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dc.contributor.authorSelbæk, Geir
dc.contributor.authorJanus, Sarah I. M.
dc.contributor.authorBergh, Sverre
dc.contributor.authorEngedal, Knut
dc.contributor.authorRuths, Sabine
dc.contributor.authorHelvik, Anne-Sofie
dc.contributor.authorSaltyte-Benth, Jurate
dc.contributor.authorZuidema, Sytse U.
dc.date.accessioned2019-10-03T07:55:28Z
dc.date.available2019-10-03T07:55:28Z
dc.date.issued2017-10-09
dc.identifier.citationSelbæk, G., Janus, S. I. M., Bergh, S., Engedal, K., Ruths, S., Helvik, A. S., ... & Zuidema, S. U. (2018). Change in psychotropic drug use in Norwegian nursing homes between 2004 and 2011. International psychogeriatrics, 30(3), 385-394.en
dc.identifier.issn1041-6102
dc.identifier.urihttps://hdl.handle.net/10642/7598
dc.description.abstractBackground: We aimed to assess whether there were any changes in the use of psychotropic drugs in Norwegian nursing homes between 2004 and 2011. Also, we investigated whether the predictors of use of specific psychotropic drug groups have changed. Methods: We conducted a secondary analysis of two cohort studies of two Norwegian nursing home samples (2004/05 and 2010/11). Multivariate models were applied. Results: We found a significant decrease in the prescription of antipsychotic drugs between 2004 and 2011 (0.63 OR, 95%CI = 0.49–0.82, p < 0.001) even after adjusting for relevant demographic and clinical variables. There are only minor changes for the other psychotropic drugs. We found that (1) the use of specific psychotropic drug groups as well as the number of psychotropic drugs used was associated with more affective symptoms and (2) the use of specific psychotropic drug groups as well as the number of psychotropic drugs used was associated with lower scores on the Physical Self-Maintenance scale. Conclusion: This is the first study to show a robust decrease in antipsychotic drug use in nursing home patients with dementia unrelated to possible changes in case mix. The change might be explained by treatment recommendations against its use except in the most severe conditions of aggression or psychosis. Our findings indicate that it takes several years to implement scientific knowledge in clinical practice in nursing homes.en
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.relation.ispartofseriesInternational psychogeriatrics;30(3)
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States This is a postprint version of an article originally published at http://dx.doi.org/10.1017/S1041610217001788en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectArtikkelen
dc.subjectVDP::Medisinske Fag: 700en
dc.titleChange in psychotropic drug use in Norwegian nursing homes between 2004 and 2011en
dc.typePeer revieweden
dc.description.versionacceptedVersionen
dc.identifier.doihttps://doi.org/10.1017/S1041610217001788
dc.identifier.cristin1505114


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Attribution-NonCommercial-NoDerivs 3.0 United States

This is a postprint version of an article originally published at http://dx.doi.org/10.1017/S1041610217001788
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States This is a postprint version of an article originally published at http://dx.doi.org/10.1017/S1041610217001788