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New Initiation of Long-Acting Opioids in Long-Stay Nursing Home Residents.
- Source :
- Journal of the American Geriatrics Society; Sep2016, Vol. 64 Issue 9, p1772-1778, 7p, 2 Diagrams, 1 Chart, 1 Graph
- Publication Year :
- 2016
-
Abstract
- Objectives To estimate the prevalence of new initiation of long-acting opioids since introduction of national efforts to increase prescriber and public awareness on safe use of transdermal fentanyl patches. Design Cross-sectional. Setting U.S. nursing homes ( NHs). Participants Medicare-enrolled long-stay NH residents (N = 22,253). Measurements Minimum Data Set 3.0 was linked with Medicare enrollment, hospital claims, and prescription drug transaction data (January-December 2011) and used to determine the prevalence of new initiation of a long-acting opioid prescribed to residents in NHs. Results Of NH residents prescribed a long-acting opioid within 30 days of NH admission (n = 12,278), 9.4% (95% confidence interval = 8.9-9.9%) lacked a prescription drug claim for a short-acting opioid in the previous 60 days. The most common initial prescriptions of long-acting opioids were fentanyl patch (51.9% of opioid-naïve NH residents), morphine sulfate (28.1%), and oxycodone (17.2%). Conclusion New initiation of long-acting opioids-especially fentanyl patches, which have been the subject of safety communications-persists in NHs. [ABSTRACT FROM AUTHOR]
- Subjects :
- OPIOID analgesics
MEDICAL care of nursing home patients
THERAPEUTIC use of transdermal medication
MEDICARE beneficiaries
DRUG therapy
FENTANYL
MEDICATION safety
DRUG prescribing
MEDICAL care
THERAPEUTICS
ANALGESICS
CONFIDENCE intervals
DATABASE management
MEDICARE
MORPHINE
NARCOTICS
NURSING home patients
RESEARCH funding
TRANSDERMAL medication
OXYCODONE
DISEASE prevalence
CROSS-sectional method
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 64
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 118169783
- Full Text :
- https://doi.org/10.1111/jgs.14306