干旱区生态环境知识资源中心(Arid): Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients

Arid

DOI	10.1016/j.jamda.2022.03.012
	Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients
	Wang, Jinjiao; Shen, Jenny Y.; Yu, Fang; Conwell, Yeates; Nathan, Kobi; Shah, Avantika S.; Simmons, Sandra F.; Li, Yue; Ramsdale, Erika; Caprio, Thomas, V
通讯作者	Wang, JJ
来源期刊	JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
ISSN	1525-8610
EISSN	1538-9375
出版年	2022
卷号	23 期号:10 页码:1627-+
英文摘要	Objectives: Polypharmacy is common in home health care (HHC). This study examined the prevalence of medications associated with geriatric syndromes (MAGS), its predictors, and association with subsequent hospitalization in HHC. Design: Analysis of HHC electronic medical records, the Outcome and Assessment Information Set (OASIS), and Medicare HHC claims. Setting and Participants: A total of 6882 adults >= 65 years old receiving HHC in 2019 from a large, not-for-profit home health agency serving multiple counties in New York State. Measures: MAGS use was identified from active medications reconciled during HHC visits (HHC electronic medical records). MAGS use was operationalized as count and in quartiles. Hospitalization during the HHC episode was operationalized as a time-to-event variable (ie, number of days from HHC admission to hospitalization). We used regression analyses to identify predictors of MAGS use, and survival analyses to examine the association between MAGS and hospitalization. Results: Nearly all (98%) of the HHC patients used at least 1 MAGS and 41% of all active medications used by the sample were MAGS. More MAGS use was found in HHC patients who were community-referred, taking more medications, and having more diagnoses, depressive symptoms, and functional limitations. Adjusted for covariates, higher MAGS quartiles were not independently associated with the risk of hospitalization, but higher MAGS quartiles combined with multimorbidity (ie, having >10 diagnoses) were associated with a 2.3-fold increase in hospitalization risk (hazard ratio 2.24; 95% confidence interval: 1.61-3.13; P <.001), relative to the lowest quartile of MAGS use and having <10 diagnoses. Conclusions and Implications: More than 40% of medications taken by HHC patients are MAGS. Multimorbidity and MAGS use collectively increased the risk of hospitalization by up to 2.3 times. HHC clinicians should carefully review patients' medications and use information about MAGS to facilitate discussion about deprescribing with patients and their prescribers. (C) 2022 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
英文关键词	Home health care polypharmacy medications associated with geriatric syndromes deprescribing
类型	Article
语种	英语
开放获取类型	Green Accepted
收录类别	SCI-E
WOS记录号	WOS:000883629700010
WOS关键词	PREVALENCE ; MEDICARE ; PEOPLE ; DEMENTIA ; NEED
WOS类目	Geriatrics & Gerontology
WOS研究方向	Geriatrics & Gerontology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/393603
推荐引用方式 GB/T 7714	Wang, Jinjiao,Shen, Jenny Y.,Yu, Fang,et al. Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients[J],2022,23(10):1627-+.
APA	Wang, Jinjiao.,Shen, Jenny Y..,Yu, Fang.,Conwell, Yeates.,Nathan, Kobi.,...&Caprio, Thomas, V.(2022).Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients.JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION,23(10),1627-+.
MLA	Wang, Jinjiao,et al."Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients".JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 23.10(2022):1627-+.