ArticleEuropean journal of clinical pharmacology2018
Health status and drug use 1 year before and 1 year after skilled nursing home admission during the first quarter of 2013 in France: a study based on the French National Health Insurance Information System.
Article in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Development of Indirect Health Data Linkage on Health Product Use and Care Trajectories in France: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Current Psychotropic Medication Use and Contributing Factors Among Nursing Home Residents With Cognitive Impairment.Clinical nursing research · 2021Trial
- Poor adjustment to nursing homes and 1-year mortality: a secondary analysis of the KASEHPAD cohort study.BMJ open · 2025Observational
- Comparison of neuro-psychiatric disorders between older adults living in foster families or nursing homes.Scientific reports · 2025Article
- Comparison of quality of life of older adults living in foster families versus nursing homes. Results from the KASA studies.The journal of nutrition, health & aging · 2024Article
- Clinical profiles of older adults in French Caribbean nursing homes: a descriptive cross-sectional study.Frontiers in medicine · 2024Article
- Health trajectories of elderly living in French senior housing: a longitudinal perspective.Scientific reports · 2023Article
- The Health Care Trajectories of Older People in Foster Families: Protocol for an Observational Study.JMIR research protocols · 2023Article
- Nationwide Initiation of Cardiovascular Risk Treatments During the COVID-19 Pandemic in France: Women on a Slippery Slope?Frontiers in cardiovascular medicine · 2022Article
- Article
- Changes in the use of psychotropic drugs during the course of Alzheimer's disease: A large-scale longitudinal study of French medical records.Alzheimer's & dementia (New York, N. Y.) · 2021Article
- Key Experimental Factors of Machine Learning-Based Identification of Surgery Cancellations.Journal of healthcare engineering · 2021Article
- Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study.BMJ open · 2019Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChanges in prescribing practices following skilled nursing home (SNH) admission have not been clearly described in France. The study aimed to evaluate health status and drug use 1 year before and 1 year after admission to SNH.
methodPeople ≥ 65 years old admitted to SNH in the first quarter of 2013, covered by the national health insurance general scheme (69% of the population of this age) and still alive 1 year after admission were identified in a specific database (Resid-ehpad). Linking with the National Health Insurance Information System (SNIIRAM) allowed analysis of their health status, identified by algorithms, and changes in their use of reimbursed drugs.
resultsIn a population of 11,687 residents (mean age: 86 years, women: 76%), the most prevalent diseases were cardiovascular/neurovascular diseases (45%) and dementias (35%). The use of certain chronic treatments (≥ 3 reimbursements/year) increased significantly (p < 0.001) after nursing home admission: antidepressants: 34 to 46%, anxiolytics: 32 to 42%, hypnotics/sedatives: 18 to 24%, antipsychotics: 10 to 21% (14 to 30% in patients with dementia). The use of lipid-modifying agents and agents acting on the renin-angiotensin system decreased significantly (33 to 24% and 44 to 37%, respectively, p < 0.001). The use of antibacterials (≥ 1 reimbursement/year) increased also significantly (p < 0.001): 45 to 61%, including quinolones (13 to 20%) and third-generation cephalosporins (10 to 18%).
conclusionThese results reveal increased prescribing of psychotropic drugs and antibacterials in SNH, requiring the development or sustainability of actions designed to improve prescribing practices in older people targeted by these treatments.
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