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Common Hospice Meds Increase Death Risk For Alzheimer's, Dementia Patients

New benzodiazepine or antipsychotic prescriptions in hospice dementia patients increased 180-day mortality risk by up to 41%, highlighting medication safety concerns.

  • October 15, 2025 researchers led by Lauren Gerlach found Medicare fee-for-service nursing home residents newly enrolled in hospice who started benzodiazepines or antipsychotics faced higher 180-day mortality, with HR 1.41 and 1.16 respectively.
  • Gerlach and colleagues examined Medicare fee-for-service claims from 2014–2018 for over 100 nursing home residents with dementia newly enrolled in hospice who had no prior benzodiazepine or antipsychotic use.
  • Data show steep mortality differences by 180 days: 73.58% of patients receiving benzodiazepines died versus 58.3% of nonusers, and drugs started a median 3 days after enrollment.
  • The study's authors called for stronger quality measures for dementia-specific hospice as dementia is now the most common hospice condition, yet nearly one in five patients outlive eligibility, Gerlach said.
  • Broader trends and data gaps mean further research is needed as dementia's share of hospice admissions rose to 25% in 2023, but findings are limited to Medicare fee-for-service nursing home population.
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The Killeen Daily HeraldThe Killeen Daily Herald
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Common Hospice Meds Increase Death Risk For Alzheimer's, Dementia Patients

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MedPage Today broke the news in New York, United States on Wednesday, October 15, 2025.
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