Cargando…
A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents
BACKGROUND: Use of antipsychotic (AP) medications is high and often inappropriate among institutionalized populations. Little is known about the correlates of new AP drug use following admission to long-term care (LTC) settings. This study investigated the frequency and correlates of new AP drug use...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615888/ https://www.ncbi.nlm.nih.gov/pubmed/26482028 http://dx.doi.org/10.1186/s12877-015-0127-8 |
_version_ | 1782396528662413312 |
---|---|
author | Foebel, Andrea Ballokova, Anna Wellens, Nathalie IH Fialova, Daniela Milisen, Koen Liperoti, Rosa Hirdes, John P |
author_facet | Foebel, Andrea Ballokova, Anna Wellens, Nathalie IH Fialova, Daniela Milisen, Koen Liperoti, Rosa Hirdes, John P |
author_sort | Foebel, Andrea |
collection | PubMed |
description | BACKGROUND: Use of antipsychotic (AP) medications is high and often inappropriate among institutionalized populations. Little is known about the correlates of new AP drug use following admission to long-term care (LTC) settings. This study investigated the frequency and correlates of new AP drug use among newly admitted LTC residents. METHODS: This longitudinal, retrospective study used data from the interRAI - Nursing Home Minimum Data Set version 2.0 (MDS 2.0) instrument. Data about demographic, clinical and social characteristics, and medication use, were collected in Ontario, Canada, from 2003–2011 by trained nurses. Residents with complete admission and 3–6 month follow-up data were included (N = 47,768). Multivariate logistic regression analyses, stratified by gender, explored correlates of new AP drug use upon admission to LTC. RESULTS: New AP drug users comprised 7 % of the final cohort. Severe cognitive impairment, dementia, and motor agitation were significantly associated with new AP drug use among both sexes. Additionally, behavioural problems, conflicts with staff and reduced social engagement were strong correlates of new AP drug use. CONCLUSIONS: Social factors were as strongly associated with new AP drug use after LTC admission as clinical factors. Strategies to prevent the potential misuse of AP drugs upon LTC admission should consider the social determinants of such prescribing. |
format | Online Article Text |
id | pubmed-4615888 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46158882015-10-23 A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents Foebel, Andrea Ballokova, Anna Wellens, Nathalie IH Fialova, Daniela Milisen, Koen Liperoti, Rosa Hirdes, John P BMC Geriatr Research Article BACKGROUND: Use of antipsychotic (AP) medications is high and often inappropriate among institutionalized populations. Little is known about the correlates of new AP drug use following admission to long-term care (LTC) settings. This study investigated the frequency and correlates of new AP drug use among newly admitted LTC residents. METHODS: This longitudinal, retrospective study used data from the interRAI - Nursing Home Minimum Data Set version 2.0 (MDS 2.0) instrument. Data about demographic, clinical and social characteristics, and medication use, were collected in Ontario, Canada, from 2003–2011 by trained nurses. Residents with complete admission and 3–6 month follow-up data were included (N = 47,768). Multivariate logistic regression analyses, stratified by gender, explored correlates of new AP drug use upon admission to LTC. RESULTS: New AP drug users comprised 7 % of the final cohort. Severe cognitive impairment, dementia, and motor agitation were significantly associated with new AP drug use among both sexes. Additionally, behavioural problems, conflicts with staff and reduced social engagement were strong correlates of new AP drug use. CONCLUSIONS: Social factors were as strongly associated with new AP drug use after LTC admission as clinical factors. Strategies to prevent the potential misuse of AP drugs upon LTC admission should consider the social determinants of such prescribing. BioMed Central 2015-10-19 /pmc/articles/PMC4615888/ /pubmed/26482028 http://dx.doi.org/10.1186/s12877-015-0127-8 Text en © Foebel et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Foebel, Andrea Ballokova, Anna Wellens, Nathalie IH Fialova, Daniela Milisen, Koen Liperoti, Rosa Hirdes, John P A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
title | A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
title_full | A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
title_fullStr | A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
title_full_unstemmed | A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
title_short | A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
title_sort | retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615888/ https://www.ncbi.nlm.nih.gov/pubmed/26482028 http://dx.doi.org/10.1186/s12877-015-0127-8 |
work_keys_str_mv | AT foebelandrea aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT ballokovaanna aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT wellensnathalieih aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT fialovadaniela aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT milisenkoen aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT liperotirosa aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT hirdesjohnp aretrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT foebelandrea retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT ballokovaanna retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT wellensnathalieih retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT fialovadaniela retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT milisenkoen retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT liperotirosa retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents AT hirdesjohnp retrospectivelongitudinalstudyoffactorsassociatedwithnewantipsychoticmedicationuseamongrecentlyadmittedlongtermcareresidents |