Analysis of Benzodiazepine Prescription Practices in Elderly Appalachians with Dementia via the Appalachian Informatics Platform: Longitudinal Study
Analysis of Benzodiazepine Prescription Practices in Elderly Appalachians with Dementia via the Appalachian Informatics Platform: Longitudinal Study
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DOI：
10.2196/18389
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发表时间：
2020-08-01
影响因子：
3.2
通讯作者：
Neitch, Shirley
中科院分区：
文献类型：
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作者：
Bhardwaj, Niharika;Cecchetti, Alfred A.;Neitch, Shirley
背景：由于西弗吉尼亚州农村老年人口数量庞大且资源有限，照顾日益增长的痴呆症人口和复杂的医疗保健需求一直具有挑战性。目的：本文旨在通过对苯二氮卓类 (BZD) 处方模式及其对老年患者医疗保健使用的影响的初步研究，说明信息学平台在推动痴呆症研究和优质护理方面的应用。方法：迈尔研究所数据集市，其中包含临床和计费创建了我们诊所和医院内 65 岁及以上患者 (N=98,970) 的数据。分析相关变量以识别 BZD 处方模式并计算相关费用和急诊科 (ED) 使用情况。结果：近三分之一 (4346/13,910, 31.24%) 的痴呆患者至少服用过一种 BZD 处方，比非痴呆患者多 20%。接受至少一种 BZD 处方的女性多于男性。平均而言，持有至少一种 BZD 处方的痴呆症患者比没有服用 BZD 处方的患者承受更高的费用，并且到急诊室就诊的次数更多。结论：阿巴拉契亚信息学平台有潜力通过更深入地了解痴呆症、数据丰富、风险识别和护理差距分析来加强痴呆症护理和研究。
Background: Caring for the growing dementia population with complex health care needs in West Virginia has been challenging due to its large, sizably rural-dwelling geriatric population and limited resource availability.Objective: This paper aims to illustrate the application of an informatics platform to drive dementia research and quality care through a preliminary study of benzodiazepine (BZD) prescription patterns and its effects on health care use by geriatric patients.Methods: The Maier Institute Data Mart, which contains clinical and billing data on patients aged 65 years and older (N=98,970) seen within our clinics and hospital, was created. Relevant variables were analyzed to identify BZD prescription patterns and calculate related charges and emergency department (ED) use.Results: Nearly one-third (4346/13,910, 31.24%) of patients with dementia received at least one BZD prescription, 20% more than those without dementia. More women than men received at least one BZD prescription. On average, patients with dementia and at least one BZD prescription sustained higher charges and visited the ED more often than those without one.Conclusions: The Appalachian Informatics Platform has the potential to enhance dementia care and research through a deeper understanding of dementia, data enrichment, risk identification, and care gap analysis.