scholarly journals Potentially Inappropriate Medication in Community-Dwelling Primary Care Patients who were Screened Positive for Dementia

2016 ◽  
Vol 55 (2) ◽  
pp. 691-701 ◽  
Author(s):  
Diana Wucherer ◽  
Tilly Eichler ◽  
Johannes Hertel ◽  
Ingo Kilimann ◽  
Steffen Richter ◽  
...  
Keyword(s):  
Primary Care ◽  
Inappropriate Medication ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Primary Care Patients

scholarly journals Task-Specific Fatigue Among Older Primary Care Patients

2016 ◽  
Vol 29 (2) ◽  
pp. 310-323
Author(s):  
Perrin E. Romine ◽  
Dan K. Kiely ◽  
Nicole Holt ◽  
Sanja Percac-Lima ◽  
Suzanne Leveille ◽  
...  
Keyword(s):  
Primary Care ◽  
Task Performance ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Performance Tasks ◽  
Test Items ◽  
Primary Care Patients ◽  
Chair Rise ◽  
Sectional Analysis ◽  
Climbing Stairs

Objective: Fatigue is a common condition contributing to disability among older patients. We studied self-reported task-specific fatigue and its relation with mobility task performance among community-dwelling primary care patients. Method: Cross-sectional analysis of baseline demographic and health data from a prospective cohort study of 430 primary care patients aged 65 years or older. Fatigue was measured using the Avlund Mobility–Tiredness Scale. Performance tasks included rising from a chair, walking 4 m, and climbing two flights of stairs. Results: Among demographic and health factors, pain was the only attribute consistently predictive of fatigue status. Self-reported chair rise fatigue and walking fatigue were associated with specific task performance. Stair climb fatigue was not associated with stair climb time. Discussion: Pain is strongly associated with fatigue while rising from a chair, walking indoors, and climbing stairs. This study supports the validity of self-reported chair rise fatigue and walking fatigue as individual test items.

scholarly journals Polypharmacy among Underserved Older African American Adults

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Mohsen Bazargan ◽  
James Smith ◽  
Masoud Movassaghi ◽  
David Martins ◽  
Hamed Yazdanshenas ◽  
...  
Keyword(s):  
African American ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Inappropriate Drug ◽  
Potentially Inappropriate Medications ◽  
African American Adults ◽  
Inappropriate Medication Use ◽  
Inappropriate Medications

The purpose of the present study was to examine correlates of polypharmacy among underserved community-dwelling older African American adults. Methods. This study recruited 400 underserved older African Americans adults living in South Los Angeles. The structured face-to-face interviews collected data on participants’ characteristics and elicited data pertaining to the type, frequency, dosage, and indications of all medications used by participants. Results. Seventy-five and thirty percent of participants take at least five and ten medications per day, respectively. Thirty-eight percent of participants received prescription medications from at least three providers. Inappropriate drug use occurred among seventy percent of the participants. Multivariate analysis showed that number of providers was the strongest correlate of polypharmacy. Moreover, data show that gender, comorbidity, and potentially inappropriate medication use are other major correlates of polypharmacy. Conclusions. This study shows a high rate of polypharmacy and potentially inappropriate medication use among underserved older African American adults. We documented strong associations between polypharmacy and use of potentially inappropriate medications, comorbidities, and having multiple providers. Polypharmacy and potentially inappropriate medications may be attributed to poor coordination and management of medications among providers and pharmacists. There is an urgent need to develop innovative and effective strategies to reduce inappropriate polypharmacy and potentially inappropriate medication in underserved elderly minority populations.

scholarly journals Prevalence of Potentially Inappropriate Medication use in older drivers

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Guohua Li ◽  
◽  
Howard F. Andrews ◽  
Stanford Chihuri ◽  
Barbara H. Lang ◽  
...  
Keyword(s):  
Urban Areas ◽  
Longitudinal Research ◽  
Inappropriate Medication ◽  
Community Dwelling ◽  
American Geriatrics Society ◽  
Older Drivers ◽  
Driving Ability ◽  
Potentially Inappropriate Medication ◽  
Crash Risk ◽  
Beers Criteria

Abstract Background Potentially Inappropriate Medication (PIM) use has been studied in a variety of older adult populations across the world. We sought to examine the prevalence and correlates of PIM use in older drivers. Methods We applied the American Geriatrics Society 2015 Beers Criteria to baseline data collected from the “brown-bag” review of medications for participants of the Longitudinal Research on Aging Drivers (LongROAD) study to examine the prevalence and correlates of PIM use in a geographically diverse, community-dwelling sample of older drivers (n = 2949). Proportions of participants who used one or more PIMs according to the American Geriatrics Society 2015 Beers Criteria, and estimated odds ratios (ORs) and 95% confidence intervals (CIs) of PIM use associated with participant characteristics were calculated. Results Overall, 18.5% of the older drivers studied used one or more PIM. The most commonly used therapeutic category of PIM was benzodiazepines (accounting for 16.6% of the total PIMs identified), followed by nonbenzodiazepine hypnotics (15.2%), antidepressants (15.2%), and first-generation antihistamines (10.5%). Compared to older drivers on four or fewer medications, the adjusted ORs of PIM use were 2.43 (95% CI 1.68–3.51) for those on 5–7 medications, 4.19 (95% CI 2.95–5.93) for those on 8–11 medications, and 8.01 (95% CI 5.71–11.23) for those on ≥12 medications. Older drivers who were female, white, or living in urban areas were at significantly heightened risk of PIM use. Conclusion About one in five older drivers uses PIMs. Commonly used PIMs are medications known to impair driving ability and increase crash risk. Implementation of evidence-based interventions to reduce PIM use in older drivers may confer both health and safety benefits. Trial registration Not applicable.

scholarly journals Potentially Inappropriate Medication Use in the Community-Dwelling Elderly

JAMA ◽  
2001 ◽  
Vol 286 (22) ◽  
pp. 2823 ◽  
Author(s):  
Chunliu Zhan ◽  
Judith Sangl ◽  
Arlene S. Bierman ◽  
Marlene R. Miller ◽  
Bruce Friedman ◽  
...  
Keyword(s):  
Inappropriate Medication ◽  
Medication Use ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Inappropriate Medication Use

Potentially Inappropriate Medication Use and Healthcare Expenditures in the US Community-Dwelling Elderly

Medical Care ◽  
2007 ◽  
Vol 45 (5) ◽  
pp. 472-476 ◽  
Author(s):  
Alex Z. Fu ◽  
Jenny Z. Jiang ◽  
Jaxk H. Reeves ◽  
Jack E. Fincham ◽  
Gordon G. Liu ◽  
...  
Keyword(s):  
Inappropriate Medication ◽  
Medication Use ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Healthcare Expenditures ◽  
Inappropriate Medication Use ◽  
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