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  • de Mauleon, AdelaideDepartment of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France (author)

Associated Factors With Antipsychotic Use in Long-Term Institutional Care in Eight European Countries: Results From the RightTimePlaceCare Study

  • Article/chapterEnglish2014

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  • Philadelphia :Elsevier,2014
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:hh-31581
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-31581URI
  • https://doi.org/10.1016/j.jamda.2014.06.015DOI
  • https://lup.lub.lu.se/record/4614499URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objectives: To determine factors associated with the antipsychotic (AP) prescription for people with dementia (PwD) recently admitted to institutional long-term carefacilities (LTCFs) and to ascertain differences in the use of this medication in 8 European countries.Design: An exploratory cross-sectional study.Setting: LTCFs from 8 European countries (Estonia, Finland, France, Germany, The Netherlands, Spain, Sweden, and England).Participants: A total of 791 PwD recently admitted to an LTCF and their caregivers.Measurements: Baseline data from RightTimePlaceCare survey was used. Patients' medical conditions, neuropsychiatric symptoms, physical and cognitive status, and medications were recorded. Multiple logistic regression models were used to assess associations with the AP use. Results: A group of 296 patients (37.4%) of 791 patients recently admitted received AP medication. The prevalence of the use of 1 or more APs varied between study countries, ranging from 12% in Sweden to 54% inSpain. Factors independently associated with the AP use were living in Sweden [odds ratio (OR) 0.12, 95% confidence interval (CI) 0.05-0.30], Finland (OR 0.26, 95% CI 0.14-0.48), Germany (OR 2.75, 95% CI 1.55-4.86) and Estonia (OR 6.79, 95% CI 3.84-12.0). The odds of AP use decreased with the presence of a dementia specific unit inthe LTCF (OR 0.60, 95% CI 0.39-0.92), but was higher among residents with a hyperactivity behavior (OR 2.12, 95% CI 1.41-3.18).Conclusion: The current study shows that more than one-third of the residents recently admitted received APs and that prescription frequency across countries varied significantly. This study raises the possibility that the presence of a dementia-specific unit might play a role in the AP use. Further studies should investigate this association and seek better understanding of what will achieve optimal quality of AP use among newly admitted residents in LTCF. © 2014 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

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  • Sourdet, SandrineDepartment of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France (author)
  • Renom-Guiteras, AnnaInstitut fuer Allgemeinmedizin und Familienmedizin, Universitaet Witten/Herdecke, Witten, Germany (author)
  • Gillette-Guyonnet, SophieDepartment of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France (author)
  • Leino-Kilpi, HelenaDepartment of Nursing Science, University of Turku, Turku, Finland (author)
  • Karlsson, Staffan,1959-Lund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups,Department of Health Sciences, Lund University, Lund, Sweden(Swepub:lu)omv-ska (author)
  • Bleijlevens, MichelDepartment of Health Services Research, Maastricht University, Maastricht, The Netherlands (author)
  • Zabalegui, AdelaidaHospital Clinic de Barcelona, Barcelona, Spain (author)
  • Saks, KaiDepartment of Internal Medicine, University of Tartu, Tartu, Estonia (author)
  • Vellas, BrunoDepartment of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France (author)
  • Jolley, DavidPersonal Social Services Research Unit, University of Manchester, Manchester, UK (author)
  • Soto, MariaDepartment of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France (author)
  • Zabategui, Adela (author)
  • Department of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, FranceInstitut fuer Allgemeinmedizin und Familienmedizin, Universitaet Witten/Herdecke, Witten, Germany (creator_code:org_t)

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  • In:Journal of the American Medical Directors AssociationPhiladelphia : Elsevier15:11, s. 812-8181525-86101538-9375

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