Evidence map›Paper›PMID 39468456›Full record

ArticleBMC geriatrics2024

The impact of patient-facility language discordance on potentially inappropriate prescribing of antipsychotics in long-term care home in Ontario, Canada: a retrospective population health cohort study.

Michael Reaume, Cayden Peixoto, Michael Pugliese, Peter Tanuseputro, Ricardo Batista, Claire E Kendall, Josette-Renée Landry, Denis Prud'homme, Marie-Hélène Chomienne, Barbara Farrell and 1 more

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Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

11 authors.

Michael ReaumeDepartment of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Cayden PeixotoInstitut du Savoir Montfort, 713, chemin Montréal, Ottawa, ON, K1K0T2, Canada.
Michael PuglieseICES (formerly Institute for Clinical Evaluative Sciences), Ontario, Canada.
Peter TanuseputroOttawa Hospital Research Institute, Ottawa, Canada.
Ricardo BatistaInstitut du Savoir Montfort, 713, chemin Montréal, Ottawa, ON, K1K0T2, Canada.
Claire E KendallBruyere Research Institute, Ottawa, Canada.
Josette-Renée LandryInstitut du Savoir Montfort, 713, chemin Montréal, Ottawa, ON, K1K0T2, Canada.
Denis Prud'hommeInstitut du Savoir Montfort, 713, chemin Montréal, Ottawa, ON, K1K0T2, Canada.
Marie-Hélène ChomienneInstitut du Savoir Montfort, 713, chemin Montréal, Ottawa, ON, K1K0T2, Canada.
Barbara FarrellBruyere Research Institute, Ottawa, Canada.
Lise M BjerreInstitut du Savoir Montfort, 713, chemin Montréal, Ottawa, ON, K1K0T2, Canada. lbjerre@uottawa.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAppropriate use of medication is a key indicator of the quality of care provided in long-term care (LTC). The objective of this study was to determine whether resident-facility language concordance/discordance is associated with the odds of potentially inappropriate prescribing of antipsychotics (PIP-AP) in LTC.

methodsWe conducted a population-based, retrospective cohort study of LTC residents in Ontario, Canada from 2010 to 2019. We obtained resident language from standardized resident assessments, and derived facility language by determining the proportion of residents belonging to each linguistic group within individual LTC homes. Using linked administrative databases, we identified all instances of PIP-AP during a 1-year follow-up period. PIP-AP was defined using the STOPP-START criteria, which have previously been shown to predict adverse clinical events such as emergency department (ED) visits and hospitalizations. The association between linguistic factors and PIP-AP was assessed using adjusted multivariable logistic regression analysis.

resultsWe identified 198,729 LTC residents consisting of 162,814 Anglophones (81.9%), 6,230 Francophones (3.1%), and 29,685 Allophones (14.9%). The odds of PIP-AP of were higher for both Francophones (aOR 1.15, 95% CI 1.08-1.23) and Allophones (aOR 1.11, 95% CI 1.08-1.15) when compared to Anglophones. When compared to English LTC homes, French LTC homes had greater odds of PIP-AP (aOR 1.12, 95% CI 1.05-1.20), while Allophone homes had lower odds of PIP-AP (aOR 0.82, 95% CI 0.77-0.86). Residents living in language-discordant LTC homes had higher odds of PIP-AP when compared to LTC residents living in language-concordant LTC homes (aOR 1.07, 95% CI 1.04-1.10).

conclusionThis study identified linguistic factors related to the odds of PIP-AP in LTC, suggesting that the linguistic environment may have an impact on the quality of care provided to residents.

Indexed as

Antipsychotic AgentsInappropriate PrescribingLong-Term CareNursing HomesAgedAged, 80 and overCohort StudiesFemaleHumansLanguageMaleOntarioRetrospective StudiesAntipsychotic AgentsAntipsychoticsLanguage as a determinant of healthLanguage concordanceLong-term carePotentially inappropriate prescribing

Identifiers

PMID39468456
PMCPMC11514756

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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.