medication prescriptions (PRxs) would increase in older home-going patients admitted for a fall.Methods We retrospectively chart reviewed patients ≥45 years old admitted for a fall at a level 1 trauma center who were discharged home with full medication documentation. RxCS was compared pre-admission and post-discharge with Wilcoxon signed-rank tests; opioid and non-opioid PRxs were compared with Fisher’s exact test, α = .05.Results 103 patients met inclusion criteria; 58% were ≥65 years old. RxCS (9 [.5-13] to 11 [4.5-15], P< .01) increased on discharge. Opioid PRx rates increased significantly in all age groups. Non-opioid PRx rates increased significantly for patients <65 but not for patients ≥65.Conclusions Admission for a fall was associated with increases in RxCS, while PRx changes were age-dependent. Providers should recognize that admissions for older patients who fall after trauma are underutilized opportunities to address polypharmacy in high-risk patients.
قاعدة البيانات: Supplemental Index
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