The Prevalence of and Documented Indications for Antipsychotic Prescribing in Irish Nursing Homes
| Autor: | Maria D. Donovan, Jayne E. Kelleher, Peter Weedle |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment prevalence appropriateness Article Pharmacy and materia medica Irish medicine Dementia Pharmacology (medical) General Pharmacology Toxicology and Pharmaceutics Medical prescription Adverse effect Antipsychotic business.industry medicine.disease language.human_language antipsychotic medication RS1-441 nursing home Family medicine Cohort language Antipsychotic Medications Nursing homes business dementia |
| Zdroj: | Pharmacy: Journal of Pharmacy Education and Practice Pharmacy, Vol 9, Iss 160, p 160 (2021) Pharmacy Volume 9 Issue 4 |
| ISSN: | 2226-4787 |
| Popis: | Background: Antipsychotic medications are often used ‘off-licence’ to treat neuropsychiatric symptoms and disorders of aging and to manage behavioural and psychological symptoms of dementia despite the warnings of adverse effects. Objective: To establish the prevalence of and documented indication for antipsychotic medication use in the Irish nursing home setting. Setting: This study was conducted in six nursing homes located in Co. Cork, Ireland. Method: A retrospective, cross-sectional study was employed. All patients who met the inclusion criteria (≥65 years, residing in a nursing home on a long-term basis) were eligible for inclusion. There were 120 nursing home residents recruited to the study. Main Outcome Measure: The prevalence of antipsychotic medication use in nursing home residents (with and without dementia). Results: The overall prevalence of antipsychotic prescribing was found to be 48% and patients with dementia were significantly more likely to be prescribed an antipsychotic compared to those without dementia (67% vs. 25%) (χ2 (1, N = 120) = 21.541, p < 0.001). In the cohort of patients with dementia, there was a trend approaching significance (p = 0.052) of decreasing antipsychotic use with increasing age (age 65–74 = 90% age 75–84 = 71% age 85 and over = 58%). An indication was documented for 84% of the antipsychotic prescriptions in this cohort. Conclusion: The findings of this study highlight that high rates of antipsychotic medication use remains an issue in Irish nursing homes. Further work should explore factors in influencing prescribing of these medications in such settings. |
| Databáze: | OpenAIRE |
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