Evidence map›Paper›PMID 27184414›Full record

ArticleThe American journal of drug and alcohol abuse2016

Concurrent alcohol and medication poisoning hospital admissions among older rural and urban residents.

Faika Zanjani, Rachel Smith, Svetla Slavova, Richard Charnigo, Nancy Schoenberg, Catherine Martin, Richard Clayton

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of drug and alcohol abuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Faika Zanjania Behavioral and Community Health, School of Public Health , University of Maryland , College Park , MD , USA.
Rachel Smithb Epidemiology , University of Kentucky , Lexington , KY , USA.
Svetla Slavovac Biostatistics , University of Kentucky , Lexington , KY , USA.
Richard Charnigoc Biostatistics , University of Kentucky , Lexington , KY , USA.
Nancy Schoenbergd Behavioral Science , University of Kentucky , Lexington , KY , USA.
Catherine Martine Psychiatry , University of Kentucky , Lexington , KY , USA.
Richard Claytonf Health Behavior , University of Kentucky , Lexington , KY , USA.
University of Kentucky · USUniversity of Maryland, College Park · US

Funding

Community Intervention Research on Prescription Drug Safety in Older Rural AdultsK01DA031764 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI ZANJANI, FAIKA · 2012 to 2016
$728k
NIDA NIH HHS K01 DA031764
6 · The paper itself

Abstract

backgroundAlcohol and medication interactions are projected to increase due to the growth of older adults that are unsafely consuming alcohol and medications. Plus, aging adults who reside in rural areas are at the highest risk of experiencing medication interactions.

objectiveEstimate concurrent alcohol and medication (alcohol/medication) hospitalizations in adults 50+ years, comparing age groups and rural/urban regions.

methodsKentucky nonfederal, acute care inpatient hospital discharge electronic records for individuals aged 50+ years from 2001 to 2012 were examined. Rate differences were estimated across age and regional strata. Differences in the underlying principal diagnosis, intent, and medications were also examined.

resultsThere were 2168 concurrent alcohol/medication hospitalizations among 50+ year olds identified. There was a 187% increase in alcohol/medication hospitalizations from 2001 (n = 104) to 2012 (n = 299). The per capita alcohol/medication hospitalization rate increased from 8.91 (per 100,000) in 2001 to 19.98 (per 100,000) in 2012, a 124% increase. The characteristics of the hospitalizations included 75% principal diagnosis as medication poisoning, self-harm as the primary intent (55%) in 50-64-year olds, and unintentional intent (41%) in 65+ adults. Benzodiazepines were most often involved in the poisonings (36.5%).

conclusionsConcurrent alcohol/medication hospitalizations in Kentucky are increasing among aging adults. Greater increases in rural areas and the 65+ aged adults were seen, although there were also higher alcohol/medication hospitalizations in urban and 50-64 aged adults. These findings indicate the need for public-health prevention and clinical intervention to better educate and manage alcohol consuming older adults on safe medication and alcohol practices.

Indexed as

AgedAgingDrug InteractionsEthanolFemaleHospitalizationHumansKentuckyMaleMiddle AgedPrescription DrugsRural PopulationUrban PopulationEthanolPrescription DrugsAgingalcoholmedication safetymental healthsubstance misuse

Identifiers

PMID27184414
PMCPMC4998842
OpenAlexW2395645762

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.