Association between unmet needs for medication support and all-cause hospitalization in community-dwelling disabled elderly people

Masafumi Kuzuya, Yoshihisa Hirakawa, Yusuke Suzuki, Mitsunaga Iwata, Hiromi Enoki, Jun Hasegawa, Akihisa Iguchi

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

OBJECTIVES: To clarify the association between unmet medication management need and 3-year mortality and hospitalization for community-dwelling older people with various levels of disabilities. DESIGN: Prospective cohort study (the Nagoya Longitudinal Study for Frail Elderly). SETTING: Community-based. PARTICIPANTS: One thousand seven hundred seventy-two community-dwelling elderly subjects (611 men, 1,161 women). MEASUREMENTS: Data included the clients' demographic characteristics, a rating for basic and instrumental activities of daily living (ADLs), number of prescribed medications and physician-diagnosed chronic diseases, medication adherence, ability to manage medication, and presence or absence of medication assistance. Cox proportional hazard models and the Kaplan-Meier method were used to assess the association between the medication management at baseline and mortality or hospitalization during a 3-year period. RESULTS: Of 1,772 participants, 681 reported no difficulty with self-medication management, and 1,091 experienced difficulty with self-medication. Of participants with difficulty with self-medication management, 929 had medication assistance, and 162 did not. During a 3-year follow up, 424 participants died, and 758 were admitted to hospitals. The baseline data demonstrated that participants not receiving medication assistance were younger and had better ADL status and fewer comorbidities. Multivariate Cox regression models adjusting for potential confounders showed that the lack of assistance in those who needed medication assistance was associated with hospitalization but not mortality during the study period. CONCLUSION: In community-dwelling disabled elderly people, lack of medication assistance in those needing medication support was associated with higher risk of hospitalization.

Original languageEnglish
Pages (from-to)881-886
Number of pages6
JournalJournal of the American Geriatrics Society
Volume56
Issue number5
DOIs
Publication statusPublished - 01-05-2008

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Independent Living
Self Medication
Hospitalization
Activities of Daily Living
Self Care
Proportional Hazards Models
Mortality
Frail Elderly
Aptitude
Medication Adherence
Longitudinal Studies
Comorbidity
Chronic Disease
Cohort Studies
Demography
Prospective Studies
Physicians

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

Kuzuya, Masafumi ; Hirakawa, Yoshihisa ; Suzuki, Yusuke ; Iwata, Mitsunaga ; Enoki, Hiromi ; Hasegawa, Jun ; Iguchi, Akihisa. / Association between unmet needs for medication support and all-cause hospitalization in community-dwelling disabled elderly people. In: Journal of the American Geriatrics Society. 2008 ; Vol. 56, No. 5. pp. 881-886.
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Association between unmet needs for medication support and all-cause hospitalization in community-dwelling disabled elderly people. / Kuzuya, Masafumi; Hirakawa, Yoshihisa; Suzuki, Yusuke; Iwata, Mitsunaga; Enoki, Hiromi; Hasegawa, Jun; Iguchi, Akihisa.

In: Journal of the American Geriatrics Society, Vol. 56, No. 5, 01.05.2008, p. 881-886.

Research output: Contribution to journalArticle

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AU - Kuzuya, Masafumi

AU - Hirakawa, Yoshihisa

AU - Suzuki, Yusuke

AU - Iwata, Mitsunaga

AU - Enoki, Hiromi

AU - Hasegawa, Jun

AU - Iguchi, Akihisa

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N2 - OBJECTIVES: To clarify the association between unmet medication management need and 3-year mortality and hospitalization for community-dwelling older people with various levels of disabilities. DESIGN: Prospective cohort study (the Nagoya Longitudinal Study for Frail Elderly). SETTING: Community-based. PARTICIPANTS: One thousand seven hundred seventy-two community-dwelling elderly subjects (611 men, 1,161 women). MEASUREMENTS: Data included the clients' demographic characteristics, a rating for basic and instrumental activities of daily living (ADLs), number of prescribed medications and physician-diagnosed chronic diseases, medication adherence, ability to manage medication, and presence or absence of medication assistance. Cox proportional hazard models and the Kaplan-Meier method were used to assess the association between the medication management at baseline and mortality or hospitalization during a 3-year period. RESULTS: Of 1,772 participants, 681 reported no difficulty with self-medication management, and 1,091 experienced difficulty with self-medication. Of participants with difficulty with self-medication management, 929 had medication assistance, and 162 did not. During a 3-year follow up, 424 participants died, and 758 were admitted to hospitals. The baseline data demonstrated that participants not receiving medication assistance were younger and had better ADL status and fewer comorbidities. Multivariate Cox regression models adjusting for potential confounders showed that the lack of assistance in those who needed medication assistance was associated with hospitalization but not mortality during the study period. CONCLUSION: In community-dwelling disabled elderly people, lack of medication assistance in those needing medication support was associated with higher risk of hospitalization.

AB - OBJECTIVES: To clarify the association between unmet medication management need and 3-year mortality and hospitalization for community-dwelling older people with various levels of disabilities. DESIGN: Prospective cohort study (the Nagoya Longitudinal Study for Frail Elderly). SETTING: Community-based. PARTICIPANTS: One thousand seven hundred seventy-two community-dwelling elderly subjects (611 men, 1,161 women). MEASUREMENTS: Data included the clients' demographic characteristics, a rating for basic and instrumental activities of daily living (ADLs), number of prescribed medications and physician-diagnosed chronic diseases, medication adherence, ability to manage medication, and presence or absence of medication assistance. Cox proportional hazard models and the Kaplan-Meier method were used to assess the association between the medication management at baseline and mortality or hospitalization during a 3-year period. RESULTS: Of 1,772 participants, 681 reported no difficulty with self-medication management, and 1,091 experienced difficulty with self-medication. Of participants with difficulty with self-medication management, 929 had medication assistance, and 162 did not. During a 3-year follow up, 424 participants died, and 758 were admitted to hospitals. The baseline data demonstrated that participants not receiving medication assistance were younger and had better ADL status and fewer comorbidities. Multivariate Cox regression models adjusting for potential confounders showed that the lack of assistance in those who needed medication assistance was associated with hospitalization but not mortality during the study period. CONCLUSION: In community-dwelling disabled elderly people, lack of medication assistance in those needing medication support was associated with higher risk of hospitalization.

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