• 2020 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2020 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    April 14-18, 2020, Honolulu, HI.

    Earn up to 18 CNE hours.

     

    Find out more about it and REGISTER today!

  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

    Find out about it!

  • ConventionCALL FOR: Podium and Poster Abstracts

    For the 38th GAPNA Annual Conference
    at the Hyatt Regency
    New Orleans, LA, September 24-26, 2020

    GAPNA members are invited to submit an abstract about their innovative work, that should enrich the APRN's knowledge and/or enhance the care of an older adult.

    Find out more info and deadline dates

  • FREE CE for GAPNA MembersFREE continuing education credit is available for the following session:

    "Update in Chronic Kidney Disease Management and Prescribing"

    (session captured at the GAPNA 2018 Annual Conference)


    For January/February 2020 - Get Your Free CNE Now!

  • Online CEThe Best of 2019!

    A LIVE rebroadcast event featuring 5 of GAPNA's Best CE sessions from 2019

    January 21, 2020 from 11:30 am - 5:15 pm EST

    $39 for GAPNA Members $59 for Non-Members

     

    Register Now

Opioid Misuse and ED Visits Among Older Adults

Opioid misuse in older adults is an underappreciated and growing problem. Among patients aged 65 and older, the number of opioid-related emergency department visits doubled from 18,100 in 2010 to 36,200 visits in 2015.

  • Among patients aged 65 years and older, the rate of opioid-related hospitalizations increased more than the rate of nonopioid-related hospitalizations between 2010 and 2015.
  • Inpatient stays: A 34.3% increase in the rate of opioid-related stays, from 199.3 to 267.6 per 100,000 population, versus a 17.4% decrease in the rate of nonopioid-related stays
  • Emergency department (ED) visits: 74.2% increase in the rate of opioid-related ED visits, from 44.7 to 77.9 per 100,000 population, versus a 17.4% increase in the rate of nonopioid-related ED visits

Compared with nonopioid-related stays among patients aged 65 years and older in 2015, opioid-related stays involved:

  • Higher average inpatient costs and ED charges.
  • Elderly adults with Medicare and other public insurance coverage were more likely to fill at least one opioid prescription (24.4%) and to have four or more opioid prescription fills (11.2%) than those with Medicare only (18.8% & 7.6%) and those with Medicare and private insurance coverage (18.9% and 6.1%).
  • A higher proportion of patients discharged against medical advice.
  • A higher proportion of patients with multiple chronic conditions.
  • A higher hospitalization rate among patients residing in western states relative to other regions.

For more info, see Weiss et al. (2018). Opioid-related inpatient stays and emergency department visits among patients aged 65 years and older, 2010 and 2015. Statistical Brief #224. Rockville, MD: Agency for Healthcare Research and Quality.

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