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2. 2018 American Society of Consultant Pharmacists Annual Meeting & Exhibition

Author

Bridgeman, M., Prete, D., Rolston, N., Abazia, D., Sturgill, M., Finn, L., Summers, D., Marvanova, M., Henkel, P., Thompson, J., Dewey, M., Friesner, D., Alessi, C., Cuellar, L., Yamagishi, L., O Neil, C., Erickson, O., Mazzei, K., Kamal, K., Early, N., Bainter, B., Hanson, L., Schmitz, E., Loomis, A., Norberto, M., Hume, A., Meyer, M., Batra, R., Likar, D., Enguidanos, S., Liu, C., Kotansky, B., Fisher, A., Ruby, C. M., Pruskowski, J., Karim, S. N. A., Slattum, P., Crouse, E., Delafuente, J., Donohoe, K., Ogbonna, K., Peron, E., Powers, K., Price, E., Zimmerman, K., Rahim, S., Gendron, T., Elliott, L., Minter, C., Morin, M., Marshall, L., Stevens, G., Cordaro, C., Hill, M., Nagy, K., Kroustos, K. R., Sobota, K. F., Mahan, R., Bailey, T., Ioannou, K., Mansour, D., Thompson, T., Chatellier, K., Schwenk, A., Ruby, C., Chen, T. S., Li, S., James, M., Spilios, M., Leschak, A., Levine, A., Forgette, S., Oluigbo, N., Szollosi, D., Avalime, D., Weaver, S. B., Maneno, M., Ettienne, E., Yi, J. Y., Hart, L., Gray, S., Ozalas, S., Miller, K., Dave, R., Bork, J., Emmelhainz, J., Adams, K., Postolski, J., Willoughby, M., Feldman, E., Braham, K., Miller, C., Barbagallo, D., Seabury, R., Noviasky, J., Dabhi, J., Bartlett, D., Le, T., Simoni-Wastila, L., Park, S., Choi, M., Khokhar, B., Brody, P., Hejna, M., Mason, J., Graham, M., Micceri, J., Lypska, R., Quinn, B., Wilson, H., Wahler, R., Aloyo, M., Tomm, V., Hill, A., Obringer, A., Butterfoss, K., Blak, J., Balcer, R., Boza, J., Foster, A., Shafique, E., Kleven, C., Wigle, P., Brown, B., Meyer, K., Mobley-Bukstein, W., Singh, H., Perez, E., Mira, A. -E, Kuehner, W., Czechowski, L., Cook, H., Brandt, N., Parson, J., Claeys, K., Zarowitz, B., Mcfadden, C., Simpkins, S., Ojowa, F., Klutts, A., Sarah Holmes, Smith, E., Cornman, J. R., Doran, K., Resnick, B., Umeozulu, C., Williams, A., Hennawi, G., Thomas, D., Sharma, K., Cooke, C., Howard, A., Chater, R., Vogler, A., Kennett-Hayes, K., Engelbert, J., Hargrave, E., Bambico, C., Patel, K., Warriner, C., Desai, N. R., Rowan, C. G., Alvarez, P., Fogli, J., Reed, P., Owens, M. K., Greden, J. F., Rothschild, A. J., Zandy, S., Thase, M., Dunlop, B. W., Debattista, C., Conway, C. R., Forester, B. P., Mondimore, F. M., Shelton, R. C., Li, J., Gilbert, A., Burns, L., Jablonski, M., Dechairo, B., Parikh, S., Donohue, J., Feldman, G., Sethi, S., Barnes, C., Pendyala, S., Bourdet, D., Ferguson, G., Mayo, M., Gross, C., Miyawa, J., Ono, R., Woods, S., Garza, D., Panov, N., Moran, E., Sabesan, V., Wertman, J., and Ngim, K.

3. The Effects of the Opioid Epidemic on Prescribing Practices in Long-Term Care Residents.

Author

Yamagishi L, Erickson O, Mazzei K, O'Neil C, and Kamal KM

Subjects
Humans, Long-Term Care, Practice Patterns, Physicians', Retrospective Studies, United States, Analgesics, Opioid
Abstract

OBJECTIVE: Evaluate opioid prescribing practices for older adults since the opioid crisis in the United States.
DESIGN: Interrupted time-series analysis on retrospective observational cohort study.
SETTING: 176-bed skilled-nursing facility (SNF).
PARTICIPANTS: Patients admitted to a long-term care facility with pain-related diagnoses between October 1, 2015, and March 31, 2017, were included. Residents discharged prior to 14 days were excluded. Of 392 residents, 258 met inclusion criteria with 313 admissions.
MAIN OUTCOME MEASURE: Changes in opioid prescribing frequency between two periods: Q1 to Q3 (Spring 2016) and Q4 to Q6 for pre- and postgovernment countermeasure, respectively.
RESULTS: Opioid prescriptions for patients with pain-related diagnoses decreased during period one at -0.10% per quarter (95% confidence interval [CI] -0.85-0.85; P = 0.99), with the rate of decline increasing at -3.8% per quarter from period 1 and 2 (95% CI -0.23-0.15; P = 0.64). Opioid prescribing from top International Classification of Diseases, Ninth Revision category, "Injury and Poisoning" decreased in prescribing frequency by -3.0% per quarter from Q1 to Q6 (95% CI -0.16-0.10; P = 0.54). Appropriateness of pain-control was obtained from the Minimum Data Set version 3.0 "Percent of Residents Who Self-Report Moderate to Severe Pain (Short Stay)" measure; these results showed a significant increase in inadequacy of pain relief by 0.28% per quarter (95% CI 0.12-0.44; P = 0.009).
CONCLUSION: Residents who self-report moderate- to severe pain have significantly increased since October 2015. Opioid prescriptions may have decreased for elderly patients in SNFs since Spring 2016. Further investigation with a larger population and wider time frame is warranted to further evaluate significance.

Published
2019
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4. 2018 American Society of Consultant Pharmacists Annual Meeting & Exhibition.

Author

Bridgeman M, Prete D, Rolston N, Abazia D, Sturgill M, Finn L, Summers D, Marvanova M, Henkel P, Thompson J, Dewey M, Friesner D, Marvanova M, Alessi C, Cuellar L, Yamagishi L, O'Neil C, Erickson O, Mazzei K, Kamal K, Early N, Bainter B, Hanson L, Schmitz E, Loomis A, Norberto M, Hume A, Meyer M, Batra R, Likar D, Enguidanos S, Liu C, Kotansky B, Fisher A, Ruby CM, Pruskowski J, Karim SNA, Yong BSW, Alessi C, Cuellar L, Slattum P, Crouse E, Delafuente J, Donohoe K, Ogbonna K, Peron E, Powers K, Price E, Zimmerman K, Rahim S, Gendron T, Slattum P, Donohoe K, Cho C, Zimmerman K, Crouse E, Peron E, Powers K, Price E, Slattum P, Donohoe K, Elliott L, Minter C, Morin M, Marshall L, Stevens G, Cordaro C, Hill M, Nagy K, Kroustos KR, Sobota KF, Mahan R, Bailey T, Ioannou K, Mansour D, Thompson T, Chatellier K, Schwenk A, Ruby C, Chen TS, Li S, James M, Spilios M, Leschak A, Levine A, Forgette S, Oluigbo N, Szollosi D, Avalime D, Weaver SB, Maneno M, Ettienne E, Yi JY, Hart L, Gray S, Ozalas S, Miller K, Dave R, Bork J, Emmelhainz J, Adams K, Postolski J, Willoughby M, Feldman E, Braham K, Miller C, Barbagallo D, Seabury R, Noviasky J, Alessi C, Cuellar L, Dabhi J, Bartlett D, Le T, Simoni-Wastila L, Kuzucan A, Simoni-Wastila L, Le T, Park S, Simoni-Wastila L, Le T, Park S, Choi M, Simoni-Wastila L, Park S, Le T, Choi M, Simoni-Wastila L, Khokhar B, Choi M, Le T, Simoni-Wastila L, Brody P, Hejna M, Mason J, Graham M, Micceri J, Lypska R, Quinn B, Wilson H, Wahler R, Aloyo M, Tomm V, Hill A, Obringer A, Butterfoss K, Blak J, Balcer R, Boza J, Foster A, Shafique E, Kleven C, Wigle P, Brown B, Alessi C, Cuellar L, Meyer K, Mobley-Bukstein W, Singh H, Perez E, Mira AE, Kuehner W, Czechowski L, Cook H, Brandt N, Parson J, Fornaro R, Brandt N, Claeys K, Zarowitz B, Mansour D, McFadden C, Simpkins S, Ojowa F, Klutts A, Holmes S, Smith E, Cornman JR, Doran K, Resnick B, Brandt N, Umeozulu C, Williams A, Brandt N, Hennawi G, Thomas D, Gerber DK, Meyer K, Sharma K, Cooke C, Howard A, Chater R, Vogler A, Brandt N, Kennett-Hayes K, Elliott L, Engelbert J, Hargrave E, Bambico C, Patel K, Warriner C, Slattum P, Desai NR, Rowan CG, Alvarez P, Fogli J, Toto RD, Desai NR, Alvarez P, Fogli J, Reed P, Owens MK, Greden JF, Rothschild AJ, Zandy S, Thase M, Dunlop BW, DeBattista C, Conway CR, Forester BP, Mondimore FM, Shelton RC, Li J, Gilbert A, Burns L, Jablonski M, Dechairo B, Parikh S, Donohue J, Feldman G, Sethi S, Barnes C, Pendyala S, Bourdet D, Ferguson G, Barnes C, Pendyala S, Crater G, Fogli J, Mayo M, Gross C, Miyawa J, Ono R, Woods S, Garza D, Panov N, Fogli J, Moran E, Sabesan V, Wertman J, and Ngim K

Abstract

Poster abstracts are evaluated based on the following criteria: significance of the problem to healthy aging or medication management; innovativeness of ideas, methods, and/or approach; methodological rigor of methods and approach; presentation of finding; implications identified for future research, practice, and/or policy; and clarity of writing. Submissions are not evaluated through the peer-reviewed process used by The Consultant Pharmacist . Industry support is indicated, where applicable. Presenting author is in italics. The poster abstract presentation is supported by the ASCP Foundation.

Published
2017

5. [Long-term results of patients undergone surgical repair for acute type A dissection].

Author

Sekine S, Abe T, Goto Y, Yamagishi L, Iijima K, Kondo K, Matsukawa M, and Liu KX

Subjects
Acute Disease, Aortic Dissection mortality, Aorta surgery, Aorta, Thoracic surgery, Aortic Aneurysm, Thoracic mortality, Blood Vessel Prosthesis Implantation, Female, Humans, Male, Middle Aged, Prognosis, Reoperation, Survival Rate, Aortic Dissection surgery, Aortic Aneurysm, Thoracic surgery
Abstract

We evaluated the long-term results of 28 operative survivors who underwent surgical repair for acute type A dissection. Residual dissection of the thoracic aorta was found in 21 patients (75.0%) postoperatively, and 6 of them underwent reoperation with no operative death. There were 2 late death; one died in the third operation for thoracoabdominal aorta and the other died of cancer. Two of 4 patients with Marfan's syndrome required total aortic replacement ultimately. Since the elective reoperation can be performed safely, careful follow-up and management is essential for the improved survival of the patients with residual aortic dissection.

Published
1998

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