system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Aged, 80 and over, Drug Prescriptions, Drug Utilization, Female, Homes for the Aged, Humans, Male, Nursing Homes, Polypharmacy, Prognosis, Retrospective Studies, Survival.
user
Is [ Polypharmacy an indicator for a poor prognosis , which is not altered by deprescribing in nursing home ]? Context: To examine the influence of polypharmacy ordered by the pretreating site and deprescribing (i.e. the appropriate withdrawal of prescribed drugs) by the nursing home physician on survival time. Retrospective Analysis of medical databasis from 1,249 patients, thereof 611 in a nursing home with practice of deprescribing. 70% of the patients with excessive polypharmacy (>9 drugs), 57% of those with polypharmacy (6 to 9 drugs) and 43% of the remaining patients (<6 drugs) deceased within 286 days after admission (chi-squared 2 DF = 43.72; p <0.001). Deprescribing by the nursing home physician at admission revealed no influence on survival time.
assistant
Polypharmacy is not the reason, but an indicator for a poor prognosis, which is not altered by deprescribing. Final Decision: yes