東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Inappropriate medication use and tra...

Zuckerman, Ilene H.

Linked to FindBook

Google Book

Amazon

博客來

Inappropriate medication use and transition to nursing home among community-dwelling elders.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Inappropriate medication use and transition to nursing home among community-dwelling elders./
Author:	Zuckerman, Ilene H.
Description:	125 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0842.
Contained By:	Dissertation Abstracts International66-02B.
Subject:	Health Sciences, Pharmacy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3165969
ISBN:	0542016419

Inappropriate medication use and transition to nursing home among community-dwelling elders.
Zuckerman, Ilene H.

Inappropriate medication use and transition to nursing home among community-dwelling elders. - 125 p.

Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0842.

Thesis (Ph.D.)--University of Maryland, Baltimore, 2005.

Background. The objective of this observational study was to investigate the relationship between transitions from community to nursing home (NH) and inappropriate medication use in older adults. Specific aims were to estimate: (1) incidence of transitions from the community to NH; (2) prevalence of inappropriate medication use among community-dwelling elders; and (3) the association between transitions from the community to NH and inappropriate medication use.

ISBN: 0542016419Subjects--Topical Terms:

1017737
Health Sciences, Pharmacy.

Inappropriate medication use and transition to nursing home among community-dwelling elders.
LDR:03271nmm 2200325 4500 001 1817640
005 20060821092637.5
008 130610s2005 eng d
020 $a 0542016419
035 $a (UnM)AAI3165969
035 $a AAI3165969
040 $a UnM $c UnM
100 1 $a Zuckerman, Ilene H. $3 1906986
245 1 0 $a Inappropriate medication use and transition to nursing home among community-dwelling elders.
300 $a 125 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0842.
500 $a Director: Jay Magaziner.
502 $a Thesis (Ph.D.)--University of Maryland, Baltimore, 2005.
520 $a Background. The objective of this observational study was to investigate the relationship between transitions from community to nursing home (NH) and inappropriate medication use in older adults. Specific aims were to estimate: (1) incidence of transitions from the community to NH; (2) prevalence of inappropriate medication use among community-dwelling elders; and (3) the association between transitions from the community to NH and inappropriate medication use.
520 $a Methods. A retrospective cohort was assembled from a sample of elderly Medicare beneficiaries with employer-sponsored supplemental health insurance. A longitudinal data set was created from Medicare supplemental insurance claims at the person-month level. After an initial baseline year with no NH events, each subject was followed until the first month of NH transition, loss to follow-up or the end of the 24-month follow-up period. The exposure was a time-dependent variable defined as use of any one of twenty-two categories of drugs considered by experts to be inappropriate in the elderly. Survival analysis for interval-censored data was used to compare the hazard of NH transition among those with and without inappropriate drug use in the previous three months.
520 $a Results. 487,383 subjects were eligible for inclusion. Mean age was 74 years; 56% were female. Annual prevalence of any inappropriate drug was 42%. NH incidence rate was 28.4 per 1,000 person-years. After adjustment for potential confounders, the use of any inappropriate drug was associated with a 31% increase in risk of transition, compared to no use of inappropriate drug, within the past three months (adjusted hazard ratio 1.31, 99% CI 1.26, 1.36). Analyses of individual drug classes showed the risk of nursing home transition was similar for inappropriate drugs and alternative drugs of the same class.
520 $a Conclusion. Inappropriate drug use was associated with an increased risk of nursing home transition. However, findings suggest that the association may be confounded by indication. That is, it may not be the "inappropriateness" of the drug, but rather the indication for the drug itself, that increased the risk of NH transition. However, use of these medications may be a marker that could be used to identify people at risk for NH transition.
590 $a School code: 0373.
650 4 $a Health Sciences, Pharmacy. $3 1017737
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Gerontology. $3 533633
690 $a 0572
690 $a 0564
690 $a 0351
710 2 0 $a University of Maryland, Baltimore. $3 1029166
773 0 $t Dissertation Abstracts International $g 66-02B.
790 1 0 $a Magaziner, Jay, $e advisor
790 $a 0373
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3165969