Polypharmacy and questionably beneficial medication use are common among nursing home (NH) residents with dementia. Deprescribing patterns in this population are not well described. This study describes trajectories of medication use in NH residents with dementia in the year prior to death.
Deprescribing reduces inappropriate polypharmacy in older adults and may be initiated in hospital. However, deprescribing changes initiated during a hospital admission are not always continued post discharge and deprescribing recommendations for inpatients to implement post discharge are not always actione...
Chronic opioid use is common in residents of long-term care facilities (LTCFs) and is associated with an increased risk of falls, fractures, and cognitive impairment. However, predictors of chronic opioid use in this cohort remain unclear. This study developed a prediction model for new chronic opioid use ...
Long-term opioid therapy (LTOT) in older adults poses risks of cognitive and functional decline. This study aimed to identify factors associated with home health admission within 1 year of LTOT initiation among Medicare-enrolled older adults.
To investigate the prevalence of and sociodemographic factors associated with potentially high-risk antipsychotic use in people living with dementia in Australia.
Evidence suggests that the use of regular acetaminophen (paracetamol) in long-term care (LTC) is a low-value intervention, that it does not improve pain or quality of life, and that it has the potential for adverse effects. Our objective was to assess the usage of regular acetaminophen in Canadian LTC faci...
The Centers for Medicare and Medicaid Services Polypharmacy-CNS (Poly-CNS) quality metric identifies individuals taking multiple medications with central nervous system side effects. The Poly-CNS measure may reduce risky prescribing for persons living with dementia (PLWD).
Little evidence exists on the accuracy of the Minimum Data Set (MDS)–based medication items. We compared quarterly rates of antipsychotic, antidepressant, and hypnotic use between the MDS and Part D Prescription Drug Event file (PDE) in 2018.
Anticholinergic medications can produce harmful side effects, such as ataxia and delirium, in older adults. Older adults with hip fractures are particularly vulnerable, yet they are often prescribed these medications. This study aimed to evaluate the anticholinergic burden (ACB) before and after hospitaliz...