RESUMEN
This study clarifies the methodological pitfalls of using cross-sectional data to characterize episodic and continuous patterns of prescribing psychotropic medications in nursing homes. Although more than half of the residents in a teaching nursing home received a psychotropic drug during their 5 years of residence, less than one-quarter were continuously medicated. The authors conclude that although the rates of psychotropic prescriptions are an important entry point for concerns about quality and appropriateness of psychotropic administration to older nursing home residents, longitudinal studies including the prescribing pattern, indications, and efficacy are needed to determine more clinically meaningful indicators of quality care.
Asunto(s)
Trastornos Mentales/tratamiento farmacológico , Casas de Salud , Psicotrópicos/administración & dosificación , Anciano , Anciano de 80 o más Años , Prescripciones de Medicamentos , Utilización de Medicamentos , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Casas de Salud/normas , Calidad de la Atención de SaludRESUMEN
Air in the portal venous system after a colonic examination (colonoscopy or barium enema) or umbilical vein catheterization is a benign, selflimiting condition. The underlying intestinal pathology, however, is important in determining the status of the patient. Supportive treatment and antibiotic therapy is all that is needed for these patients.