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- W2890728844 abstract "Aim We sought to explore the relationship between the number of medications at hospital discharge and 30‐day rehospitalization in older adults aged >65 years. Methods This was a multicenter cohort study to determine whether an increased number of medications was associated with 30‐day rehospitalization in patients aged >65 years. We explored the relationship between rehospitalization and other risk factors. Data were collected from a large health system in the New York metropolitan area from September 2011 to January 2013. The primary outcome was 30‐day hospital readmission from the index hospitalization. Results Patients had a mean ± SD age of 78 ± 9 years; 55% were women. The average length of stay after discharge from the hospital was 6 days. An increased number of medications was significantly associated with unplanned 30‐day hospital readmission ( P < 0.05). For each medication, the risk of rehospitalization increased by 4% (OR 1.04, 95% CI 1.03, 1.05). Patients discharged to rehabilitation centers were 32% more likely to be readmitted than patients discharged home (OR 1.39, 95% CI 1.27–1.51). Other risk factors significantly associated with 30‐day rehospitalization were: cancer, intensive care unit, chronic heart failure, renal diseases and peripheral vascular diseases. Hypertension was negatively associated with 30‐day unplanned rehospitalization (OR 0.88, 95% CI 0.82–0.95). No significant association between the number of Beers medications and 30‐day rehospitalization was observed, after controlling for the number of medications and other covariates. Conclusions The number of discharge medications was significantly associated with 30‐day hospital readmission among older adult patients. Important risk factors for 30‐day rehospitalization were discharge location, cancer, intensive care unit, chronic heart failure, renal diseases and peripheral vascular diseases. Geriatr Gerontol Int 2018; 18: 1513–1518 ." @default.
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- W2890728844 date "2018-09-17" @default.
- W2890728844 modified "2023-10-14" @default.
- W2890728844 title "Thirty-day hospital readmission rate amongst older adults correlates with an increased number of medications, but not with Beers medications" @default.
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- W2890728844 doi "https://doi.org/10.1111/ggi.13518" @default.
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