Inappropriate Drug Use and Risk of Transition to Nursing Homes Among Community-Dwelling Older Adults

Abstract

Background-Adverse events from inappropriate medications are preventable risk factors for nursing home admissions.

Self-Medication and Inappropriate drug use in Geriatric Population of Karachi, Pakistan

“…Inappropriate medication is more common in older adults compared to young people. (12)(13)(14)Elderly patients appear to be particularly vulnerable to the adverse consequences of drug non-compliance, because they generally take more drugs, often have multiple chronic illnesses and, therefore, often have complex medication regimens. (15) Two studies have been conducted in Pakistan on self-medication, both in university students, both studies were done to find out the prevalence of self-medication among university students, according to these there was high prevalence of self-medication in medical students although they were aware of the harmful effects.…”

Potentially Inappropriate Medication Use and Healthcare Expenditures in the US Community-Dwelling Elderly

“…10 -12 At the national level (United States), few studies have quantified the relationship between PIM and health outcomes for the elderly, [13][14][15] and little evidence has been identified focusing on total healthcare expenditures attributable to PIM use. Using the most recent 2002 Beers criteria, this study is the first attempt to estimate the annual incremental healthcare expenditures due to PIM use in the community-dwelling elderly population in the United States.…”

Effects of depression screening on diagnosing and treating mood disorders among older adults in office-based primary care outpatient settings: An instrumental variable analysis

“…While community-dwelling ambulatory adults with depression are not likely to visit a psychiatrist for their depression or other mood disorders, they still seek care in primary care or other specialty visits, making "these visits particularly important opportunities to detect and initiate treatment of depression" or other mood disorders (Palmer and Coyne, 2003, p. 279). In the U.S., the rate of providing depression screening in primary care and other specialty visits remains relatively low; a recent study using national data suggests that approximately 5% of all visits had depression screening among adults ages 18 or over in 2006(Akincigil and Matthews, 2016.…”

“…Using the updated Beers criteria, a recent study estimated that 30.9% of older adults are exposed to potentially inappropriate medications (Miller et al, 2016). This is a public health issue that impacts potentially avoidable healthcare expenditures (Fick et al, 2001;Zuckerman et al, 2006;Fu et al, 2007) increased hospitalization (Budnitz et al, 2011;Cahir et al, 2014;Lindley et al, 1992;Lau et al, 2005;Klarin et al, 2005) and morbidity (Schmader et al, 1997) and mortality (Lau et al, 2005) rates. In light of clinical efforts to minimize potentially inappropriate prescriptions, we hypothesize that depression screening may help reduce potentially inappropriate antidepressant prescriptions because those without mood disorders would be less likely to receive them in older adults.…”