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Medication Reconciliation and ED Visit Frequency

Diabetes Care; 2018 Jun 11; Turchin, Sosina, et al

A higher fraction of reconciled outpatient diabetes medications was associated with a lower frequency of emergency department (ED) visits and hospitalizations, according to a recent, retrospective cohort analysis. Researchers studied adults taking at least 1 diabetes medication treated in primary care practices affiliated with 2 academic medical centers between 2000 and 2014. They assessed the relationship between the fraction of outpatient diabetes medications reconciled over a 6-month period and the composite primary outcome of combined frequency of ED visits and hospitalizations over the subsequent 6 months. They found:

  • Among 261,765 reconciliation assessment periods contributed by 31,689 patients, 176,274 (67.3%), 27,775 (10.6%), and 57,716 (22.1%) had all, some, or none of the diabetes medications reconciled, respectively.
  • Patients with all, some, or no diabetes medications reconciled had 0.354, 0.377, and 0.384 primary outcome events per 6 months, respectively.
  • In a multivariable analysis adjusted for demographics and comorbidities, having some or all vs no diabetes medications reconciled was associated with a lower risk of the primary outcome (rate ratio 0.94 vs 0.92), respectively.

Citation:

Turchin A, Sosina O, Zhang H, et al. Ambulatory medication reconciliation and frequency of hospitalizations and emergency department visits in patients with diabetes. Diabetes Care. 2018;41(5). doi:10.2337/dc17-1260.

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