Health, Disorders, and Drug Consumption in an Elderly Population in Northern Sweden

Österlind, Per-Olov; Löfgren, Ann-Christine; Sandman, Per‐Olof; Steen, Bertil; Winblad, Bengt

doi:10.1159/000212765

Cited by 20 publications

(14 citation statements)

References 5 publications

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“…We found that men more often suffer from coronary heart disease, arrythmias, and heart failure. This finding is in accordance with a systematic health survey among elderly people in Northern Sweden (13).…”

Section: Resultssupporting

confidence: 92%

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General practitioners' office consultations with elderly patients – diagnoses and prescriptions: A report from the Møre & Romsdal Prescription Study

Straand¹,

Sandvik²,

Rokstad³

2009

Nor J Epidemiol

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Study objectives: To analyse office consultations with elderly people in general practice: reason for encounter, diagnostic indications for prescribing drugs, and what drugs are prescribed for the different diagnoses. Design: Cross-sectional survey. Setting: The Norwegian county of Møre and Romsdal. Participants: In 1988 and 1989 the general practitioners recorded all encounters with patients over a period of two months. The participation rate was close to 100%, and we report data from 10,850 office consultations with elderly patients (65 years and older). Main results: 60% of the consultations involved female patients, mean age was 74 years. One of three consultations were for new diagnoses, two thirds were follow-ups. The most common diagnostic groups were cardiovascular (28%), musculoskeletal (13%), psychiatric (8%) and respiratory diseases (8%). Almost 10% of all consultations were for hypertension. Drugs were prescribed during 56% of all consultations. 27% of all prescriptions were for cardiovascular drugs, and 25% were for the central nervous system. The 20 most common diagnoses constituted more than half of all the diagnoses, and the ten most common drugs (therapeutic groups) constituted almost 70% of all prescriptions. Conclusion: In the context of quality assurance large benefits may be gained even if focus is put on rather few diagnoses and drugs.

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Section: Resultssupporting

confidence: 92%

“…The present study shows that this holds true also for elderly patients. Even if this is a survey of reasons for contact and not a prevalence study, the results are not very different from prevalence studies reported from Sweden and Denmark (2,3,13,14). Generally, hypertension and heart diseases are the most common problems.…”

Section: Resultscontrasting

confidence: 52%

General practitioners' office consultations with elderly patients – diagnoses and prescriptions: A report from the Møre & Romsdal Prescription Study

Straand¹,

Sandvik²,

Rokstad³

2009

Nor J Epidemiol

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“…The reports on these drugs are considered to be in accordance with the true consumption. In the present study 27.4% of the clientele regularly used psychotropic drugs, a rate which is in the lower range of other reports (Tellnes et al, 1986a;Achong et al, 1978;Osterlind et al, 1986). Skegg et al (1977) and Landahl (1987) found an increasing consumption with rising age, while others (Greenblatt et al, 1975;Tellnes et al, 1986a), in accordance with the present study, demonstrated a reduced consumption in the higher age groups.…”

Section: Discussionsupporting

confidence: 78%

Consumption of psychotropic drugs in elderly persons registered at the home nursing centre in Bergen, Norway

Nygaard¹

1992

Int J Geriat Psychiatry

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SUMMARYThe regular use of psychotropic drugs in all patients aged 70 yr and over who were registered at the home nursing centre was studied. 27.4% of the patients used psychotropic drugs, 11.9% used antipsychotics, 14.6% anxiolytics and hypnoticsisedatives and 6% antidepressants. The use of antipsychotics was increased in mentally impaired patients and in wandering, restless aggressive persons, but declined with increasing age. Anxiolytics and hypnotics/ sedatives and antidepressants were more frequently used by apathetic/passive/anxious patients. The dosage of antipsychotics declined with age. The doses are usually in line with general suggestions. Drugs in which the efficacy is judged by the patients themselves seem to be taken in higher doses than drugs in which the efficacy is determined by the physician.

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“…In the first screening, serum samples were collected from 36 sixty-year-old and 34 eightyyear-old subjects as a part of a study specifically designed to study hormone and metabolic changes in old age [28]. In the second screening, 134 seventy-year-old individuals were investigated in a larger population survey performed to describe the ageing process in a broader perspective [29]. None of the referents had any known central nervous system disorder (including stroke and epilepsy) and none was hospitalized.…”

Section: Methodsmentioning

confidence: 99%

Lp(a) Lipoprotein in Patients with Acute Stroke

Asplund¹,

Olsson²,

Viitanen³

et al. 1991

Cerebrovasc Dis

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Serum lipoprotein(a) [Lp(a)] was determined in 205 patients (71 ± 10 years; mean age ± SD) with acute stroke and in 204 nonhospitalized referent subjects in the 60- to 80-year age range. Lp(a) levels were significantly higher in the stroke patients (median 87 vs. 63 mg/l; p = 0.002). Within the group of stroke patients, Lp(a) levels were similar among men and women, correlated modestly with age (r = 0.15; p = 0.04) and increased only marginally through the first days after stroke. Patients with concomitant ischemic heart disease tended to have higher Lp(a) than those without coronary disease (median 103 vs. 71 mg/l; p = 0.07). Hypertensive patients had higher levels than normotensives (97 vs. 73 mg/l; p = 0.02) and this relation between hypertension and Lp(a) was particularly strong among patients below 65 years of age (p = 0.01). Median Lp(a) level was 75 mg/l in patients not on beta blocker treatment, 103 mg/l in patients on selective beta blockers and 150 mg/l in those on nonselective beta blockers. In a multiple regression model, the use of beta blockers was a predictor of high Lp(a) levels (p = 0.03) that was independent of other clinical variables.

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Health, Disorders, and Drug Consumption in an Elderly Population in Northern Sweden

Cited by 20 publications

References 5 publications

General practitioners' office consultations with elderly patients – diagnoses and prescriptions: A report from the Møre & Romsdal Prescription Study

General practitioners' office consultations with elderly patients – diagnoses and prescriptions: A report from the Møre & Romsdal Prescription Study

Consumption of psychotropic drugs in elderly persons registered at the home nursing centre in Bergen, Norway

Lp(a) Lipoprotein in Patients with Acute Stroke

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