title: Improper renal dosing in long-term care facilities.
abstract: OBJECTIVE
  With advancing age, physiologic changes occur that affect drug metabolism. Possibly the most predictable function decline in geriatric population is renal function.
  
  
  METHODS
  The prescribing habits of physicians and the attention given to patient renal function was investigated. Data was collected from two nursing facilities in southeastern Georgia.
  
  
  RESULTS
  Based on two models of prescribing habits and using logistic regression estimates, we concluded that physicians do not follow recommendations for dose adjustment of renally excreted medications in these two facilities.
  
  
  CONCLUSIONS
  We recommend that physicians consider evaluating current medications and establishing a base line for renal function and degree of decline.
authors.affiliation: SouthEastern Georgia Geriatrics, Savannah, GA 31419, USA.
authors.forename: Ali R
authors.initials: AR
authors.lastname: Rahimi
authors.forename: Klugh
authors.initials: K
authors.lastname: Kennedy
authors.forename: Misha
authors.initials: M
authors.lastname: Thomason
authors.forename: Jennifer
authors.initials: J
authors.lastname: Crumley
authors.forename: Amanda
authors.initials: A
authors.lastname: Bugg
authors.forename: Erin
authors.initials: E
authors.lastname: Peacock
mesh_terms: D000368:Aged; D011307:Drug Prescriptions / Q000592:standards*; D005845:Georgia; D006801:Humans; D007668:Kidney / Q000502:physiology*; D008134:Long-Term Care; D009735:Nursing Homes; D004364:Pharmaceutical Preparations / Q000378:metabolism
chemical_list: D004364:Pharmaceutical Preparations