Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador
Objective: The use of antipsychotics to treat seniors in long-term care facilities (LTC Fs) has raised concern because of health consequences (i.e., increased risk of falls, stroke, death) in this vulnerable population. This study measured geographic patterns of antipsychotic utilization among senio...
Published in: | Canadian Pharmacists Journal / Revue des Pharmaciens du Canada |
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SAGE Publications
2021
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Online Access: | https://research.library.mun.ca/14817/ https://research.library.mun.ca/14817/1/17151635211005161.pdf https://doi.org/10.1177/17151635211005161 |
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ftmemorialuniv:oai:research.library.mun.ca:14817 2023-10-01T03:57:35+02:00 Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador Giovannini-Green, Zachary E.M. Gamble, John-Michael Barrett, Brendan Gao, Zhiwei Stuckless, Susan N. Parfrey, Patrick S. 2021-04-23 application/pdf https://research.library.mun.ca/14817/ https://research.library.mun.ca/14817/1/17151635211005161.pdf https://doi.org/10.1177/17151635211005161 en eng SAGE Publications https://research.library.mun.ca/14817/1/17151635211005161.pdf Giovannini-Green, Zachary E.M. <https://research.library.mun.ca/view/creator_az/Giovannini-Green=3AZachary_E=2EM=2E=3A=3A.html> and Gamble, John-Michael <https://research.library.mun.ca/view/creator_az/Gamble=3AJohn-Michael=3A=3A.html> and Barrett, Brendan <https://research.library.mun.ca/view/creator_az/Barrett=3ABrendan=3A=3A.html> and Gao, Zhiwei <https://research.library.mun.ca/view/creator_az/Gao=3AZhiwei=3A=3A.html> and Stuckless, Susan N. <https://research.library.mun.ca/view/creator_az/Stuckless=3ASusan_N=2E=3A=3A.html> and Parfrey, Patrick S. <https://research.library.mun.ca/view/creator_az/Parfrey=3APatrick_S=2E=3A=3A.html> (2021) Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador. Canadian Pharmacists Journal. ISSN 1913-701X cc_by_nc Article PeerReviewed 2021 ftmemorialuniv https://doi.org/10.1177/17151635211005161 2023-09-03T06:49:57Z Objective: The use of antipsychotics to treat seniors in long-term care facilities (LTC Fs) has raised concern because of health consequences (i.e., increased risk of falls, stroke, death) in this vulnerable population. This study measured geographic patterns of antipsychotic utilization among seniors living in LTC Fs in Newfoundland and Labrador (NL) and assessed potential inappropriateness. Method: We analyzed prescription records among adults 66 years and older with provincial prescription drug coverage admitted to LTC Fs in NL between April 1, 2011, and March 31, 2014. Patterns of use were analyzed across the 4 regional health authorities (RHAs) in NL and LTC Fs. Logistic, Poisson and linear regression models were used to test variations in prevalence, rate and volume of antipsychotic utilization. To assess potential inappropriateness of antipsychotic use, we analyzed data from Resident Assessment Instrument–Minimum Data Set (RAI-MDS) 2.0 forms from NL LTC Fs between January 1, 2016, and December 31, 2018. Pearson chi-squared analysis was performed at the RHA and LTC F levels to determine changes in percentage of total prescriptions or antipsychotic prescriptions without psychosis. Results: Between 2011 and 2014, 2843 seniors were admitted to LTC Fs across NL; of these, 1323 residents were prescribed 1 or more antipsychotics. Within the 3-year period, the percentage of antipsychotic use across facilities ranged from 35% to 78%. Using data from 27,260 RAI-MDS 2.0 assessments between 2016 and 2018, 71% (6995/9851) of antipsychotic prescriptions were potentially inappropriate. Discussion: There is substantial variation across NL regions concerning the utilization of antipsychotics for senior in LTC Fs. Facility size and management styles may be reasons for this. Conclusion: With nearly three-quarters of antipsychotic prescriptions shown to be potentially inappropriate, systematic interventions to assess indications for antipsychotic use are warranted. Article in Journal/Newspaper Newfoundland Memorial University of Newfoundland: Research Repository Newfoundland Canadian Pharmacists Journal / Revue des Pharmaciens du Canada 154 3 205 212 |
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Memorial University of Newfoundland: Research Repository |
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ftmemorialuniv |
language |
English |
description |
Objective: The use of antipsychotics to treat seniors in long-term care facilities (LTC Fs) has raised concern because of health consequences (i.e., increased risk of falls, stroke, death) in this vulnerable population. This study measured geographic patterns of antipsychotic utilization among seniors living in LTC Fs in Newfoundland and Labrador (NL) and assessed potential inappropriateness. Method: We analyzed prescription records among adults 66 years and older with provincial prescription drug coverage admitted to LTC Fs in NL between April 1, 2011, and March 31, 2014. Patterns of use were analyzed across the 4 regional health authorities (RHAs) in NL and LTC Fs. Logistic, Poisson and linear regression models were used to test variations in prevalence, rate and volume of antipsychotic utilization. To assess potential inappropriateness of antipsychotic use, we analyzed data from Resident Assessment Instrument–Minimum Data Set (RAI-MDS) 2.0 forms from NL LTC Fs between January 1, 2016, and December 31, 2018. Pearson chi-squared analysis was performed at the RHA and LTC F levels to determine changes in percentage of total prescriptions or antipsychotic prescriptions without psychosis. Results: Between 2011 and 2014, 2843 seniors were admitted to LTC Fs across NL; of these, 1323 residents were prescribed 1 or more antipsychotics. Within the 3-year period, the percentage of antipsychotic use across facilities ranged from 35% to 78%. Using data from 27,260 RAI-MDS 2.0 assessments between 2016 and 2018, 71% (6995/9851) of antipsychotic prescriptions were potentially inappropriate. Discussion: There is substantial variation across NL regions concerning the utilization of antipsychotics for senior in LTC Fs. Facility size and management styles may be reasons for this. Conclusion: With nearly three-quarters of antipsychotic prescriptions shown to be potentially inappropriate, systematic interventions to assess indications for antipsychotic use are warranted. |
format |
Article in Journal/Newspaper |
author |
Giovannini-Green, Zachary E.M. Gamble, John-Michael Barrett, Brendan Gao, Zhiwei Stuckless, Susan N. Parfrey, Patrick S. |
spellingShingle |
Giovannini-Green, Zachary E.M. Gamble, John-Michael Barrett, Brendan Gao, Zhiwei Stuckless, Susan N. Parfrey, Patrick S. Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador |
author_facet |
Giovannini-Green, Zachary E.M. Gamble, John-Michael Barrett, Brendan Gao, Zhiwei Stuckless, Susan N. Parfrey, Patrick S. |
author_sort |
Giovannini-Green, Zachary E.M. |
title |
Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador |
title_short |
Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador |
title_full |
Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador |
title_fullStr |
Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador |
title_full_unstemmed |
Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador |
title_sort |
variation and appropriateness of antipsychotic use in long-term care facilities across newfoundland and labrador |
publisher |
SAGE Publications |
publishDate |
2021 |
url |
https://research.library.mun.ca/14817/ https://research.library.mun.ca/14817/1/17151635211005161.pdf https://doi.org/10.1177/17151635211005161 |
geographic |
Newfoundland |
geographic_facet |
Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_relation |
https://research.library.mun.ca/14817/1/17151635211005161.pdf Giovannini-Green, Zachary E.M. <https://research.library.mun.ca/view/creator_az/Giovannini-Green=3AZachary_E=2EM=2E=3A=3A.html> and Gamble, John-Michael <https://research.library.mun.ca/view/creator_az/Gamble=3AJohn-Michael=3A=3A.html> and Barrett, Brendan <https://research.library.mun.ca/view/creator_az/Barrett=3ABrendan=3A=3A.html> and Gao, Zhiwei <https://research.library.mun.ca/view/creator_az/Gao=3AZhiwei=3A=3A.html> and Stuckless, Susan N. <https://research.library.mun.ca/view/creator_az/Stuckless=3ASusan_N=2E=3A=3A.html> and Parfrey, Patrick S. <https://research.library.mun.ca/view/creator_az/Parfrey=3APatrick_S=2E=3A=3A.html> (2021) Variation and appropriateness of antipsychotic use in long-term care facilities across Newfoundland and Labrador. Canadian Pharmacists Journal. ISSN 1913-701X |
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cc_by_nc |
op_doi |
https://doi.org/10.1177/17151635211005161 |
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Canadian Pharmacists Journal / Revue des Pharmaciens du Canada |
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154 |
container_issue |
3 |
container_start_page |
205 |
op_container_end_page |
212 |
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