INTEGRATED PRIMARY CARE MODEL FOR PEOPLE LIVING WITH DEMENTIA REDUCES HIGH-RISK MEDICATIONS AND HOSPITALIZATIONS
2024

Integrated Primary Care Model for Dementia Reduces Medications and Hospitalizations

publication

Author Information

Author(s): Clevenger Carolyn, Khakharia Anjali, Medders Laura, Moore Miranda

Primary Institution: Emory University

Hypothesis

Does the Integrated Memory Care model reduce high-risk medications and hospitalizations for people living with dementia?

Conclusion

The Integrated Memory Care model leads to fewer hospitalizations and less inappropriate medication prescribing for people living with dementia.

Supporting Evidence

  • IMC patients had higher odds of deprescribing high dose antipsychotics, benzodiazepines, and opiates compared to CN and PC patients.
  • CN patients had 10% higher odds of hospitalization compared to IMC patients in unadjusted models.
  • After adjusting for activities of daily living, CN patients had 66% higher odds of hospital admission.

Takeaway

This study shows that a special care model for dementia patients helps them take fewer risky medications and stay out of the hospital.

Methodology

A retrospective observational study comparing patients in Integrated Memory Care, Cognitive Neurology, and Primary Care clinics.

Participant Demographics

Patients aged 65 and older with a diagnosis of dementia.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2643

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