Document Detail

Longitudinal prescribing patterns in a nursing home population.
MedLine Citation:
PMID:  1727848     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study documents the patients characteristics associated with prescribed medications on entry to a nursing home and the change in prescribing patterns after 3 months. DESIGN: One-year admission cohort. SETTING: Three university-affiliated community nursing homes in Albuquerque, NM. PATIENTS: All new admissions (n = 81) to a University geriatrics team, covering intermediate and skilled levels of care during 1 year (July 1, 1988-July 1, 1989). METHODS: Outcome measures were scheduled and as-needed (PRN) medications prescribed at entry and 3 months. Data collected at entry included patient demographics, activities of daily living index, mental status score, and medical diagnoses. RESULTS: Older persons were prescribed fewer scheduled medications than younger ones, and women fewer than men. There was a positive association between the number of diagnoses and the number of scheduled medications (r = 0.25, P = 0.02). No associations were found between medications prescribed and mental status or functional level. There were no associations between as-needed (PRN) medications and any of the variables studied. Overall, there was a significant increase in the average total number of medications prescribed between admission (4.7) and 3 months (6.2). This was due to an increase in the number of PRN medications from 1.3 at admission to 3.0 at 3 months (P less than 0.001). CONCLUSIONS: Measuring medications at consistent points in a person's nursing home stay may be more informative than using cross-sectional sampling. Future studies on medications in nursing home populations should distinguish between PRN and scheduled medications because medication prescribing patterns may be different in these categories.
S J Wayne; R L Rhyne; M Stratton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  40     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-01-30     Completed Date:  1992-01-30     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  53-6     Citation Subset:  IM    
Department of Family, Community, and Emergency Medicine, University of New Mexico School of Medicine, Albuquerque 87131.
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MeSH Terms
Age Factors
Aged, 80 and over
Drug Utilization*
Health Status
Longitudinal Studies
Nursing Homes*
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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