Navigation Links
Some older ER patients are getting the wrong medicines, U-M study finds
Date:3/12/2010

ANN ARBOR, Mich. A University of Michigan study recently published in Academic Emergency Medicine says that it is common for patients 65 and older to receive potentially inappropriate medications when treated in an emergency room.

Nearly 19.5 million older patients, or 16.8 percent of eligible emergency visits from 2000-2006, received one or more potentially inappropriate medications or PIMs. The large sample of approximately 470,000 ED and outpatient clinic visits, corresponding to a national estimate of about 1.5 billion total visits, allowed the researchers to determine the extent of the problem nationwide.

"There are certain medications that probably are not good to give to older adults because the potential benefits are outweighed by potential problems," says lead author, William J. Meurer, M.D., M.S., assistant professor, U-M Departments of Emergency Medicine and Neurology.

Researchers looked at a nationwide sample of emergency visits using data from the National Hospital Ambulatory Medical Care Survey, to see how many patients aged 65 and older sent home from the ED were prescribed potentially inappropriate medications.

Ten medications accounted for 86.5 percent of PIMs used in the ED. The five most common ones were promethazine, ketorolac, propoxyphene, meperidine, and diphenhydramine; and two of these promethazine and ketorolac accounted for nearly 40%.

Meurer suggested that further efforts are needed to educate doctors about the suitability of certain medications for older adults.

He also says the study showed that prescribing inappropriate medications was less likely to occur if a resident or intern was involved in the treatment, probably due to the fact that younger doctors have had recent training about medications.

There was substantial regional and hospital type (teaching vs. non-teaching) variability. PIMs were less likely to occur in visits to hospitals in the Northeast and twice as likely in other parts of the country. And receiving a potentially inappropriate medication was more likely to occur at for-profit hospitals.

The study did not explore the possibility of medication interactions, so it is possible that the potential harm by medications is underestimated.

Meurer offers the following advice to patients:

  • Make sure you talk to your primary care physician, either during or after your ED visit.
  • Know what medications and supplements you are taking and make sure the nurses and doctors at the ED know.
  • Talk to the ED doctors and nurses about how long the medicines they have given you will affect you.
  • Ask for a list of all medications that you received while at the ED before you leave the ED for home or to go to a bed in the hospital. The list should include information on the possible side effects of those medicines.
  • If you leave the ED and then have an adverse event caused by medication, contact your physician immediately or go back to the emergency department.
  • Be proactive with your pharmacy and make sure you understand what you are taking.


'/>"/>

Contact: Bruce Spiher
spiher@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Ability to cope with stress can increase good cholesterol in older white men, study finds
2. Many Older Americans Have Active Sex Lives
3. Good Cholesterol Wont Help Heavy-Drinking Older Men
4. Manor Care, Inc. Announces Record Date for Special Stockholder Meeting
5. Arrow International Urges Shareholders To Vote for Approval of the $45.50 Teleflex Inc. Merger and for the Current Board of Directors
6. Frequent alcohol consumption increases cancer risk in older women
7. Zimmer Holdings Offer and ORTHOsoft Directors Circular Mailed to Shareholders
8. ISS and Glass Lewis Recommend Cholestech Stockholders Vote FOR Merger
9. Glass Lewis Recommends Arrow Shareholders Vote on the White Proxy Card for Merger With Teleflex and for Current Board of Directors at Arrow Annual Meeting
10. Drug-free treatments offer hope for older people in pain
11. United Medicorp, Inc.s Shareholders Approve All Proposals
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/16/2017)... ... ... San Francisco dentist, Dr. Ben Amini , the founder at CitiDent, ... capable of taking digital impressions of teeth and gums. Conventional bite impressions have lagged ... , in terms of speed, efficiency and patient comfort. Increasingly, digital impressions are being ...
(Date:1/16/2017)... ... ... NexTec Group has been selected as a member of the Bob Scott’s ... the field of midmarket financial software. , Members of the VAR Stars were selected ... based on revenue and those firms chosen represent a wide range of size and ...
(Date:1/15/2017)... , ... January 15, 2017 , ... ... Community Outreach is a program that strives to better communities around the world ... locations’ community. It also provides the opportunity for team members to become involved ...
(Date:1/15/2017)... ... January 15, 2017 , ... Accreditation ... achieved accreditation for its specialty care services. Albertsons Companies is the largest ... care service for pharmacy patients. , Accreditation by ACHC reflects Albertsons Companies’ dedication ...
(Date:1/15/2017)... ... January 15, 2017 , ... San Francisco ... eight Bay Area counties for 2017. Almost 1,000 nominations were submitted and a ... award process. Results were announced the magazine’s January 2017 issue . , ...
Breaking Medicine News(10 mins):
(Date:1/16/2017)... PORTLAND, Oregon and PUNE, India ... According to a new report published by Allied Market ... Global Opportunity Analysis and Industry Forecast, 2014-2022," the ... million by 2022, from $5,768 million in 2015, growing ... The chemical & gas sterilization segment dominated the market ...
(Date:1/16/2017)... Bill is an internationally experienced medical device industry executive ... with global medical device companies, including Smith & Nephew, Angiodynamics, Orthovita ... products and building successful businesses in the sector and has worked ... and North America . ... Educated at the University of Edinburgh (Dental ...
(Date:1/16/2017)... 2017 CBDRx, the world,s premiere nutraceutical hemp ... rich hemp extract to Veteran,s groups across the country. ... hemp extract to Veteran,s groups across the United States.  ... in the world and through their passion, CBDRx honors ... phyto-nutrient rich hemp extract available. ...
Breaking Medicine Technology: