Skip 
Navigation Link
Aging & Geriatrics
Resources
Basic InformationLatest News
Your Pets Can't Put Your Aging on 'Paws'CAPABLE Program Saves Money for Seniors With DisabilityAs Hearing Fades With Age, Dementia Risk May RiseFlu Can Have Dangerous Domino Effect on Older AdultsMost Older Adults Willing to Play Game to Monitor VisionLeaving the House Tied to Lower Mortality Risk in SeniorsDoctors Increasingly Becoming 'Nursing Home Specialists'Many Seniors Have Not Discussed Avoiding Drug InteractionsSmall Changes Could Keep Seniors Driving LongerDoes Marriage Help Preserve Your Brain?Steroid Injections for Arthritic Hips: More Trouble Than They're Worth?What You Don't Know About Drug Interactions Could Hurt YouDon't Delay Hip Fracture Surgery. Here's WhyHealth Tip: Seniors at Heightened Risk of Foodborne IllnessFor Seniors, Any Physical Activity Is Better Than None1 in 4 U.S. Seniors With Cancer Has Had It BeforeAn Exercise Game Plan for BoomersHealth Tip: Help Prevent OsteoporosisCould New 'Brain Training' Program Help Prevent Dementia?'Boomers' Doing Better at Avoiding Eye Disease of AgingU.S. Seniors Struggle More to Pay for Health Care Compared to Other CountriesStaying Active May Lower Odds for GlaucomaHealth Tip: Hearing Loss May Affect Brain HealthAAO: Higher Exercise Intensity Tied to Reduced Risk of GlaucomaMiddle-Aged and Impaired? More Common Than You Might ThinkSmog May Harm Your Bones, TooYour Friends May Be Key to a Healthy Aging BrainUSPSTF Posts Osteoporosis Screening RecommendationsExercise, Intervention Combos Associated With Lower Fall RiskOlder Women Can 'Walk Away From the Grim Reaper'Eat Well, Age WellNew Finding Hints at Clue to DementiaWhat Exercise Regimen Is Best for Healthy Weight Loss in Seniors?Dry Mouth Common Medication Reaction in Older AdultsHealth Tip: Eating Healthier as You AgeBone Strength + Bone Mineral Density Screening Cost-EffectivePanel Recommends New Zoster Vaccine as First-Line TreatmentThere's a New Shingles Vaccine -- Is It for You?Secondary Prevention Meds Often Not Started Post-AMI in SeniorsDitch the Throw Rugs, Seniors!Health Tip: Finding Safe Shoes for the ElderlyHealth Tip: 5 Suggestions to Promote Healthy AgingMental Health Issues Impact Retirement Saving BehaviorGood Lifestyle Choices Add Years to Your LifeDance Your Way to a Healthier Aging Brain3MR Intervention Effective for Discontinuing Inappropriate MedsHealth Tip: Tai Chi May Help Prevent FallsToday's Middle-Age Americans in Worse Health Than Prior GenerationsOlder People May Be More Prone to Reveal Suicidal ThoughtsRisk Assessments Can Help Prevent Falls
Questions and AnswersLinksBook ReviewsSelf-Help Groups
Related Topics

Depression: Depression & Related Conditions
Lifespan Development

Inappropriate Med Use High in Cognitively Impaired Seniors


HealthDay News
Updated: Aug 2nd 2017

new article illustration

WEDNESDAY, Aug. 2, 2017 (HealthDay News) -- Many nursing home residents with cognitive impairment or dementia have potentially inappropriate medication (PIM) use, with PIM use more likely among frail individuals, according to a study published online July 28 in the Journal of the American Geriatrics Society.

Laura C. Maclagan, from the Institute for Clinical Evaluative Sciences in Toronto, and colleagues conducted a retrospective cohort study using data for 41,351 individuals with cognitive impairment or dementia aged 66+ years who were newly admitted to a nursing home between 2011 and 2014. Medication information was obtained at admission to nursing home and in the subsequent 180 days, and the prevalence of PIM use was estimated.

The researchers found that 44 percent of residents with cognitive impairment or dementia were on a PIM and there was variation in prevalence by frailty (38.7, 42.8, and 48.1 percent for non-frail, pre-frail, and frail, respectively; P < 0.001). Many residents discontinued PIMs following admission; however, PIMs were also introduced, with 10.9, 10.1, 6.6, and 1.2 percent newly started on antipsychotics, benzodiazepines, anticholinergics, and H2-receptor antagonists, respectively. Frail residents had a similar risk of PIM discontinuation as non-frail residents for anticholinergics, but they were more likely to be newly prescribed benzodiazepines, antipsychotics, and anticholinergics, after adjustment for other characteristics.

"Interventions to support deprescribing of PIMs should be implemented targeting frail individuals during the transition to nursing home," the authors write.

Abstract
Full Text (subscription or payment may be required)