- Cognitive-risk medications are more likely to be initiated in acute or postacute care settings than expected based on visit patterns.
- A substantial proportion of patients remain on these medications one year later.
- Persistence increases with cognitive impairment, reaching the highest levels in patients with dementia.
- Antipsychotic use in dementia showed particularly high long-term continuation.
- Targeting prescribing in acute care settings may reduce inappropriate long-term use.
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