Benzodiazepine or Antipsychotic Use and Mortality Risk Among Patients With Dementia in Hospice Care

In this national case-control study of nursing home residents with ADRD receiving hospice care, initiation of benzodiazepine or antipsychotic use was associated with increased 180-day mortality. While these medications may provide symptom relief in appropriate clinical scenarios, their use is associated with substantial risks. These findings highlight the need for careful prescribing decisions and the development of dementia-specific hospice prescribing guidelines.

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Publication Details

Journal
JAMA Network Open
Published
2025-10-14
DOI
https://doi.org/10.1001/jamanetworkopen.2025.37551
Citations
2
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
2.94
Controls
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article

Benzodiazepine or Antipsychotic Use and Mortality Risk Among Patients With Dementia in Hospice Care

Joan M. Teno, Lauren B. Gerlach, Donovan T. Maust, Hyungjin Myra Kim et al.
2 citations
JAMA Network Open
Dementia and Cognitive Impairment Research
2.94
article

Benzodiazepine or Antipsychotic Use and Mortality Risk Among Patients With Dementia in Hospice Care

Joan M. Teno, Lauren B. Gerlach, Donovan T. Maust, Hyungjin Myra Kim, Lan Zhang
article en
2 citations

Abstract

In this national case-control study of nursing home residents with ADRD receiving hospice care, initiation of benzodiazepine or antipsychotic use was associated with increased 180-day mortality. While these medications may provide symptom relief in appropriate clinical scenarios, their use is associated with substantial risks. These findings highlight the need for careful prescribing decisions and the development of dementia-specific hospice prescribing guidelines.

JAMA Network OpenVol. 8(10)
Brown University (US), University of Michigan (US)
Openalex Percentile: Top 8%
Dementia and Cognitive Impairment Research
2.94
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Benzodiazepine or Antipsychotic Use and Mortality Risk Among Patients With Dementia in Hospice Care — Joan M. Teno, Lauren B. Gerlach, et al. · JAMA Network Open (2025) | TGRS Research Map | TGRS