Publications by authors named "Kimberly R Gromek"
J Am Geriatr Soc
January 2023
Article Synopsis
- The study examines the issue of polypharmacy, specifically the harmful prescribing cascade that occurs when anticholinergic medications are used to manage side effects of cholinesterase inhibitors (ChEIs) in patients with severe dementia.
- Researchers conducted a retrospective analysis of Medicare data to identify factors associated with the co-prescribing of these medications and whether stopping ChEIs led to a reduction in anticholinergic use.
- Results indicated that 15% of nursing home residents prescribed ChEIs also received anticholinergics, with certain demographic and clinical factors influencing this co-prescribing, and discontinuing ChEIs often led to a lesser chance of stopping anticholinergic medications.
