The dispensing of psychotropic medicines to older people before and after they enter residential aged care.
Med J Aust
; 212(7): 309-313, 2020 04.
Article
em En
| MEDLINE
| ID: mdl-32045014
ABSTRACT
OBJECTIVE:
To examine the prevalence of psychotropic medicine dispensing before and after older people enter residential care.DESIGN:
Retrospective national cohort study; analysis of Registry of Senior Australians (ROSA) data. SETTING,PARTICIPANTS:
All concession card-holding residents of government-subsidised residential aged care facilities in Australia who entered residential care for at least three months between 1 April 2008 and 30 June 2015. MAIN OUTCOMEMEASURES:
Proportions of residents dispensed antipsychotic, benzodiazepine, or antidepressant medicines during the year preceding and the year after commencing residential care, by quarter.RESULTS:
Of 322 120 included aged care residents, 68 483 received at least one antipsychotic (21.3%; 95% CI, 21.1-21.4%), 98 315 at least one benzodiazepine (30.5%; 95% CI, 30.4-30.7%), and 122 224 residents at least one antidepressant (37.9%; 95% CI, 37.8-38.1%) during their first three months of residential care; 31 326 of those dispensed antipsychotics (45.7%), 38 529 of those dispensed benzodiazepines (39.2%), and 25 259 residents dispensed antidepressants (19.8%) had not received them in the year preceding their entry into care. During the first three months of residential care, the prevalence of antipsychotic (prevalence ratio [PR], 3.37; 95% CI, 3.31-3.43) and antidepressant dispensing (PR, 1.05; 95% CI, 1.04-1.07) were each higher for residents with than for those without dementia; benzodiazepine dispensing was similar for both groups (PR, 1.01; 95% CI, 0.99-1.02).CONCLUSIONS:
Dispensing of psychotropic medicines to older Australians is high before they enter residential care but increases markedly soon after entry into care. Non-pharmacological behavioural management strategies are important for limiting the prescribing of psychotropic medicines for older people in the community or in residential care.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Benzodiazepinas
/
Uso de Medicamentos
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Instituição de Longa Permanência para Idosos
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Antidepressivos
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Casas de Saúde
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article