Evidence map›Paper›PMID 31209735›Full record

ArticleDrugs & aging2019

Reducing Psychotropic Drug Use in Nursing Homes in Belgium: An Implementation Study for the Roll-Out of a Practice Improvement Initiative.

Maarten Wauters, Monique Elseviers, Laurine Peeters, Dirk De Meester, Thierry Christiaens, Mirko Petrovic

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Article in Drugs & aging, 2019. 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
1.5field-weighted citation impact, top 19% 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, 15 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Maarten WautersDepartment of Basic and Applied Medical Sciences, Clinical Pharmacology Research Unit, Ghent University, C. Heymanslaan 10, 9000, Ghent, Belgium. maarten.wauters@ugent.be.ORCID 0000-0002-5609-5622
Monique ElseviersDepartment of Basic and Applied Medical Sciences, Clinical Pharmacology Research Unit, Ghent University, C. Heymanslaan 10, 9000, Ghent, Belgium.
Laurine PeetersNursing Home Leiehome, Drongen, Belgium.
Dirk De MeesterNursing Home Leiehome, Drongen, Belgium.
Thierry ChristiaensDepartment of Basic and Applied Medical Sciences, Clinical Pharmacology Research Unit, Ghent University, C. Heymanslaan 10, 9000, Ghent, Belgium.ORCID 0000-0003-4064-2908
Mirko PetrovicDepartment of Internal Medicine and Pediatrics, Section of Geriatrics, Ghent University, Ghent, Belgium.ORCID 0000-0002-7506-8646
Ghent University · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePsychotropic drug use is high in nursing homes in Belgium. A practice improvement initiative (including education, professional support and the transition towards person-centred care) achieved significant reductions in psychotropic drug use. The initiative outline was transcribed into a general intervention template, and consequently implemented in five nursing homes (in mixed locations and with a mixed character) in preparation for a future broader roll-out in Belgium. The impact of the intervention on the use of psychotropic drugs in these five nursing homes is reported in this paper.

methodsThe general intervention template was fitted into the individual nursing home setting. Education for the nursing home personnel on psychotropic drugs and non-pharmacological alternatives, as well as details for a transition to person-centred care was provided. Psychotropic drug use was recorded using a dynamic cohort study design with cross-sectional observations (November 2016-November 2017).

resultsAt baseline, participants' (n = 677) mean age was 85.6 years (range 54-109 years), with 72.6% female. Mean medication intake was 8.5 (range 1-22), predominantly central nervous system drugs (Anatomic Therapeutic Chemical classification N, 88.8%). Long-term (> 3 months) psychotropic drug use (62.0%) and concomitant psychotropic drug use (31.5% taking two or more medications) were high. After 12 months, the prevalence of long-term psychotropic drug use decreased significantly (from 62.0 to 52.9%, p < 0.001), likewise the combined use of psychotropic drugs (from 31.5 to 24.0%, p = 0.001). The decrease in the prevalence of antidepressant and hypnosedative use was significant (respectively, from 32.2 to 23.4%, p < 0.001, and from 35.3 to 28.7%, p = 0.006) in contrast to antipsychotic use (from 17.1 to 15.9%, p = 0.522).

conclusionsThe stand-alone adaptation of the previously reported initiative using a general template was possible. This intervention resulted in a significant decrease in psychotropic drug use (predominantly hypnosedatives and antidepressants) among nursing home residents after 12 months.

Indexed as

AgedAged, 80 and overAntidepressive AgentsAntipsychotic AgentsBelgiumCohort StudiesCross-Sectional StudiesDrug UtilizationFemaleHumansMaleMiddle AgedNursing HomesPrevalencePsychotropic DrugsAntidepressive AgentsAntipsychotic AgentsPsychotropic Drugs

Identifiers

PMID31209735
OpenAlexW2952202845

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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.