• 2019 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2019 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    March 28-30, 2019, Chicago Hilton, Chicago, IL.

    Earn up to 11.5 CNE hours.

     

    Find out more about it and REGISTER today!

  • Poster PresentationCALL FOR: Podium and Poster Abstracts

    For the 37th GAPNA Annual Conference
    at the Paris Hotel
    Las Vegas, Oct. 2-5, 2019

    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.

    Submit by March 15, 2019!

  • W A N T E D   G A P N A   L E A D E R S!
    Call for Nominations!

    Have you ever considered stepping forward, accepting the challenge and volunteering for a position on the 2019 National Board of Directors? Register online NOW by April 1, 2019!

    Step Up - NOW is the Time! Register Here>

  • Gerontology Resources for APRNs in Acute and Emergent Care Settings ToolkitCareer Center

     
    NEW! The goal of the Gerontology Resources for APRNs in Acute and Emergent Care Settings (“Acute Care Resource Guide”) is to make geriatric and gerontological content easily accessible to those caring for older adults in higher acuity care settings.

    Learn more about the toolkit

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

    "Diastolic Heart Failure Management"

    (session captured at the GAPNA 2017 Annual Conference)


    For Jan/Feb 2019 - Get Your Free CNE Now!

  • Poster PresentationONLINE NOW:

    2018 GAPNA Conference Poster Presentations

    Note the latest trends in the care, education, and research of the older adult population.

     

    View the 2018 Poster Presentations from the Annual Conference!

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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