National study of medications associated with injury in elderly Medicare/Medicaid dual enrollees during 2003

Journal of the American Pharmacists Association : JAPhA
Steven A BlackwellDavid Gibson

Abstract

To address the association between inappropriate prescribing for the elderly and adverse outcomes and to identify the magnitude of the cost of medication-associated injury in this population. Cross sectional. United States, 2003. 5,412,678 dually eligible Medicare/Medicaid enrollees aged 65 years or older. Beers and non-Beers medications with potential central nervous system adverse effects of dizziness/vertigo, drowsiness, and/or fainting were assessed. Emergency department (ED) visits with admitting diagnoses pertaining to injuries for elderly enrollees dually eligible for Medicare and Medicaid during the calendar year were linked to prescriptions filled during the 90 days preceding the visit. For each drug, the proportion of ED-related fills and the Medicare average revenue charge per injury-related ED visit were calculated. Several drugs not currently on the Beers list were found to be associated with high proportions of ED-related fills: methadone had the highest proportion of any of the drugs studied (12.3 per 1,000 fills), and bethanechol (7.8 per 1,000 fills) had the highest proportion among genitourinary products. Regarding narcotic analgesics, propoxyphene (7.7 per 1,000 fills) had a higher association with injury tha...Continue Reading

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Citations

Dec 14, 2011·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Joseph A WoelfelMichelle M Amaral
Sep 8, 2010·The Journal of Nutrition, Health & Aging·J E Morley
Jun 16, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nabarun DasguptaRichard C Dart
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Nov 18, 2010·The Annals of Pharmacotherapy·Hedva Barenholtz LevyCatherine Christen
Jan 6, 2011·Southern Medical Journal·Emily K FloresDavid W Stewart

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