{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:34:10Z","timestamp":1788352450882,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"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":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Little is known regarding antithrombotic prescribing in U.S. hospice patients. We quantified the prevalence and predictors of receiving an antithrombotic prescription on hospice admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross\u2010sectional study using electronic health record data from adult (age\u2009\u2265\u200918\u2009years) decedents of a large, for\u2010profit hospice chain who died between January 1, 2017, and December 31, 2019. Our primary outcome was having a prescription for antithrombotic (anticoagulant or antiplatelet) therapy on hospice admission. We used multivariable logistic regression to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 54,643 hospice decedents, the mean age was 79.7 (standard deviation (SD) 13.2) years, 44.6% were male, and 57.0% were White. The median hospice length of stay was 9 (interquartile range 3\u201340) days, and 18,531 patients (33.9%) had a Palliative Performance Scale (PPS) score of 30%. Overall, 11,360 patients (20.8%) had at least one antithrombotic prescription on hospice admission. The most frequently prescribed antithrombotic classes were antiplatelets (15.7%) and direct oral anticoagulants (3.7%). Patients with PPS scores of 20%\u201330% (adjusted OR (aOR) 9.38, 95% CI 8.03\u201310.95), 40%\u201350% (aOR 15.69, 95% CI 13.38\u201318.40), and 60%\u2013100% (aOR 15.67, 95% CI 12.41\u201319.79) were significantly more likely to receive an antithrombotic prescription compared to patients with a PPS score\u2009&lt;\u200920%. Additionally, patients receiving care in an assisted living facility (aOR 4.34, 95% CI 3.86\u20134.87), nursing home (aOR 4.02, 95% CI 3.62\u20134.47), or at home (aOR 4.08, 95% CI 3.74\u20134.45) were more likely to receive an antithrombotic prescription compared to patients receiving care in an inpatient hospice setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Antithrombotic therapy was prevalent on hospice admission and most associated with better patient prognosis and non\u2010inpatient hospice care locations. More research is needed to optimize antithrombotic prescribing in hospice care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70170","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T06:00:31Z","timestamp":1760680831000},"page":"3789-3797","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and Factors Associated With Receiving a Prescription for Antithrombotic Therapy on Hospice Admission"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2528-153X","authenticated-orcid":false,"given":"Emily K.","family":"Short","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice Oregon State University College of Pharmacy  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phuong Y.","family":"Duong","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice Oregon State University College of Pharmacy  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Tjia","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Population and Quantitative Health Services UMass Chan Medical School  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Alcusky","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Population and Quantitative Health Services UMass Chan Medical School  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Lynn","family":"McPherson","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, Sciences, and Health Outcomes University of Maryland School of Pharmacy  Baltimore Maryland 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