Potentially Inappropriate Medications are Associated With Geriatric Trauma Recidivism.

Authors

Adam Sigal, Department of Emergency Medicine, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow
Christopher Butts, Division of Trauma, Acute Care and Surgical Critical Care, Department of Surgery, Reading Hospital-Tower Health, West Reading, Pennsylvania.Follow
Traci Deaner, Department of Emergency Medicine, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow
Tom Wasser
Blake Bailey, Department of Emergency Medicine, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow
Monisha Bindra, Department of Emergency Medicine, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow
Alison Muller, Division of Trauma, Acute Care and Surgical Critical Care, Department of Surgery, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow
Anthony Martin, Division of Trauma, Acute Care and Surgical Critical Care, Department of Surgery, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow
Adrian Ong, Division of Trauma, Acute Care and Surgical Critical Care, Department of Surgery, Reading Hospital-Tower Health, West Reading, PennsylvaniaFollow

Document Type

Article

Publication Date

11-25-2022

Abstract

INTRODUCTION: The American Geriatric Society has identified polypharmacy and categories of potentially inappropriate medication (PIM) that should be avoided in the elderly. These medications can potentially cause an increased risk of falls and traumatic events.

MATERIALS AND METHODS: We conducted a retrospective study on elderly patients with traumatic injuries at a Level 1 trauma center. We compared patients having only one traumatic event and those with one or more traumatic events with the presence of prescriptions for PIMs.

RESULTS: Identified high risk categories of anticoagulant and antiplatelet agents (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.08-1.28), psychiatric and neurologic agents (OR 1.32, 95% CI 1.22-1.43), as well as medication with anticholinergic properties (OR 1.14, 95% CI 1.03-1.27) were associated with an increased risk of recurrent trauma.

CONCLUSIONS: We can quantify the risk of recurrent trauma with certain categories of PIM. Medication reconciliation and shared decision-making regarding the continued use of these medications may positively impact trauma recidivism.

Publication Title

The Journal of Surgical Research

Volume

283

First Page

581

Last Page

585

Recommended Citation

Sigal, A., Butts, C., Deaner, T., Wasser, T., Bailey, B., Bindra, M., Muller, A., Martin, A., & Ong, A. (2022). Potentially Inappropriate Medications are Associated With Geriatric Trauma Recidivism.. The Journal of Surgical Research, 283, 581-585. https://doi.org/https://doi.org/10.1016/j.jss.2022.10.029