ArticleBMC geriatrics2015
A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents.
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 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health effects of social connectedness in older adults living in congregate long-term care settings: A systematic review of quantitative and qualitative evidence.International journal of older people nursing · 2023Pooled it
- Psychotropic drug use among older Swedish nursing home residents with cognitive impairment and behavioral and psychological symptoms: a cross-sectional questionnaire survey.BMC geriatrics · 2026Article
- Wearables measuring electrodermal activity to assess perceived stress in care: a scoping review.Acta neuropsychiatrica · 2023Review
- Potentially inappropriate medications in relation to length of nursing home stay among older adults.BMC geriatrics · 2022Article
- Optimizing the InterRAI Assessment Tool in Care Planning Processes for Long-Term Residents: A Scoping Review.Clinical nursing research · 2022Article
- Use of psychiatric medication in three Arctic nursing homes: association with dementia and psychiatric symptoms.International journal of circumpolar health · 2021Article
- Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19.Journal of the American Medical Directors Association · 2021Article
- PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care.Risk management and healthcare policy · 2021Review
- Low-value care: antipsychotic medication use among community-dwelling medicare beneficiaries with Alzheimer's disease and related dementias and without severe mental illness.Aging & mental health · 2020Article
- Article
- The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care.Frontiers in psychiatry · 2019Review
- Nonpharmacological Management of Behavioral and Psychological Symptoms of Dementia: What Works, in What Circumstances, and Why?Innovation in aging · 2018Article
- Antipsychotic prescribing for Alzheimer's disease and related disorders in specialized settings from 2010 to 2014 in France: a repeated cross-sectional study.Alzheimer's research & therapy · 2017Article
- Pragmatic trials may help to identify effective strategies to reduce nursing home antipsychotic medication use.Israel journal of health policy research · 2017Article
- The Implementation of Integrated Health Information Systems - Research Studies from 7 Countries Involving the InterRAI Assessment System.International journal of integrated careArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUse of antipsychotic (AP) medications is high and often inappropriate among institutionalized populations. Little is known about the correlates of new AP drug use following admission to long-term care (LTC) settings. This study investigated the frequency and correlates of new AP drug use among newly admitted LTC residents.
methodsThis longitudinal, retrospective study used data from the interRAI - Nursing Home Minimum Data Set version 2.0 (MDS 2.0) instrument. Data about demographic, clinical and social characteristics, and medication use, were collected in Ontario, Canada, from 2003-2011 by trained nurses. Residents with complete admission and 3-6 month follow-up data were included (N = 47,768). Multivariate logistic regression analyses, stratified by gender, explored correlates of new AP drug use upon admission to LTC.
resultsNew AP drug users comprised 7 % of the final cohort. Severe cognitive impairment, dementia, and motor agitation were significantly associated with new AP drug use among both sexes. Additionally, behavioural problems, conflicts with staff and reduced social engagement were strong correlates of new AP drug use.
conclusionsSocial factors were as strongly associated with new AP drug use after LTC admission as clinical factors. Strategies to prevent the potential misuse of AP drugs upon LTC admission should consider the social determinants of such prescribing.
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