dc.contributor.author | Gulla, Christine | |
dc.contributor.author | Selbæk, Geir | |
dc.contributor.author | Flo, Elisabeth | |
dc.contributor.author | Kjome, Reidun Lisbet Skeide | |
dc.contributor.author | Kirkevold, Øyvind | |
dc.contributor.author | Husebø, Bettina | |
dc.coverage.spatial | Norge | en_US |
dc.date.accessioned | 2020-03-12T09:56:20Z | |
dc.date.available | 2020-03-12T09:56:20Z | |
dc.date.created | 2016-06-12T15:31:00Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | BMC Geriatrics. 2016, 16:115. doi: 10.1186/s12877-016-0287-1. | en_US |
dc.identifier.issn | 1471-2318 | |
dc.identifier.uri | https://hdl.handle.net/11250/2646504 | |
dc.description.abstract | Abstract
BACKGROUND:
Neuropsychiatric symptoms, such as affective symptoms, psychosis, agitation, and apathy are common among nursing home patients with and without dementia. Treatment with one or more psychotropic drug is often without explicit clinical indication, despite low treatment efficacy, and potential side effects. We aim to investigate the multi-psychotropic drug use to identify factors and patient characteristics associated with multi-use.
METHODS:
We analysed three cohorts from 129 Norwegian nursing homes, collected between 2004 and 2011. Patients (N = 4739) were assessed with the Neuropsychiatric Inventory - Nursing Home version (NPI-NH), Clinical Dementia Rating scale, and Physical Self Maintenance Scale. We used ordinal logistic regression to analyse associations between psychotropics (antidepressants, antipsychotics, anxiolytics, hypnotics, and anti-dementia drugs), patient characteristics, and neuropsychiatric symptoms.
RESULTS:
Patients used on average 6.6 drugs; 27 % used no psychotropics, 32 % one, and 41 % multiple psychotropic drugs (24 % two, 17 % ≥3). Thirty-nine percent were prescribed antidepressants, 30 % sedatives, 24 % anxiolytics, and 20 % antipsychotics. The total NPI-NH score was associated with multi-use (OR 1.02, 95 % CI 1.02-1.03), and increased from a mean of 13.5 (SD 16.3) for patients using none, to 25.5 (21.8) for patients using ≥3 psychotropics. Affective symptoms (depression and anxiety) were most strongly associated with multi-psychotropic drug use (OR 1.10, 95 % CI: 1.09-1.12). Female gender, independency in daily living, younger age, dementia, and many regular drugs were also associated with multi-use.
CONCLUSION:
Forty-one percent were exposed to multi-psychotropic drug prescriptions. Contrary to current evidence and guidelines, there is an extensive use of multiple psychotropic drugs in patients with severe NPS and dementia. | en_US |
dc.description.sponsorship | CG receives a PhD grant from the Research Council of Norway (Sponsor’s
Protocol Code: 222113/H10).
The founding body had no role in the design of the study, data collection,
analyses, interpretation of the data, or writing the manuscript. | en_US |
dc.language.iso | eng | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Anti-dementia drugs; | en_US |
dc.subject | Antidepressants; | en_US |
dc.subject | Antipsychotics; | en_US |
dc.subject | Anxiolytics; | en_US |
dc.subject | Dementia; | en_US |
dc.subject | Hypnotics; | en_US |
dc.subject | Neuropsychiatric symptoms; | en_US |
dc.subject | Nursing homes; | en_US |
dc.subject | Psychotropic drugs | en_US |
dc.title | Multi-psychotropic drug prescription and the association to neuropsychiatric symptoms in three Norwegian nursing home cohorts between 2004 and 2011 | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_US |
dc.source.pagenumber | 9 | en_US |
dc.source.volume | 16:115 | en_US |
dc.source.journal | BMC Geriatrics | en_US |
dc.identifier.doi | 10.1186/s12877-016-0287-1 | |
dc.identifier.cristin | 1360993 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |