Prevalence of and Factors Related to Prescription Opioids, Benzodiazepines, and Hypnotics Among Medicare Home Health Recipients
| Autor: | Karen L. Whiteman, Matthew C. Lohman, Jessica M. Brooks, Martha L. Bruce, Rebecca L. Greenberg, Brandi P. Cotton, Yuhua Bao |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Prescription Drugs Prescription Drug Misuse Referral Nonbenzodiazepine Medicare Article 03 medical and health sciences Benzodiazepines 0302 clinical medicine Health care Medicine Humans Hypnotics and Sedatives 030212 general & internal medicine Medical prescription Aged Aged 80 and over business.industry Chronic pain Age Factors General Medicine medicine.disease Home Care Services United States Analgesics Opioid Opioid Family medicine Female Chronic Pain Opioid analgesics business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Home healthcare now. 35(6) |
| ISSN: | 2374-4537 |
| Popis: | High rates of controlled prescription drugs are associated with cognitive impairment, falls, and misuse and dependence. Little is known about the prevalence of these medications among older adults receiving home healthcare. The purpose of this study was to determine the frequency of, and the factors related to, opioid analgesics, benzodiazepines (BNZ), and nonbenzodiazepine (NBNZH) hypnotics among a large sample of older adults entering home healthcare services. The data came from administrative records of 133 Certified Home healthcare Agencies located across 32 states. Patients (age ≥ 65) receiving Medicare home healthcare services and who received a start-of-care Medicare OASIS assessment between January 1, 2013, and December 31, 2014, were included in the study (n = 87,780). Rates of controlled medication use were compared across patient-level sociodemographic, clinical, functional, and environmental variables. The prevalence of controlled medication was high, with 58% prescribed at least one class of controlled drug, 44% were prescribed an opioid, 19% were prescribed a BNZ, and almost 7% were prescribed a NBZDH. Factors independently associated with higher levels of controlled medication usage include younger-old age, white race, postsurgical status, injuries, referral from inpatient settings, and rural location. Home healthcare clinicians are well positioned to review and reconcile medication, oversee referrals and follow-up care, and provide ongoing assessment of risk regarding the use of opioids, BNZ, and hypnotics among home healthcare patients. |
| Databáze: | OpenAIRE |
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