Use of Antipsychotics among Elderly Nursing Home Residents with Dementia in the US

Abstract

Nearly one-third of elderly nursing home residents with dementia received antipsychotic medications, mainly atypical agents. Predisposing, enabling and need factors influenced the use of atypical agents in dementia patients. These findings suggest a need to optimize use of atypical antipsychotics in elderly dementia patients in nursing homes in the light of recent efficacy and safety data.

Utilization Pattern of Antipsychotics at a Tertiary Care Hospital in Oman

“…In contrary to other studies, females were found to be the most utilizer of antipsychotics in our study [5,6,[11][12][13][14]. This may be due to the higher incidence and prevalence of mental health morbidities as well as the total visits in psychiatric clinics among females than males as reported in the annual report of Ministry of Health in Oman (MOH) [10].…”

“…It also forms a database for future research and pattern comparison. The ratio for use of atypical: typical antipsychotics in our study (2.3:1) is somehow similar to what is reported in Western world and higher than other developing countries [5,9,[11][12][13][14]. One reason for this might be attributed to the economic status of the countries.…”

“…This difference might be due to the physician preferences and availability of generic versus brand choices. For typical antipsychotics, haloperidol followed by chlorpromazine was the commonest used agents in SQUH, which is also similar to the Canadian and Australian studies [9,11]. Both drugs are included as essential medicines used in psychotic disorders by WHO [20].…”

Factors correlated with initiating antipsychotics among dementia patients in Korean long-term care facilities: National Health Insurance Service-Senior Cohort (2002-2013)

“…Previous studies in the U.S., the Netherlands, and Canada reported that the prescription rates of antipsychotics in LTCFs differ according to the characteristics and culture at the facility level, independent of individual characteristics, even in the same country. 15,16,19,20 However, there are no residing physicians in Korean LTCFs. Physician visits occur every two weeks, but prescriptions within the institution are prohibited by law, and necessary prescriptions can only be issued in external hospitals.…”

Predictors of Concomitant Use of Antipsychotics and Stimulants and Its Impact on Stimulant Persistence in Pediatric Attention Deficit Hyperactivity Disorder

“…53 This model has been previously used in studies involving medication use. [54][55][56] According to this model, health care use is a function of predisposing, enabling, and need factors. Predisposing factors are the characteristics of an individual that exist before the illness and include demographic characteristics, social structure characteristics, and health beliefs.…”