Evidence map›Paper›PMID 26268660›Full record

ArticleBMC geriatrics2015

Use of anti-dementia drugs in home care and residential care and associations with neuropsychiatric symptoms: a cross-sectional study.

Marja Kuronen, Hannu Koponen, Irma Nykänen, Pertti Karppi, Sirpa Hartikainen

Abstract read
In one paragraph

Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

5 authors.

Marja KuronenMikkeli Central Hospital, Porrassalmenkatu 35-37, FI-50100, Mikkeli, Finland. marja.kuronen@esshp.fi.
Hannu KoponenDepartment of Psychiatry, Institute of Clinical Medicine, University of Helsinki and Helsinki University Hospital, P. O. BOX 590, FI-00029, HUS, Helsinki, Finland. hannu.j.koponen@hus.fi.
Irma NykänenSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland. irma.nykanen@uef.fi.
Pertti KarppiMikkeli Central Hospital, Porrassalmenkatu 35-37, FI-50100, Mikkeli, Finland. pertti.karppi@gmail.com.
Sirpa HartikainenSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland. sirpa.hartikainen@uef.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of people with dementia is increasing alongside the aging population, and most of these patients manifest with neuropsychiatric symptoms (NPS). The objective of this study was to investigate anti-dementia drug use and its associations with NPS.

methodsQuestionnaires on demographic information, current drug use, activities of daily living and NPS were sent to all municipal home care producers and to all institutions providing long-term residential care in the South Savo Hospital District, Finland.

resultsThe study population comprised 2821 persons. Their mean age was 81 years and 68% were female. Dementia had been diagnosed in 31% (n = 410) in home care and in 56% (n = 774) in residential care. Anti-dementia drugs were used by 69% of patients with dementia. Hyperactivity symptoms were common in residential care patients (n = 456, 33%), while problems with mood and apathy dominated in home care patients (n = 486, 54%). In multivariate regression analysis, the mood symptoms and apathy subgroup was associated with use of an acetylcholinesterase inhibitor (AChEI) (OR 1.44; 95% Cl 1.03-2.02), memantine (OR 1.77, 95% Cl 1.15-2.72) or their combinations (OR 1.56, 95% Cl 1.03-2.34). Hyperactivity symptoms were associated with combination therapy of this type (OR 2.03, 95% Cl 1.36-2.34).

conclusionsThe use of anti-dementia drugs was common in both care settings. The use of any anti-dementia drug or combination was associated with the mood and apathy subgroup. The hyperactivity subgroup was associated with combination use of memantine and AChEI.

Indexed as

Home Care ServicesActivities of Daily LivingAgedAged, 80 and overCholinesterase InhibitorsCross-Sectional StudiesDementiaFemaleFinlandHumansMaleMemantineMental DisordersMiddle AgedNootropic AgentsResidential FacilitiesCholinesterase InhibitorsMemantineNootropic Agents

Identifiers

PMID26268660
PMCPMC4535784

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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.