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An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care

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An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care. / McCowan, Colin; Magin, Parker; Clark, Stella; Guthrie, Bruce.

In: Age and Ageing, Vol. 42, No. 1, 01.01.2013, p. 51-56.

Research output: Contribution to journalArticle

Harvard

McCowan, C, Magin, P, Clark, S & Guthrie, B 2013, 'An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care' Age and Ageing, vol 42, no. 1, pp. 51-56., 10.1093/ageing/afs117

APA

McCowan, C., Magin, P., Clark, S., & Guthrie, B. (2013). An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care. Age and Ageing, 42(1), 51-56. 10.1093/ageing/afs117

Vancouver

McCowan C, Magin P, Clark S, Guthrie B. An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care. Age and Ageing. 2013 Jan 1;42(1):51-56. Available from: 10.1093/ageing/afs117

Author

McCowan, Colin; Magin, Parker; Clark, Stella; Guthrie, Bruce / An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care.

In: Age and Ageing, Vol. 42, No. 1, 01.01.2013, p. 51-56.

Research output: Contribution to journalArticle

Bibtex - Download

@article{c4c39ea0a1b449f981af01a5073b0869,
title = "An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care",
author = "Colin McCowan and Parker Magin and Stella Clark and Bruce Guthrie",
note = "Copyright 2013 Elsevier B.V., All rights reserved.",
year = "2013",
doi = "10.1093/ageing/afs117",
volume = "42",
number = "1",
pages = "51--56",
journal = "Age and Ageing",
issn = "0002-0729",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - An observational study of psychotropic drug use and initiation in older patients resident in their own home or in care

A1 - McCowan,Colin

A1 - Magin,Parker

A1 - Clark,Stella

A1 - Guthrie,Bruce

AU - McCowan,Colin

AU - Magin,Parker

AU - Clark,Stella

AU - Guthrie,Bruce

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Objective: to compare the prescription of psychotropic medications for patients living in care homes with that for patients living at home.<br/><br/>Design and setting: retrospective population database study in the Tayside region of Scotland.<br/><br/>Subjects: 70,297 patients aged =65 and followed until death or the end of the study.<br/><br/>Methods: examining registered addresses for all people aged 65–99 identified those in care. The prescriptions for a 12-week period was examined and psychotropic drug use compared by their place of residence. Comparisons of prescriptions pre- and post-admission were performed for people admitted to a care home from Jan 2005 to Dec 2006.<br/><br/>Results: people living in care (4.1%) received 9.80 more prescribed items (P &lt; 0.001) from 1.63 more British National Formulary (BNF) categories (P &lt; 0.001) than people living at home over a 12-week period. They were more likely to receive any psychotropic medication (42 versus 16%, odds ratio (OR) 3.09, 95% CI: 2.79–3.41).<br/><br/>Over 70% of 1,715 people admitted to care homes during the study who received psychotropic medication commenced the medication prior to admission. Patients who started anti-psychotics in the 30 days prior to admission were less likely to have stopped them (OR: 0.53, 95% CI: 0.30–0.94).<br/><br/>Conclusion: prolonged prescription of psychotropic medications is commonplace in care home residents. Almost half of the people prescribed antipsychotic drugs received them for a minimum of 6 months. Systematic medication reviews must be established in all care homes to promote safe and effective prescription to this at-risk population.

AB - Objective: to compare the prescription of psychotropic medications for patients living in care homes with that for patients living at home.<br/><br/>Design and setting: retrospective population database study in the Tayside region of Scotland.<br/><br/>Subjects: 70,297 patients aged =65 and followed until death or the end of the study.<br/><br/>Methods: examining registered addresses for all people aged 65–99 identified those in care. The prescriptions for a 12-week period was examined and psychotropic drug use compared by their place of residence. Comparisons of prescriptions pre- and post-admission were performed for people admitted to a care home from Jan 2005 to Dec 2006.<br/><br/>Results: people living in care (4.1%) received 9.80 more prescribed items (P &lt; 0.001) from 1.63 more British National Formulary (BNF) categories (P &lt; 0.001) than people living at home over a 12-week period. They were more likely to receive any psychotropic medication (42 versus 16%, odds ratio (OR) 3.09, 95% CI: 2.79–3.41).<br/><br/>Over 70% of 1,715 people admitted to care homes during the study who received psychotropic medication commenced the medication prior to admission. Patients who started anti-psychotics in the 30 days prior to admission were less likely to have stopped them (OR: 0.53, 95% CI: 0.30–0.94).<br/><br/>Conclusion: prolonged prescription of psychotropic medications is commonplace in care home residents. Almost half of the people prescribed antipsychotic drugs received them for a minimum of 6 months. Systematic medication reviews must be established in all care homes to promote safe and effective prescription to this at-risk population.

UR - http://www.scopus.com/inward/record.url?scp=84871348849&partnerID=8YFLogxK

U2 - 10.1093/ageing/afs117

DO - 10.1093/ageing/afs117

M1 - Article

JO - Age and Ageing

JF - Age and Ageing

SN - 0002-0729

IS - 1

VL - 42

SP - 51

EP - 56

ER -

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