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.
Keywords
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Article info
Publication history
Published online: November 25, 2022
Accepted:
October 19,
2022
Received in revised form:
October 17,
2022
Received:
April 12,
2022
Identification
Copyright
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