Use of antipsychotic medications in older home-care patients. Report from nine European countries
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND AND AIMS: Data on the use of antipsychotics among older people in need of regular home care services are rare. The aim of this study was to ascertain the differences in the use a...
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/42335 2023-05-15T16:52:47+02:00 Use of antipsychotic medications in older home-care patients. Report from nine European countries Alanen, Hanna-Mari Finne-Soveri, Harriet Fialova, Daniela Topinkova, Eva Jonsson, Palmi V Soerbye, Liv Wergeland Bernabei, Roberto Leinonen, Esa University of Tampere, Medical School, FIN- 33014 Tampere, Finland. hanna-mari.alanen@uta.fi 2008-12-15 http://hdl.handle.net/2336/42335 en eng Editrice Kurtis http://www.kurtis.it/abs/index.cfm?id_articolo_numero=4666 Aging Clin Exp Res. 2008, 20(3):260-5 1594-0667 18594194 http://hdl.handle.net/2336/42335 Aging clinical and experimental research Aged 80 and over Antipsychotic Agents Europe Female Home Care Services Humans Logistic Models Male Time Factors Article 2008 ftlandspitaliuni 2022-05-29T08:21:13Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND AND AIMS: Data on the use of antipsychotics among older people in need of regular home care services are rare. The aim of this study was to ascertain the differences in the use and type of antipsychotic medications between European home-care sites. METHODS: A cross-sectional study was designed by means of RAI (Resident Assessment Instrument for Home Care) assessments. A random sample of 3251 assessments was gathered during the period September 2001-January 2002 from home care patients aged 65 and over in nine European countries (Czech Republic, Denmark, Finland, Germany, Iceland, Italy, Netherlands, Norway and United Kingdom). RESULTS: Two hundred of the home care patients (6.2%) received antipsychotic medication. The prevalence of the use of one or more antipsychotics varied widely between study sites, ranging from 3.0% in Denmark to 12.4% in Finland. Factors independently associated with the use of antipsychotics were: delusions (OR 3.09, 95% CI 1.66-5.76), any diagnosis of dementia (OR 2.57, 95% CI 1.70-3.87), youngest age group (65-74 yrs) (OR 2.37, 95% CI 1.53-3.66) and hallucinations (OR 2.28, 95% CI 1.17-4.45). Concomitant use of anxiolytics (OR 2.32, 95% CI 1.58- 3.41), hypnotics (OR 2.08, 95% CI 1.44-3.03) and antidepressants (OR 2.06, 95% CI 1.41-3.00) together with signs of depression (OR 1.78, 95% CI 1.24- 2.56), moderate to severe cognitive impairment (OR 1.30, 95% CI 1.12-1.51) and residing in Finland (OR 2.52, 95% CI 1.21-5.24) or Italy (OR 2.15, 95% CI 1.10-4.19) were associated with the use of antipsychotics. The most commonly used antipsychotic agent was risperidone (n=42, 21%). CONCLUSIONS: The frequency of antipsychotic drug use in older home-care patients varied considerably among the European countries studied. Antipsychotic drug treatment in older home-care recipients seems to be less common than in residents in long-term institutional care, and more common than among ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Norway |
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Hirsla - Landspítali University Hospital research archive |
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ftlandspitaliuni |
language |
English |
topic |
Aged 80 and over Antipsychotic Agents Europe Female Home Care Services Humans Logistic Models Male Time Factors |
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Aged 80 and over Antipsychotic Agents Europe Female Home Care Services Humans Logistic Models Male Time Factors Alanen, Hanna-Mari Finne-Soveri, Harriet Fialova, Daniela Topinkova, Eva Jonsson, Palmi V Soerbye, Liv Wergeland Bernabei, Roberto Leinonen, Esa Use of antipsychotic medications in older home-care patients. Report from nine European countries |
topic_facet |
Aged 80 and over Antipsychotic Agents Europe Female Home Care Services Humans Logistic Models Male Time Factors |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND AND AIMS: Data on the use of antipsychotics among older people in need of regular home care services are rare. The aim of this study was to ascertain the differences in the use and type of antipsychotic medications between European home-care sites. METHODS: A cross-sectional study was designed by means of RAI (Resident Assessment Instrument for Home Care) assessments. A random sample of 3251 assessments was gathered during the period September 2001-January 2002 from home care patients aged 65 and over in nine European countries (Czech Republic, Denmark, Finland, Germany, Iceland, Italy, Netherlands, Norway and United Kingdom). RESULTS: Two hundred of the home care patients (6.2%) received antipsychotic medication. The prevalence of the use of one or more antipsychotics varied widely between study sites, ranging from 3.0% in Denmark to 12.4% in Finland. Factors independently associated with the use of antipsychotics were: delusions (OR 3.09, 95% CI 1.66-5.76), any diagnosis of dementia (OR 2.57, 95% CI 1.70-3.87), youngest age group (65-74 yrs) (OR 2.37, 95% CI 1.53-3.66) and hallucinations (OR 2.28, 95% CI 1.17-4.45). Concomitant use of anxiolytics (OR 2.32, 95% CI 1.58- 3.41), hypnotics (OR 2.08, 95% CI 1.44-3.03) and antidepressants (OR 2.06, 95% CI 1.41-3.00) together with signs of depression (OR 1.78, 95% CI 1.24- 2.56), moderate to severe cognitive impairment (OR 1.30, 95% CI 1.12-1.51) and residing in Finland (OR 2.52, 95% CI 1.21-5.24) or Italy (OR 2.15, 95% CI 1.10-4.19) were associated with the use of antipsychotics. The most commonly used antipsychotic agent was risperidone (n=42, 21%). CONCLUSIONS: The frequency of antipsychotic drug use in older home-care patients varied considerably among the European countries studied. Antipsychotic drug treatment in older home-care recipients seems to be less common than in residents in long-term institutional care, and more common than among ... |
author2 |
University of Tampere, Medical School, FIN- 33014 Tampere, Finland. hanna-mari.alanen@uta.fi |
format |
Article in Journal/Newspaper |
author |
Alanen, Hanna-Mari Finne-Soveri, Harriet Fialova, Daniela Topinkova, Eva Jonsson, Palmi V Soerbye, Liv Wergeland Bernabei, Roberto Leinonen, Esa |
author_facet |
Alanen, Hanna-Mari Finne-Soveri, Harriet Fialova, Daniela Topinkova, Eva Jonsson, Palmi V Soerbye, Liv Wergeland Bernabei, Roberto Leinonen, Esa |
author_sort |
Alanen, Hanna-Mari |
title |
Use of antipsychotic medications in older home-care patients. Report from nine European countries |
title_short |
Use of antipsychotic medications in older home-care patients. Report from nine European countries |
title_full |
Use of antipsychotic medications in older home-care patients. Report from nine European countries |
title_fullStr |
Use of antipsychotic medications in older home-care patients. Report from nine European countries |
title_full_unstemmed |
Use of antipsychotic medications in older home-care patients. Report from nine European countries |
title_sort |
use of antipsychotic medications in older home-care patients. report from nine european countries |
publisher |
Editrice Kurtis |
publishDate |
2008 |
url |
http://hdl.handle.net/2336/42335 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.kurtis.it/abs/index.cfm?id_articolo_numero=4666 Aging Clin Exp Res. 2008, 20(3):260-5 1594-0667 18594194 http://hdl.handle.net/2336/42335 Aging clinical and experimental research |
_version_ |
1766043169811595264 |