Abstract
Introduction: Fall related injuries (FRIs) are sentinel events for nursing home (NH) residents and serve as an opportune time for medication review. Few studies have examined racial disparities in medication use between facilities. The objective of this study was to identify whether there are disparities in prescribing patterns of medications in NH residents following a hospitalized FRI according to the racial composition of the facility.
Methods: This cohort study included all long-stay US NH residents, aged 65 years or older enrolled in Medicare fee-for-service with a hospitalized FRI between 1/1/2016 and12/31/2016. Residents were categorized as new users, discontinuers, or continued users according to medication dispensing before and after FRI. Results were stratified by the percentage of Black residents in the facility.
Results: 27,134 NH residents with a hospitalized FRI were included. Mean age was 83.9 years (SD=4.08) and 75.7% were women. Use of sedatives was common (6.0% new users, 14.7% discontinuers, 14.0% continued users). Discontinuation of sedatives after a FRI was more likely to occur in facilities with a high Black population (high vs low Black population: 15.4% versus 13.4%, p-value 0.0003). Overall use, especially new users, of osteoporosis medications was low with no statistically significant difference across facilities.
Conclusions: Despite the known association with falls, sedatives remain commonly prescribed in NH residents before and after a FRI, whereas osteoporosis medications are less commonly prescribed. Our findings suggest that NHs of all racial composition could benefit from models of care that optimize medication reviews in NH residents after FRIs.
Author Information
Kathryn Sine, Warren Alpert School of Medicine, United States
Andrew R. Zullo, Brown University School of Public Health, United States
Laiji Yang, Hebrew Senior Life and Harvard Medical School, United States
Sarah D. Berry, Hebrew Senior Life and Harvard Medical School, United States
Paper Information
Conference: EGen2023
Stream: Frailty
This paper is part of the EGen2023 Conference Proceedings (View)
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To cite this article:
Sine K., Zullo A., Yang L., & Berry S. (2023) Patterns of Medication Use Before and After Fall-Related Injury in US Nursing Homes According to Facility Racial Composition ISSN: 2435-4937 The European Conference on Aging & Gerontology 2023: Official Conference Proceedings https://doi.org/10.22492/issn.2435-4937.2023.2
To link to this article: https://doi.org/10.22492/issn.2435-4937.2023.2
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