Lessons for deprescribing from a nonessential medication hold policy in US nursing homes.

ABSTRACT:

Background

At the height of the COVID-19 pandemic, a large nursing home chain implemented a policy to temporarily hold potentially unnecessary medications. We describe rates of held and discontinued medications after a temporary hold policy of potentially unnecessary or nonessential medications.

Methods

This retrospective cohort study uses electronic health record (EHR) data on 3247 residents of 64 nursing homes operated by a multistate long-term care provider. Medications were documented in the electronic medication administration record. Overall medication held and discontinued incidences are reported. Hierarchical Bayesian modeling is used to determine individual probabilities for medication discontinuation within each facility.

Results

In total, 3247 residents had

SUBMITTER: McConeghy KW 

PROVIDER: S-EPMC8821115 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature