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Inappropriate prescribing before and after nursing home admission
Author(s)Irfan A Dhalla, Geoffrey M Anderson, Muhammad M Mamdani
Journal titleJournal of the American Geriatrics Society, vol 50, no 6,, June 2002
Pagespp 995-1000
KeywordsDrugs ; Nursing homes ; Canada.
AnnotationEducation programmes on drug use restrictions are suggested as a way of reducing the prevalence of inappropriate prescribing. Logistic regression analysis was used to study the association between inappropriate prescribing and patient and physician characteristics for the 19,911 people aged 66+ admitted to all nursing homes in Ontario, Canada between April 1997 and March 1999. Inappropriate prescribing was indicated by the prescription of one of 49 inappropriate drugs. The proportion of patients receiving a prescription for at least one inappropriate drug decreased from 25.4% before nursing home admission to 20.8% afterwards. Most of those who had been prescribed an inappropriate agent before nursing home entry had that agent discontinued after admission. The most commonly prescribed inappropriate drugs after admission were anticholinergic antidepressants and long half-life benzodiazepines. Although the prevalence of inappropriate prescribing declined after nursing home admission, there was an overall increase in drug use. (RH).
Accession NumberCPA-020808207 A
ClassmarkLLD: LHB: 7S

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