Journal article
Potentially Inappropriate Medications are Associated With Geriatric Trauma Recidivism
The Journal of surgical research, v 283, pp 581-585
01 Mar 2023
PMID: 36442257
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: The American Geriatric Society has identified polypharmacy and categories of potentially inappropriate medication (PIM) that should be avoided in the elderly. These medications can potentially cause an increased risk of falls and traumatic events.Materials and methods: We conducted a retrospective study on elderly patients with traumatic injuries at a Level 1 trauma center. We compared patients having only one traumatic event and those with one or more traumatic events with the presence of prescriptions for PIMs.Results: Identified high risk categories of anticoagulant and antiplatelet agents (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.08-1.28), psychiatric and neurologic agents (OR 1.32, 95% CI 1.22-1.43), as well as medication with anticholinergic properties (OR 1.14, 95% CI 1.03-1.27) were associated with an increased risk of recurrent trauma.Conclusions: We can quantify the risk of recurrent trauma with certain categories of PIM. Medication reconciliation and shared decision-making regarding the continued use of these medications may positively impact trauma recidivism.(c) 2022 Elsevier Inc. All rights reserved.
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Details
- Title
- Potentially Inappropriate Medications are Associated With Geriatric Trauma Recidivism
- Creators
- Adam Sigal - Reading HospitalChristopher A. Butts - Reading HospitalTraci Deaner - Reading HospitalTom Wasser - Reading HospitalBlake Bailey - Reading HospitalMonisha Bindra - Reading HospitalAlison Muller - Reading HospitalAnthony P. Martin - Reading HospitalAdrian Ong - Reading Hospital
- Publication Details
- The Journal of surgical research, v 283, pp 581-585
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000893019800022
- Scopus ID
- 2-s2.0-85142721153
- Other Identifier
- 991021929442904721
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- Web of Science research areas
- Surgery