Abstract
ANTIPSYCHOTIC USE PATTERNS AMONG PATIENTS WITH DEMENTIA DURING TRANSITIONS FROM HOSPITALS TO SNFS
Innovation in aging, Vol.1(Suppl 1), pp.167-167
06/30/2017
DOI: 10.1093/geroni/igx004.649
PMCID: PMC6242451
Abstract
Transitions from a hospitals-to-skilled nursing facilities (SNF) for patients with dementia (PwD) are fraught with challenges for patients, caregivers, and their providers. Research suggests that these transitions are further complicated by antipsychotic medications commonly used to manage dementia-related behavioral symptoms. Some SNF providers report being unwilling/unable to accept PwD requiring antipsychotics to manage behavioral symptoms and describe routinely receiving inaccurate/incomplete medication histories regarding antipsychotic utilization during hospitalization highlighting abrupt withdrawal of antipsychotics prior to discharge as a common problem. No research has examined patterns of antipsychotic usage among PwD during hospital-to-SNF transitions. This retrospective cohort study identified changes in antipsychotic medication administration during the last 48 hours of hospitalization as compared to antipsychotics ordered upon discharge. Patients with dementia and primary discharge diagnosis of stroke/hip fracture who were discharged from one of two hospitals to a SNF (N=343) between 2003–2008 were included in the analyses. Overall 21% of patients received an antipsychotic within the last 48 hours of discharge. Twenty-five percent of patients who received an antipsychotic within the last 48 hours of hospitalization had potentially abrupt discontinuation of antipsychotics on discharge. These rates varied by medication, with Haldol and Seroquel having the highest rates of potential abrupt discontinuation at 65% and 27% respectively. Future research should examine inter-setting communication regarding these medication histories as limited information about the level of medication interventions required to manage complex symptoms and related therapeutic benefit or adverse events may hinder the timely development of individualized care plans in the SNF setting.
Details
- Title: Subtitle
- ANTIPSYCHOTIC USE PATTERNS AMONG PATIENTS WITH DEMENTIA DURING TRANSITIONS FROM HOSPITALS TO SNFS
- Creators
- A. Gilmore-Bykovskyi - University of Wisconsin–MadisonK. Kennelty - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Innovation in aging, Vol.1(Suppl 1), pp.167-167
- DOI
- 10.1093/geroni/igx004.649
- PMCID
- PMC6242451
- ISSN
- 2399-5300
- eISSN
- 2399-5300
- Publisher
- Oxford University Press
- Language
- English
- Date published
- 06/30/2017
- Academic Unit
- Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center
- Record Identifier
- 9984297648002771
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