Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers.

Publisher: Routledge Country of Publication: United States NLM ID: 0411772 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-9278 (Electronic) Linking ISSN: 00185868 NLM ISO Abbreviation: Hosp Top

Publication: 2010- : New York : Routledge
Original Publication: Chicago : Hospital Buyer

Accidental Falls/*statistics & numerical data ; Hospitalization/*statistics & numerical data ; Patient Readmission/*standards; Aged ; Aged, 80 and over ; Cholinergic Antagonists/adverse effects ; Cholinergic Antagonists/therapeutic use ; Female ; Humans ; Hypnotics and Sedatives/adverse effects ; Hypnotics and Sedatives/therapeutic use ; Logistic Models ; Male ; Middle Aged ; Patient Readmission/statistics & numerical data ; Polypharmacy ; Retrospective Studies

A higher drug burden index (DBI) is known to be associated with pre-admission falls leading to hospitalization. We investigated whether a mean difference in DBI (ΔDBI) between the events of in-hospital falls and hospital admission was associated with 30-day readmission in 113 patients ≥50 years who fell during their hospital stays between 2007 and 2014. A greater ΔDBI (≥0.09) was positively associated with higher 30-day readmission rates (incident rate ratio: 2.02; 95% confidence interval: 1.49-2.74). An effort to keep DBI low may thus decrease 30-day readmissions for older in-hospital fallers.

Keywords: 30-day readmission; Drug burden index; in-hospital fall; older patients

0 (Cholinergic Antagonists)
0 (Hypnotics and Sedatives)

Date Created: 20200617 Date Completed: 20210412 Latest Revision: 20210412

20250114

10.1080/00185868.2020.1777916

32543345