scholarly journals Prevalence and correlates of psychotropic drug use in Dutch nursing home patients with young‐onset dementia

2019 ◽  
Vol 34 (8) ◽  
pp. 1185-1193 ◽  
Author(s):  
Ans J.M.J. Mulders ◽  
Sytse U. Zuidema ◽  
Renée Leeuwis ◽  
Hans Bor ◽  
Frans R.J. Verhey ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Young Onset ◽  
Psychotropic Drug Use ◽  
Nursing Home Patients ◽  
Young Onset Dementia

scholarly journals Psychotropic drug use in a group of Dutch nursing home patients with dementia: many users, long-term use, but low doses

1996 ◽  
Vol 18 (1) ◽  
pp. 42-47 ◽  
Author(s):  
R. T. C. M. Koopmans ◽  
M. A. J. H. Willekens-Bogaers ◽  
J. M. Rossum ◽  
H. J. M. Hoogen ◽  
C. Weel ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Low Doses ◽  
Psychotropic Drug Use ◽  
Nursing Home Patients

Prevalence and correlates of psychotropic drug use in community-dwelling people with young-onset dementia: the NeedYD-study

2014 ◽  
Vol 26 (12) ◽  
pp. 1983-1989 ◽  
Author(s):  
Raymond T.C.M. Koopmans ◽  
Renate Reinders ◽  
Deliane van Vliet ◽  
Frans R.J. Verhey ◽  
Marjolein E. de Vugt ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Unmet Needs ◽  
Community Dwelling ◽  
Young Onset ◽  
Disease Awareness ◽  
Psychotropic Drug Use ◽  
Young Onset Dementia

ABSTRACTBackground:Young-onset dementia (YOD) is defined as dementia that develops before the age of 65 years. The prevalence and type of neuropsychiatric symptoms (NPS) in YOD differ from patients with late onset dementia. NPS in dementia patients are often treated with psychotropic drugs. The aim of this study was to investigate psychotropic drug use (PDU) in Dutch community-dwelling YOD patients and the association between age, gender, dementia etiology and severity, symptoms of depression, disease awareness, unmet needs, and type of NPS.Methods:Psychotropic drug use in 196 YOD patients was registered. Drugs were categorized according to the Anatomical Therapeutical Chemical classification. The association between age, gender, dementia type, dementia stage, type of NPS, depressive symptoms, disease awareness, and amount of unmet needs on total PDU was analyzed using binomial logistic regression analysis.Results:Fifty-two percent of the patients were prescribed at least one psychotropic drug; 36.2% of patients used one drug, and 12.2% used two different drugs. Antidepressants (36.2%) and antipsychotic drugs (17.3%) were the most frequently prescribed psychotropic drugs. Anti-dementia drugs were prescribed in 51.5% of the patients. Increasing age and moderate to severe depressive symptoms were positively associated with the total use of psychotropic drugs.Conclusions:Community-dwelling YOD patients have a high prevalence of PDU. More research is needed to study the association between unmet needs, NPS, and PDU, and psychosocial interventions have to be developed to limit the use of psychotropic drugs in YOD.

Only 10% of the psychotropic drug use for neuropsychiatric symptoms in patients with dementia is fully appropriate. The PROPER I-study

2016 ◽  
Vol 28 (10) ◽  
pp. 1589-1595 ◽  
Author(s):  
Klaas van der Spek ◽  
Debby L. Gerritsen ◽  
Martin Smalbrugge ◽  
Marjorie H. J. M. G. Nelissen-Vrancken ◽  
Roland B. Wetzels ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Neuropsychiatric Symptoms ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Inappropriate Use ◽  
Psychotropic Drug Use ◽  
Nursing Home Patients ◽  
Sum Score

ABSTRACTBackground:This study explores the appropriateness of psychotropic drug (PD) use for neuropsychiatric symptoms (NPS) in nursing home patients with dementia.Methods:A cross-sectional study on 559 patients with dementia residing on dementia special care units in Dutch nursing homes was conducted. Appropriateness of PD use was assessed using the Appropriate Psychotropic drug use In Dementia (APID) index. The APID index score is calculated using information about individual PDs from patients’ medical records. The index encompasses seven (different) domains of appropriateness, i.e. indication, evaluation, dosage, drug-drug interactions, drug-disease interactions, duplications, and therapy duration.Results:A total of 578 PDs were used for NPS by 60% of the nursing home patients. Indication, evaluation, and therapy duration contributed the most to inappropriate use. Ten per cent of the PDs scored fully appropriate according to the APID index sum score, 36% scored fully appropriate for indication, 46% scored fully appropriate for evaluation, and 58% scored fully appropriate for therapy duration. Antidepressants were used the most appropriately, and antiepileptics the most inappropriately.Conclusions:The minority of the PD use was fully appropriate. The results imply that PD use for NPS in dementia can be improved; the appropriateness should be optimized with a clinical focus on the appropriate indications, evaluations, and therapy duration.

scholarly journals Psychotropic drug use in community-dwelling people with young-onset dementia: two-year course and determinants

2019 ◽  
Vol 25 (1) ◽  
pp. 179-186
Author(s):  
Adrie A. J. Gerritsen ◽  
Christian Bakker ◽  
Esther Bruls ◽  
Frans R. J. Verhey ◽  
Yolande A. L. Pijnenburg ◽  
...  
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Community Dwelling ◽  
Young Onset ◽  
Psychotropic Drug Use ◽  
Young Onset Dementia

Prevalence and correlates of psychotropic drug use in Dutch nursing-home patients with dementia

2009 ◽  
Vol 21 (03) ◽  
pp. 485 ◽  
Author(s):  
Renate M. Nijk ◽  
Sytse U. Zuidema ◽  
Raymond T. C. M. Koopmans
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Psychotropic Drug Use ◽  
Nursing Home Patients

Psychotropic Drug Use in a Nursing Home: A 6-Year Retrospective

2003 ◽  
Vol 22 (4) ◽  
pp. 474-489 ◽  
Author(s):  
Leslie F. Taylor ◽  
Frank Whittington ◽  
Dale C. Strasser ◽  
Susan W. Miller ◽  
Catherine Hagan Hennessy ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Psychotropic Drug Use

Longitudinal Study of Psychotropic Drug Use by Elderly Nursing Home Residents

1992 ◽  
Vol 47 (6) ◽  
pp. M183-M188 ◽  
Author(s):  
J. Garrard ◽  
T. Dunham ◽  
L. Makris ◽  
S. Cooper ◽  
L. L. Heston ◽  
...  
Keyword(s):  
Nursing Home ◽  
Longitudinal Study ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Nursing Home Residents ◽  
Psychotropic Drug Use
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