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To assess the association of the anticholinergic medication burden with hospitalization and mortality in nursing home elderly patients and to investigate the role of coronary artery disease (CAD).
CONCLUSION: This analysis suggests that women prescribed bisphosphonates have a high medication burden, with the majority of patients (56%) taking >or=3 concomitant prescription medications.
The five most common classes of medications prescribed near the end of life were antihypertensives, broncholytics/bronchodilators, laxatives, antidepressants, and gastric protection agents.There is a significant medication burden placed on patients with advanced illness.
Patients with advanced illness are prescribed multiple medications in the last year of life, intensifying the risk of negative consequences related to polypharmacy.To describe the medication burden of patients near the end of life and identify potential areas for improvement in clinician prescribing practices.This was a prespecified secondary analysis of data from a prospective trial.
Troubled by this, I was one of the principal investigators on a multisite NIMH funded study testing the feasibility of two new approaches to reducing medication burden.
Therefore, this medication burden may also lead to compliance issues.
Similar(18)
Patients with end-stage kidney disease (ESKD) typically have high medication burdens with numerous medications and specialized instructions.
In addition, the cost of unnecessary medication burdens the national health budget.
Within this category, disease or medication burdens and factors related to polypharmacy (side effects or drug-drug interactions) were selected as reasons with greater frequency in the older patients.
The individual reasons with significant between-group differences appeared to be focused on issues related to safety (e.g., risk of side effects or drug-drug interactions), disease or medication burdens for patients and cognitive or physical function of the patient.
Elevated body weight or obesity, and an increased risk of cardiovascular-related complications often increase the medical burden and medication load of the patient.
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