{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:59:12Z","timestamp":1753876752715,"version":"3.41.2"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,8,18]],"date-time":"2024-08-18T00:00:00Z","timestamp":1723939200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32AG000212","R03AG082859","P30AG044281","R03AG078804","K23AG080163","K23AG073523","R35AG071916","P01AG066605","P30AG044281","P01AG066605","P01AG066605","P30AG044281","K24AG049057"],"award-info":[{"award-number":["T32AG000212","R03AG082859","P30AG044281","R03AG078804","K23AG080163","K23AG073523","R35AG071916","P01AG066605","P30AG044281","P01AG066605","P01AG066605","P30AG044281","K24AG049057"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Center for Advancing Translational Sciences of the National Institutes of Health","award":["KL2TR001870"],"award-info":[{"award-number":["KL2TR001870"]}]},{"name":"National Institutes of Health\/Agency for Healthcare Research and Quality","award":["K12HS026383"],"award-info":[{"award-number":["K12HS026383"]}]},{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["P055312"],"award-info":[{"award-number":["P055312"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Veterans Affairs Patient Safety Centers of Inquiry"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Hospitalizations are frequently disruptive for persons with dementia (PWD) in part due to the use of potentially problematic medications for complications such as delirium, pain, and insomnia. We sought to determine the impact of hospitalizations on problematic medication prescribing in the months following hospitalization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We included community-dwelling PWD in the Health and Retirement Study aged \u226566 with a hospitalization from 2008 to 2018. We characterized problematic medications as medications that negatively affect cognition (strongly anticholinergics\/sedative-hypnotics), medications from the 2019 Beers criteria, and medications from STOPP-V2. To capture durable changes, we compared problematic medications 4 weeks prehospitalization (baseline) to 4 months posthospitalization period. We used a generalized linear mixed model with Poisson distribution adjusting for age, sex, comorbidity count, prehospital chronic medications, and timepoint.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 1\u2005475 PWD, 504 had a qualifying hospitalization (median age 84 (IQR\u2005=\u200579\u201390), 66% female, 17% Black). There was a small increase in problematic medications from the baseline to posthospitalization timepoint that did not reach statistical significance (adjusted mean 1.28 vs 1.40, difference 0.12 (95% CI \u22120.03, 0.26), p\u2005=\u2005.12). Results were consistent across medication domains and certain subgroups. In one prespecified subgroup, individuals on &amp;lt;5 prehospital chronic medications showed a greater increase in posthospital problematic medications compared with those on \u22655 medications (p\u2005=\u2005.04 for interaction, mean increase from baseline to posthospitalization of 0.25 for those with &amp;lt;5 medications (95% CI 0.05, 0.44) vs. 0.06 (95% CI \u22120.12, 0.25) for those with \u22655 medications).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Hospitalizations had a small, nonstatistically significant effect on longer-term problematic medication use among PWD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/gerona\/glae207","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T05:55:46Z","timestamp":1723701346000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of Hospitalizations on Problematic Medication Use Among Community-Dwelling Persons With Dementia"],"prefix":"10.1093","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7947-3008","authenticated-orcid":false,"given":"W James","family":"Deardorff","sequence":"first","affiliation":[{"name":"Division of Geriatrics, University of California, San Francisco , San Francisco, California , USA"},{"name":"San Francisco Veterans Affairs Medical Center , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bocheng","family":"Jing","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, University of California, San Francisco , San Francisco, California , USA"},{"name":"San Francisco Veterans Affairs Medical Center , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5997-4406","authenticated-orcid":false,"given":"Matthew E","family":"Growdon","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, University of California, San Francisco , San Francisco, California , USA"},{"name":"San Francisco Veterans Affairs Medical Center , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8719-6752","authenticated-orcid":false,"given":"Leah J","family":"Blank","sequence":"additional","affiliation":[{"name":"Department of Neurology, Icahn School of Medicine at Mount Sinai , New York, New York , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasce","family":"Bongiovanni","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Francisco , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine","family":"Yaffe","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Medical Center , San Francisco, California , USA"},{"name":"Department of Psychiatry and Behavioral Sciences, University of California, San Francisco , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W John","family":"Boscardin","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, University of California, San Francisco , San Francisco, California , USA"},{"name":"San Francisco Veterans Affairs Medical Center , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-5558","authenticated-orcid":false,"given":"Kenneth S","family":"Boockvar","sequence":"additional","affiliation":[{"name":"Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama , Birmingham, Alabama , USA"},{"name":"Birmingham Veterans Affairs Geriatrics Research Education and Clinical Center , Birmingham, Alabama , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9564-9480","authenticated-orcid":false,"given":"Michael A","family":"Steinman","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, University of California, San Francisco , San Francisco, California , USA"},{"name":"San Francisco Veterans Affairs Medical Center , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,18]]},"reference":[{"issue":"3","key":"2024092317560823000_CIT0001","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/PTS.0b013e318286f87d","article-title":"What happens to the medication regimens of older adults during and after an acute hospitalization","volume":"9","author":"Harris","year":"2013","journal-title":"J Patient 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A review of challenges and solutions","volume":"106","author":"George","year":"2013","journal-title":"J R Soc Med."},{"issue":"1","key":"2024092317560823000_CIT0005","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/gps.2693","article-title":"Prospective cohort study of adverse events in older people admitted to the acute general hospital: risk factors and the impact of dementia","volume":"27","author":"Watkin","year":"2012","journal-title":"Int J Geriatr Psychiatry."},{"issue":"9","key":"2024092317560823000_CIT0006","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1002\/gps.4919","article-title":"Hospital outcomes of older people with cognitive impairment: an integrative review","volume":"33","author":"Fogg","year":"2018","journal-title":"Int J Geriatr Psychiatry."},{"issue":"1","key":"2024092317560823000_CIT0007","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.jamda.2021.09.008","article-title":"Prevalence, risk factors, and impact of delirium 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