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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Potentially Inappropriate Medications are Associated With Geriatric Trauma Recidivism.

Adam Sigal1, Christopher A Butts2, Traci Deaner1

  • 1Department of Emergency Medicine, Reading Hospital, West Reading, Pennsylvania.

The Journal of Surgical Research
|November 28, 2022
PubMed
Summary
This summary is machine-generated.

Certain medications, known as potentially inappropriate medications (PIMs), increase the risk of recurrent trauma in elderly patients. Reviewing these prescriptions can help reduce repeat injuries.

Keywords:
GeriatricsInappropriateMedicationsRecidivismRecurrentTrauma

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Area of Science:

  • Geriatric Medicine
  • Trauma Surgery
  • Clinical Pharmacology

Background:

  • The American Geriatric Society has identified potentially inappropriate medications (PIMs) for elderly individuals.
  • These medications are associated with increased risks of falls and traumatic events.

Purpose of the Study:

  • To investigate the association between PIMs and recurrent traumatic injuries in elderly patients.
  • To quantify the risk of trauma recidivism linked to specific PIM categories.

Main Methods:

  • Retrospective study at a Level 1 trauma center.
  • Compared elderly patients with single versus multiple traumatic events.
  • Analyzed the presence of PIM prescriptions in relation to trauma recurrence.

Main Results:

  • Anticoagulant/antiplatelet agents, psychiatric/neurologic agents, and anticholinergic medications were linked to higher odds of recurrent trauma.
  • Specific odds ratios and confidence intervals were calculated for each high-risk category.

Conclusions:

  • The risk of recurrent trauma can be quantified based on PIM use in the elderly.
  • Medication reconciliation and shared decision-making are crucial for reducing trauma recidivism.