Sex Differences in Inappropriate Drug Use: a Register-Based Study of Over 600,000 Older People

2009 ◽  
Vol 43 (7-8) ◽  
pp. 1233-1238 ◽  
Author(s):  
Kristina Johnell ◽  
Gunilla Ringbäck Weitoft ◽  
Johan Fastbom
Keyword(s):  
Sex Differences ◽  
Drug Use ◽  
Older People ◽  
Inappropriate Drug ◽  
Inappropriate Drug Use

scholarly journals Socio-demographic differences in polypharmacy and potentially inappropriate drug use among older people with different care needs and in care settings in Stockholm, Sweden

2021 ◽  
pp. 140349482110183
Author(s):  
Megan Doheny ◽  
Pär Schön ◽  
Nicola Orsini ◽  
Johan Fastbom ◽  
Bo Burström ◽  
...  
Keyword(s):  
Drug Use ◽  
Older People ◽  
Care Setting ◽  
Inappropriate Drug ◽  
Potentially Inappropriate Medications ◽  
National Guidelines ◽  
Care Needs ◽  
Demographic Differences ◽  
Inappropriate Drug Use ◽  
Home Help

Aims: Polypharmacy and potentially inappropriate medications (PIM) are risk factors for negative health outcomes among older people. This study aimed to investigate socio-demographic differences in polypharmacy and PIM use among older people with different care needs in a standard versus an integrated care setting. Methods: Population-based register data on residents aged ⩾65 years in Stockholm County based on socio-demographic background and social care use in 2014 was linked to prescription drug use in 2015. A logistic regression analysis was used to estimate socio-demographic differences in polypharmacy and PIM, adjusting for education, age group, sex, country of birth, living alone, morbidity and dementia by care setting based on area and by care need (i.e. independent, home help or institutionalised). Results: The prevalence of polypharmacy and PIM was greater among home-help users (60.4% and 11.5% respectively) and institutional residents (74.4% and 11.9%, respectively). However, there were greater socio-demographic differences among the independent, with those with lower education, older age and females having higher odds of polypharmacy and PIM. Morbidity was a driver of polypharmacy (odds ratio (OR)=1.19, confidence interval (CI) 1.16–1.22) among home-help users. Dementia diagnosis was associated with reduced odds of polypharmacy and PIM among those in institutions (OR=0.78, CI 0.71–0.87 and OR 0.52, CI 0.45–0.59, respectively) and of PIM among home-help users (OR=0.53, 95% CI 0.42–0.67). Conclusions: Polypharmacy and PIM were associated with care needs, most prevalent among home-help users and institutional residents, but socio-demographic differences were most prominent among those living independently, suggesting that municipal care might reduce differences between socio-demographic groups. Care setting had little effect on inappropriate drug use, indicating that national guidelines are followed.

Extent and quality of drug use in community-dwelling people aged ≥75 years: A Swedish nationwide register-based study

2017 ◽  
Vol 48 (3) ◽  
pp. 308-315 ◽  
Author(s):  
Annica Lagerin ◽  
Lena Törnkvist ◽  
Gunnar Nilsson ◽  
Kristina Johnell ◽  
Johan Fastbom
Keyword(s):  
Drug Use ◽  
Older People ◽  
Home Visits ◽  
Community Dwelling ◽  
Inappropriate Drug ◽  
Preventive Home Visits ◽  
Inappropriate Drug Use ◽  
District Nurses ◽  
Community Dwelling Older People

Aims: It is important for district nurses and other health professionals in primary care to gain more insight into the patterns and quality of drug use in community-dwelling older people, particularly in 75-year-olds, who have been the target of preventive home visits. This study aimed to examine the extent and quality of drug use in community-dwelling older people and to compare drug use in 75-year-olds with that of older age groups. Methods: Data from 2013 on people aged ≥75 years were obtained from the Swedish Prescribed Drug Register. Those living in the community (671,940/739,734 people aged ≥75 years) were included in the study. Quality of drug use was assessed by using a selection of indicators issued by the Swedish National Board of Health and Welfare. Results: The prevalence of polypharmacy and of many drug groups increased with age, as did several indicators of inappropriate drug use. However some drug groups, as well as inappropriate drugs, were prevalent in 75-year-olds and declined with age, for example diabetes drugs, drugs with major anticholinergic effects and nonsteroidal anti-inflammatory drugs. Conclusions: The substantial use of some drugs as early as 75 years of age confirms the value of including drug use as a topic in preventive home visits to 75-year-olds. The finding that polypharmacy and many measures of inappropriate drug use increased with age in community-dwelling older people also underscores the importance of district nurses’ role in continuing to promote safe medication management at higher ages.

The Influence of Educational Level on Polypharmacy and Inappropriate Drug Use: A Register-Based Study of More Than 600,000 Older People

2009 ◽  
Vol 57 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Syed Imran Haider ◽  
Kristina Johnell ◽  
Gunilla Ringbäck Weitoft ◽  
Mats Thorslund ◽  
Johan Fastbom
Keyword(s):  
Drug Use ◽  
Older People ◽  
Educational Level ◽  
Inappropriate Drug ◽  
Inappropriate Drug Use

Impact of inappropriate drug use among hospitalized older adults

2005 ◽  
Vol 61 (5-6) ◽  
pp. 453-459 ◽  
Author(s):  
Graziano Onder ◽  
Francesco Landi ◽  
Rosa Liperoti ◽  
Daniela Fialova ◽  
Giovanni Gambassi ◽  
...  
Keyword(s):  
Older Adults ◽  
Drug Use ◽  
Inappropriate Drug ◽  
Inappropriate Drug Use ◽  
Hospitalized Older Adults

scholarly journals GRP-107 Is Weakness in Older Patients Caused by Inappropriate Drug Use?

2013 ◽  
Vol 20 (Suppl 1) ◽  
pp. A39.1-A39 ◽  
Author(s):  
LD Jensen ◽  
M Hallin ◽  
O Andersen ◽  
J Petersen
Keyword(s):  
Drug Use ◽  
Older Patients ◽  
Inappropriate Drug ◽  
Inappropriate Drug Use
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