Prevention of Injury in Skilled Nursing Facilities Through Optimizing Medications

Launched by DUKE UNIVERSITY · Mar 8, 2024

Keywords

ClinConnect Summary

After hospitalization for fracture, approximately 60% of older adults receive post-acute care in Skilled Nursing Facilities (SNFs), but fewer than 20% of these individuals receive medication optimization, which is evidence-based care known to prevent additional injurious falls, fractures, and mortality. Therefore, there is an opportunity to substantially improve care and patient outcomes in this setting. The purpose of this study is to determine the comparative efficacy of a Deprescribing Care Model designed to deprescribe fall related medications (FRIDs), a Bone Heath Service Model designe...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Aged 65 years or greater
• • Admitted to an enrolled SNF after hospitalized fracture
• • Completion of a medication optimization plan
• Exclusion Criteria:
• • Non-osteoporotic fracture (e.g. facial, digital, skull, at site of tumor or infection)
• • Eligible for Hospice or palliative care
• • Patient discharged or died prior to completion of a medication optimization plan