Scholarlink

Background <p>Limited studies consider resource disparity on the impact of potentially inappropriate medications (PIMs) in rural areas. This study aimed to explore PIMs prevalence and its characteristics using different screening criteria and examine the associations of incident hospital admissions and different PIM exposure timing for older adults living in a rural area.</p> Methods <p>We conducted a retrospective cohort study to examine the one-year prevalence of PIM prevalence based on 2018 PIM-Taiwan and 2019 Beers criteria using the data retrieved from a local community hospital in a rural area during July 2018 to June 2019. We conducted a nested case-crossover study to evaluate the associations between PIM exposure in different exposure windows (most recent one-month versus 3 earlier control exposure periods) and the incident hospital admission by performing conditional logistic regressions.</p> Results <p>Of 8,234 older adult outpatients, 58% were exposed to at least one PIM (51.4% to PIM-Taiwan and 52.1% to Beers criteria). Of 384 older adult patients prescribed with medications and ever urgent hospital admissions, the most recent one-month exposure to PIM, and either or both criteria, as compared with the three earlier control periods, were statistically associated with incident hospital admissions but not for any class or individual PIMs, except Benzodiazepines (BZDs).</p> Conclusion <p>Most recent one-month exposure to either criteria of PIM and BZDs are the significant factors associated with incremental incident hospital admissions. Further studies to investigate the undesired outcomes associated with expose timing of specific class of PIM(s) within older adult individuals in the underserved areas than urban areas to consider the health disparity for older adults are needed.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Screening criteria of potentially inappropriate medications and associations of exposure timing with incident hospital admissions among older adults in a rural community hospital

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月28日

查看全文
  • Chih-Hsueh Lin,
  • Hsin-Hui Tsai,
  • Chun-Wei Tu,
  • Shelly L. Gray,
  • Hsiang-Wen Lin

摘要

Background

Limited studies consider resource disparity on the impact of potentially inappropriate medications (PIMs) in rural areas. This study aimed to explore PIMs prevalence and its characteristics using different screening criteria and examine the associations of incident hospital admissions and different PIM exposure timing for older adults living in a rural area.

Methods

We conducted a retrospective cohort study to examine the one-year prevalence of PIM prevalence based on 2018 PIM-Taiwan and 2019 Beers criteria using the data retrieved from a local community hospital in a rural area during July 2018 to June 2019. We conducted a nested case-crossover study to evaluate the associations between PIM exposure in different exposure windows (most recent one-month versus 3 earlier control exposure periods) and the incident hospital admission by performing conditional logistic regressions.

Results

Of 8,234 older adult outpatients, 58% were exposed to at least one PIM (51.4% to PIM-Taiwan and 52.1% to Beers criteria). Of 384 older adult patients prescribed with medications and ever urgent hospital admissions, the most recent one-month exposure to PIM, and either or both criteria, as compared with the three earlier control periods, were statistically associated with incident hospital admissions but not for any class or individual PIMs, except Benzodiazepines (BZDs).

Conclusion

Most recent one-month exposure to either criteria of PIM and BZDs are the significant factors associated with incremental incident hospital admissions. Further studies to investigate the undesired outcomes associated with expose timing of specific class of PIM(s) within older adult individuals in the underserved areas than urban areas to consider the health disparity for older adults are needed.