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Published on: June 11, 2012
Diabetes Medications in Post-Acute Care: Association With Emergency Department Visits and Hospitalization
Melissa H Bogin1, Paul Y Takahashi1, Matthew G Johnson2
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Insulin use in post-acute care patients was linked to more emergency visits and hospitalizations. Metformin showed a reduced association, highlighting the need for optimal diabetes medication strategies in skilled nursing facilities.
Area of Science:
- Gerontology
- Pharmacology
- Public Health
Background:
- Diabetes management in post-acute care is not well-defined.
- Older adults in skilled nursing facilities (SNFs) have unique health needs.
Purpose of the Study:
- To investigate the association between diabetes medication classes and emergency department (ED) visits or hospitalizations in patients undergoing post-acute rehabilitation.
Main Methods:
- Retrospective cohort study of patients aged 60+ discharged to SNFs.
- Analyzed 30-day outcomes (ED visits/hospitalizations) post-SNF admission.
- Used logistic regression to assess associations with various diabetes medications.
Main Results:
- Insulin use was positively associated with increased ED visits/hospitalizations (OR, 1.275).
- Metformin use showed a reduced association with these outcomes (OR, 0.714).
- Other medication classes showed no significant association.
Conclusions:
- Insulin use in post-acute care patients is linked to higher rates of ED visits and hospitalizations.
- Further research is needed to optimize pharmacotherapy for this population.
- Identifying optimal medication regimens is crucial for diabetes care in SNFs.
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