Prescribing quality for older people in Norwegian nursing homes and home nursing services using multidose dispensed drugs

Abstract

Sammendrag:Purpose: to examine and compare the quality of drug prescribing for older patients in nursing homes and home nursing services. Methods: Cross-sectional study comprising 11 254 patients aged ≥65 years in nursing homes (n = 2986) and home nursing services (n = 8268). Potentially inappropriate medications were identified by using the Norwegian General Practice criteria and drug-drug interactions through a Norwegian Web-based tool. The impact of care setting on exposure to selected drug groups, potentially inappropriate medications, and drug interactions was calculated, adjusting for patients' age, gender, and number of drugs used. Results: patients in nursing homes and home nursing services used on average 5.7 (SD = 2.6) multidose dispensed regular drugs. 26% used at least one potentially inappropriate medication, 31% in nursing homes and 25% in home nursing services, p<.001. Concomitant use of three or more psychotropic and/or opioid drugs was the criterion most commonly identified in nursing homes (18%) and home nursing services (9%), p<.001. Compared with nursing homes, more patients in home nursing services used cardiovascular drugs and fewer patients used psychotropic drugs. Altogether, 8615 drugdrug interactions were identified in 55% of patients, 48% in nursing homes and 57% in home nursing services, p<.001. Conclusions: there are significant differences in the quality of drug prescribing in nursing homes compared with home nursing services. Explanations as to why these differences exist need to be further explored.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.

Polypharmacy and potentially inappropriate medications: a cross-sectional analysis among 451 nursing homes in France

“…The increased risk of PIMs observed in women is quite surprising. Indeed, gender had no influence on PIMs in any of the 11 studies that studied this relationship [12,41,30,[42][43][44]29,45,46,14,47]. This result may reflect the fact that women live longer, but with a heavier burden of comorbidity, and hence medications.…”

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Social Pharmacy and Clinical Pharmacy—Joining Forces

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Drug burden index, polypharmacy and patient health outcomes in cognitively intact older residents of aged care facilities in Malaysia

“…Previous studies in the US and Europe indicate a proportional increase in the number of medications used with age . The use of five or more medications concurrently is common in residential aged care facilities (RACFs) . Growing evidence suggests that polypharmacy in older people is related to inappropriate medications .…”

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