ArticleJournal of the American Medical Directors Association2010
Antidepressant prescribing in US nursing homes between 1996 and 2006 and its relationship to staffing patterns and use of other psychotropic medications.
Article in Journal of the American Medical Directors Association, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 65 citations in OpenAlex.
- Forensic investigation on a combined death by food aspiration and acute escitalopram intoxication occurred to a psychiatric subject in a nursing home.International journal of legal medicine · 2024Article
- Geriatric Depression and Inappropriate Medication: Benefits of Interprofessional Team Cooperation in Nursing Homes.International journal of environmental research and public health · 2021Article
- Use of antidepressant medications among older adults in European long-term care facilities: a cross-sectional analysis from the SHELTER study.BMC geriatrics · 2020Article
- The role of regulation in the care of older people with depression living in long-term care: a systematic scoping review.BMC geriatrics · 2020Article
- Adequacy of Prescription Drug Coverage in Long-term Care.Medical care · 2020Article
- Behavioural activation in nursing homes to treat depression (BAN-Dep): study protocol for a pragmatic randomised controlled trial.BMJ open · 2019Article
- Antidepressants in nursing homes for dependent older patients: the cross-sectional associations of institutional factors with prescription conformance.European geriatric medicine · 2019Article
- Frequency and predictors of the potential overprescribing of antidepressants in elderly residents of a geographically defined U.S. population.Pharmacology research & perspectives · 2019Article
- Antiseizure, antidepressant, and antipsychotic medication prescribing in elderly nursing home residents.Epilepsy & behavior : E&B · 2017Article
- Persistent use of psychotropic drugs in nursing home residents in Norway.BMC geriatrics · 2017Article
- Epidemiology of drug-disease interactions in older veteran nursing home residents.Journal of the American Geriatrics Society · 2015Article
- Psychotropic drug initiation or increased dosage and the acute risk of falls: a prospective cohort study of nursing home residents.BMC geriatrics · 2013Article
- The use of antidepressants in Belgian nursing homes: focus on indications and dosages in the PHEBE study.Drugs & aging · 2012Article
- Age-related changes in antidepressant pharmacokinetics and potential drug-drug interactions: a comparison of evidence-based literature and package insert information.The American journal of geriatric pharmacotherapy · 2012Review
- Antidepressant prescriptions: an acute window for falls in the nursing home.The journals of gerontology. Series A, Biological sciences and medical sciences · 2011Article
- Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents.Journal of the American Geriatrics Society · 2011Article
- Overuse of antidepressants in a nationally representative adult patient population in 2005.Psychiatric services (Washington, D.C.) · 2011Article
- No longer undertreated? Depression diagnosis and antidepressant therapy in elderly long-stay nursing home residents, 1999 to 2007.Journal of the American Geriatrics Society · 2011Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundFew studies have examined factors associated with antidepressant prescribing in older nursing home residents.
objectiveThe primary objective was to describe the change in antidepressant prescribing for nursing home residents between 1996 and 2006. An additional objective was to examine the association between any change in antidepressant prescribing and staffing patterns or coprescribing of other psychotropic medications in the same cohort.
designLongitudinal. SETTINGS: Settings were 12,556 US nursing homes in 1996 and 2006. DATA SOURCES: Online Survey Certification and Reporting (OSCAR) data and the Area Resource File (ARF). MEASUREMENTS: Increasing prescribing of antidepressants analyzed using multivariable multinomial generalized estimating equations (GEE).
resultsAntidepressant prescribing significantly increased (P < .05) from 21.9% in 1996 to 47.5% in 2006. After controlling for resident, organizational, and market factors, increased antidepressant prescribing was associated with more time spent by physician extenders (adjusted odds ratio [AOR] 2.21; 95% confidence interval [CI] 1.96-2.51), registered nurses (AOR 1.06, 95% CI 1.02-1.10), or nurse aides (AOR 1.08; 95%CI 1.04-1.12) in a facility, as well as the coprescribing of sedative/hypnotics (AOR 1.12; 95% CI 1.08-1.16). Factors found to be protective of increasing antidepressant prescribing (ie, decrease antidepressant prescribing) included having medical directors and physicians spend more time in the facility (AOR 0.60; 95% CI 0.53-0.69 and AOR 0.62; 95% CI 0.54-0.71, respectively), or coprescribing of antianxiety or antipsychotic agents (AOR 0.70; 95% CI 0.68-0.72 and AOR 0.74; 95% CI 0.72-0.77, respectively).
conclusionsPrescribing of antidepressants has increased dramatically in the past decade in older nursing home residents and seems to be associated with certain staffing characteristics and the coprescribing of psychotropic medications. Further research is needed to determine if antidepressants are appropriately prescribed, and if overuse is determined, develop interventions to improve the quality of prescribing of these medications in older nursing home residents.
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