Evidence map›Paper›PMID 22037239›Full record

ArticleJournal of the American Medical Directors Association2012

Antidepressant prescribing patterns in the nursing home: second-generation issues revisited.

Shruti Shah, Ben Schoenbachler, Joel Streim, Suzanne Meeks

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of the American Medical Directors Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. BE-ACTIV for depression in nursing homes: primary outcomes of a randomized clinical trial.The journals of gerontology. Series B, Psychological sciences and social sciences · 2015
    Trial
  2. Antidepressant Use Among US Nursing Home Residents With Dementia.Journal of the American Geriatrics Society · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Shruti ShahDepartment of Psychological & Brain Sciences, University of Louisville, Louisville, KY 40292, USA.
Ben Schoenbachler
Joel Streim
Suzanne Meeks
University of Louisville · USUniversity of Pennsylvania · US

Funding

BE-ACTIV: Treating Depression in Nursing HomesR01MH074865 · NIMH · UNIVERSITY OF LOUISVILLE · PI MEEKS, SUZANNE · 2007 to 2011
$2.0M
NIMH NIH HHS R01 MH074865
6 · The paper itself

Abstract

introductionThe object of this study was to provide an updated evaluation of the quality of antidepressant management and prescribing patterns in nursing homes in the context of organizational and resident factors.

designPearson correlation and chi-square analyses were conducted using information gathered from random nursing home charts.

settingNursing home facilities in and around the Louisville, KY, metropolitan area (n = 10).

participantsChart reviews were randomly chosen for 20% of long term care resident records in participating homes (n = 209). MEASUREMENTS: Demographic information, documentation of depression diagnoses, and antidepressant prescribing patterns were evaluated using the Quality of Depression Management and Antidepressant Prescribing rating scale and information found in the Minimum Data Set 2.0.

resultsOf the sample, 59.8% was prescribed antidepressants at the time of the chart review; 205 chart reviews indicated the absence or presence of a depression diagnosis. For those with documented depression diagnoses (n = 126), nearly one-quarter were not prescribed antidepressants. Of 79 chart reviews indicating no depression diagnosis, nearly a third were receiving an antidepressant. Documentation related to changes in dosing, the presence or absence of side effects, or reasons for continuation were suboptimal.

conclusionDiscrepancy between antidepressant prescribing and the presence/absence of depression diagnoses continue to exist for nursing home residents. The quality of antidepressant documentation in nursing home charts continues to be inadequate. Future research should aim to explore possible solutions to these discrepancies and deficiencies in documentation.

Indexed as

AgedAged, 80 and overAntidepressive AgentsChi-Square DistributionDatabases, FactualDepressionDocumentationDrug UtilizationFemaleGeriatric AssessmentHomes for the AgedHumansLong-Term CareMaleMedical RecordsNeeds AssessmentAntidepressive Agents

Identifiers

PMID22037239
PMCPMC3332146
OpenAlexW2151381052

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.