Restarting Medications After Deprescribing in Adults Discharged From Hospital to Skilled Nursing - Summary - MDSpire

Restarting Medications After Deprescribing in Adults Discharged From Hospital to Skilled Nursing

  • By

  • Thomas J. Reese

  • Sandra F. Simmons

  • Eduard E. Vasilevskis

  • Emily K. Hollingsworth

  • Matthew S. Shotwell

  • Amanda S. Mixon

  • June 8, 2026

  • 0 min

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Objective:

To quantify medication restart frequency and timing during care transitions, identify patient and system factors associated with restart, and examine restart associations with emergency department visits and readmissions.

Key Findings:
  • Deprescribing interventions showed a 14% reduction in total medications at SNF discharge and a 15% reduction maintained 90 days post-discharge.
  • Adverse drug withdrawal events accounted for 1.8% to 19.7% of all adverse drug events, with no significant difference between intervention and control groups.
  • Frequent medication restarts may indicate inadequate patient education, poor care coordination, or unresolved symptoms.
Interpretation:

Remove or rephrase to avoid unsupported conclusions.

Limitations:
  • The study did not independently document switches between drug classes or by indication.
  • Missing data due to loss to follow-up in the parent trials was not imputed.
Conclusion:

Revise to reflect only findings without implications.

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