scholarly journals Use of medication among nursing home residents: a Danish drug utilisation study

2020 ◽  
Vol 49 (5) ◽  
pp. 814-820 ◽  
Author(s):  
Carina Lundby ◽  
John Jensen ◽  
Søren Post Larsen ◽  
Helene Hoffmann ◽  
Anton Pottegård ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Drug Utilisation ◽  
Census Data ◽  
Nursing Home Residents ◽  
Nursing Home Admission ◽  
Drug Classes ◽  
Prescription Drug Use ◽  
Antidementia Drugs ◽  
New Treatments

Abstract Background Data on drug utilisation patterns in nursing home populations is scarce. We aimed to describe drug use patterns in Danish nursing home residents. Methods We established a cohort of 5,179 individuals (63% women; median age of 84 years) admitted into 94 nursing homes across Denmark during 2015–2017. Data on prescription drug use and other census data were obtained from the nationwide Danish health registries. Results The total number of drug classes filled increased from a median of 6 drugs (interquartile range [IQR] 3–9) at 18–24 months before nursing home admission to a median of 8 drugs (IQR 6–11) just after admission, with the most common drug classes comprising paracetamol (61%), platelet inhibitors (41%), proton pump inhibitors (34%), statins (33%) and potassium supplements (31%). The incidence rate of new drug treatments increased from 21 new treatments/100 residents/month at 12–24 months before admission to a peak of 71 new treatments/100 residents/month in the month prior to admission, while it levelled off to about 34 new treatments/100 residents/month after 6–9 months. The drug classes primarily responsible for this peak were laxatives, antibiotics and analgesics. The largest absolute increases were seen for laxatives (53%), paracetamol (43%) and antidepressants (36%), all showing a marked increase up to and following admission. A high proportion of residents remained on therapy in the 3-year period following admission, with users of antidepressants and antidementia drugs being most persistent. Conclusion Nursing home admission is associated with an increase in use of both predominantly preventive and non-preventive drug classes.

Antipsychotic Drug Use Among Nursing Home Residents Taking Rivastigmine

2006 ◽  
Vol 7 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Siva Narayanan ◽  
Kathleen M. Beusterien ◽  
Simu K. Thomas ◽  
Jonathan Musher ◽  
Bill Strunk
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Antipsychotic Drug ◽  
Nursing Home Residents

Social and Regional Factors Predict the Likelihood of Admission to a Nursing Home After Acute Hospital Stay in Elderly People with Chronic Health Conditions: A Multilevel Analysis Using Routinely Collected Hospital and Census Data in Switzerland.

2021 ◽  
Author(s):  
Nicole Bachmann ◽  
Andrea Zumbrunn ◽  
Lucy Bayer-Oglesby
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Hospital Discharge ◽  
Census Data ◽  
Acute Hospital ◽  
Living Alone ◽  
Nursing Home Admission ◽  
Chronic Health ◽  
Regional Factors ◽  
The Impact

Abstract Background: If hospitalisation becomes inevitable in the course of a chronic disease, discharge from acute hospital care in elderly individuals is often associated with temporary or persistent frailty, functional limitations and the need for help with daily activities. Thus, acute hospitalisation represents a particularly vulnerable phase of transient dependency on social support and health care. This study examines how social and regional inequality affect the decision for an institutionalisation after acute hospital discharge in Switzerland. Methods: The current analysis uses routinely collected inpatient data from all Swiss acute hospitals that was linked on the individual level with Swiss census data. The study sample included N=60,209 patients 75 years old and older living still at a private home and being hospitalised due to a chronic health condition in N=199 hospitals between 2010 and 2016. Random intercept multilevel logistic regression was used to assess the impact of social and regional factors on the odds of a nursing home admission after hospital discharge. Results: Results show that 7.8% of all patients were admitted directly to a nursing home after hospital discharge. We found significant effects of education level, insurance class, living alone and language regions on the odds of nursing home admission in a model adjusted for age, gender, nationality, health status, year of hospitalisation and hospital-level variance. The language regions moderated the effect of education and insurance class but not of living alone.Conclusion: Acute hospital discharge in elderly is a critical moment of transient dependency. Social and health care should work closely and coordinated together for a well-supported hospital discharge to avoid unnecessary institutionalisations of socially disadvantaged patients.

scholarly journals No Other Safe Care Option: Nursing Home Admission as a Last Resort Strategy

2020 ◽  
Vol 60 (8) ◽  
pp. 1504-1514
Author(s):  
Heather J Campbell-Enns ◽  
Megan Campbell ◽  
Kendra L Rieger ◽  
Genevieve N Thompson ◽  
Malcolm B Doupe
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Community Setting ◽  
Nursing Home Admission ◽  
Care Needs ◽  
Community Based ◽  
Field Notes ◽  
Care Nursing

Abstract Background and Objectives Nursing homes are intended for older adults with the highest care needs. However, approximately 12% of all nursing home residents have similar care needs as older adults who live in the community and the reasons they are admitted to nursing homes is largely unstudied. The purpose of this study was to explore the reasons why lower-care nursing home residents are living in nursing homes. Research Design and Methods A qualitative interpretive description methodology was used to gather and analyze data describing lower-care nursing home resident and family member perspectives regarding factors influencing nursing home admission, including the facilitators and barriers to living in a community setting. Data were collected via semistructured interviews and field notes. Data were coded and sorted, and patterns were identified. This resulted in themes describing this experience. Results The main problem experienced by lower-care residents was living alone in the community. Residents and family members used many strategies to avoid safety crises in the community but experienced multiple care breakdowns in both community and health care settings. Nursing home admission was a strategy used to avoid a crisis when residents did not receive the needed support to remain in the community. Discussion and Implications To successfully remain in the community, older adults require specialized supports targeting mental health and substance use needs, as well as enhanced hospital discharge plans and improved information about community-based care options. Implications involve reforming policies and practices in both hospital and community-based care settings.

scholarly journals DRUG UTILISATION STUDY OF STROKE AND OTHER PATIENTS ADMITTED TO GENERAL WARD OF NEUROLOGY UNIT AT QUATERNARY CARE PRIVATE HOSPITAL

2017 ◽  
Vol 9 (4) ◽  
pp. 23
Author(s):  
Laxman Wagle ◽  
Abel Abraham Thomas ◽  
Sunil Shrestha
Keyword(s):  
Drug Use ◽  
Prospective Observational Study ◽  
Private Hospital ◽  
Drug Utilisation ◽  
Generic Drugs ◽  
General Ward ◽  
Microsoft Excel ◽  
Use Patterns ◽  
Drug Classes ◽  
Drug Use Patterns

Objective: To study the profile of the patient, the pattern of their illness and their drug use patterns attending to general ward of quaternary care hospital.Methods: Prospective observational study of 2 mo was performed at neurology unit of the quaternary care private hospital, India. Patients aged above 20 y with at least one neurological drug in prescription were included to observe their demographic profile, illness pattern and drug use. The data was analysed and summarised as frequency and percentage using microsoft excel and presented as tables.Results: Among 60 patient that were enrolled, more were males (N=33, 55%) than females (N=27, 45%) and within the age group of 60-70 y (N=22, 36.67%). The majority of patients were diagnosed with strokes (N= 48, 80%) where the cerebrovascular accident was most common (N=16, 26.66%). Males (N=29, 60.4%) were more prone to get stroke than females (N=19,39.6%). An average number of drugs per prescription was 5.7, the percentage of antibiotics, generic drugs and injections were 36.6%, 0.05% and 44.14% respectively. A total of 28 different drug classes with 61 different drugs was utilised. Fourteen drug classes had been accounted for 90% of drugs utilisation. Clopidegrol+Aspirin have frequently used the drug.Conclusion: Most people attending neurology unit were elderly. Stroke occupies 1st list for the burden. Average drugs for neurology visit remain high. Wide types of drug classes are utilised in neurological wards

Nursing-home residents and their drug use: a comparison between mentally intact and mentally impaired residents

2003 ◽  
Vol 59 (5-6) ◽  
pp. 463-469 ◽  
Author(s):  
Harald A. Nygaard ◽  
Mala Naik ◽  
Sabine Ruths ◽  
J�rund Straand
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Nursing Home Residents ◽  
Mentally Impaired

scholarly journals Factors Associated With Antiepileptic Drug Use Among Elderly Nursing Home Residents

2000 ◽  
Vol 55 (7) ◽  
pp. M384-M392 ◽  
Author(s):  
J. Garrard ◽  
J. Cloyd ◽  
C. Gross ◽  
N. Hardie ◽  
L. Thomas ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Antiepileptic Drug ◽  
Nursing Home Residents ◽  
Factors Associated

Nursing home residents with multiple sclerosis and dementia compared to other multiple sclerosis residents

2005 ◽  
Vol 11 (5) ◽  
pp. 610-616 ◽  
Author(s):  
Robert J Buchanan ◽  
Raymond A Martin ◽  
Linda Moore ◽  
Suojin Wang ◽  
Hyunsu Ju
Keyword(s):  
Multiple Sclerosis ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Clinical Analysis ◽  
Minimum Data Set ◽  
Nursing Home Admission ◽  
Nursing Facilities ◽  
Data Set ◽  
Minimum Data ◽  
Significant Symptom

Cognitive impairment may be a significant symptom in multiple sclerosis (MS), affecting about one half of MS patients in study samples similar to the general MS population. An interesting question is what role dementia, of any aetiology, plays in the cognitive ability of people with MS. The objective of this research is to learn more about nursing home residents with MS and dementia, identifying how they differ from other residents with MS. We developed profiles of MS residents with dementia using the Minimum Data Set and compared these profiles to other residents with MS. Nursing home residents with MS and dementia are admitted to nursing facilities at an older age and seem less likely to have physical impairments but more mood and behaviour problems than other MS residents at admission. A cortical variant of MS may be more prevalent than previously suspected and may be a factor responsible leading to nursing home admission in this subgroup of patients. Further clinical analysis of this subgroup would be necessary to support this contention.

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
Sign in / Sign up

Export Citation Format

Share Document