{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:41:39Z","timestamp":1789742499468,"version":"4.0.1"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Antipsychotics and sedatives are used to treat agitation in the emergency department (ED) but carry significant risk in older adults. Our objective was to determine factors associated with their administration to older ED patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was an observational study using data from the 2014\u20132017 National Hospital Ambulatory Medical Care Survey. We identified ED visits for patients aged \u226565\u2009years and determined whether an antipsychotic or sedative was administered. Visits related to substance use\/withdrawal, other psychiatric complaints, and intubation were excluded. We performed multivariable logistic regression to identify risk factors for antipsychotic or sedative administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 78.7 million ED visits that met inclusion criteria, 3.5% involved at least one dose of antipsychotic or sedative medication; 13% involved an antipsychotic and 92% a sedative. Factors associated with antipsychotic administration included nursing home residence (adjusted odds ratio [aOR]: 2.67; 95% CI: 1.05\u20136.80), dementia (aOR: 5.62; 95% CI: 2.44\u201312.94), and delirium (aOR: 7.33; 95% CI: 2.21\u201324.32). Sedative administration was positively associated with CT or MR imaging (aOR: 1.86; 95% CI: 1.42\u20132.43), urbanicity of ED (aOR: 1.46; 95% CI: 1.02\u20132.08), and female gender (aOR: 1.47; 95% CI: 1.08\u20131.99) and negatively associated with older age (age: 75\u201384; aOR: 0.67; 95% CI: 0.49\u20130.91; age: 85+; aOR: 0.63; 95% CI: 0.45\u20130.88; reference age: 65\u201374\u2009years). Antipsychotic and sedative administration were associated with prolonged ED lengths of stay and hospital admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We identified patient\u2010 and facility\u2010level factors associated with sedative and antipsychotic administration in older ED patients. Antipsychotic and sedative administration were associated with prolonged ED lengths of stay and hospital admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17590","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T04:30:25Z","timestamp":1637901025000},"page":"731-742","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Use of antipsychotic and sedative medications in older patients in the emergency department"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8755-7324","authenticated-orcid":false,"given":"Maura","family":"Kennedy","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Emergency Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Koehl","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Pharmacy Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingya","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"Ciampa","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Pharmacy Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan D.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Emergency Medicine Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Toxicology, Department of Emergency Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Carlos A.","family":"Camargo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Emergency Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,25]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"MatherM JacobsenLA PollardKM.Aging in the United States Vol 70; 2015.www.prb.org. 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