SynthesisBMC geriatrics2025
Factors associated with the variation in drug prescription of antipsychotics in long-term care facilities: a systematic review.
Synthesis in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
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Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
backgroundDespite warnings and strict guidelines, the use of antipsychotics in long-term care facilities (LTCFs) remains problematic worldwide. Several factors, including facility and resident characteristics, could influence prescription practices. Given the vulnerability of the older people, this systematic review aims to analyze the key factors leading to variations in antipsychotic prescribing practices in LTCFs.
methodFollowing PRISMA guidelines we searched PubMed, Scopus, CINAHL, and the Cochrane Library for primary research published between 2013 and 2023. Eligibility criteria included: population-LTCF residents aged 60 years or older with mental disorders; intervention-factors influencing variability in antipsychotic prescribing. The quality of the included studies was assessed using the JBI and STROBE checklists. Both data extraction and quality assessment were performed by two independent reviewers. Disagreements were resolved by consultation with a third reviewer.
resultOf 6572 records, 6394 were screened by title and abstract, resulting in 14 studies included in our analysis. We found that better staff training and the availability of more registered and licensed nurses were associated with lower antipsychotic medication (APM) use. Nonprofit and government facilities exhibited lower APM prevalence and better quality of care.
conclusionAddressing facility factors and promoting collaboration between health professionals is crucial to reducing unnecessary antipsychotic use. This approach highlights that antipsychotic use is influenced by diverse prescribing cultures and healthcare environments, extending beyond the patient's condition. Implementing guidelines and legislative actions can help reduce antipsychotic prescribing variation.
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