Izvorni znanstveni članak
Psychotropic medication use among elderly nursing home residents in Slovenia: crosssectional study
Marija Petek Šter
; Department of Family MedicineMedical faculty, University of Ljubljana, Slovenia
Eva Cedilnik Gorup
; Department of Family MedicineMedical faculty,University of Ljubljana, Slovenia
Sažetak
Aim To determine the prevalence of psychotropic medication
prescribing in elderly nursing home residents in Slovenia
and to explore the residents’, physicians’, and nursing
home characteristics associated with prescribing.
Methods In a cross-sectional study, we collected the data
for 2040 nursing home residents aged 65 years and older
in 12 nursing homes in Slovenia between September 25
and November 30, 2006. Prescribed medications lists were
retrieved from patients’ medical records. Psychotropic
medications were coded according to Anatomical Therapeutic
Chemical Classification 2005, which we adjusted for
the purposes of the study. Multivariate logistic regression
analysis was performed to determine the residents’, physicians’,
and nursing home characteristics associated with
prescribing.
Results Residents were from 65 to 104 years old (median,
83 years) and 1606 (79%) of them were female. A total
of 970 (48%) residents had dementia and 466 had depression
(23%). In 1492 (73%) residents, at least one psychotropic
medication was prescribed. Nine hundred sixty residents
were prescribed hypnotics and sedatives (47%), 572
(28%) antipsychotics, 460 (23%) antidepressants, and 432
(21%) anxiolytics. Residents’ characteristics associated with
psychotropic medication use were female sex (odds ratio
[OR], 1.36; 95% confidence interval [CI], 1.03-1.80), age (OR,
0.97; 95% CI, 0.95-0.98), permanent restlessness (OR, 2.54;
95% CI, 1.71-3.78), dementia (OR, 1.76; 95% CI, 1.33-2.34),
depression (OR, 5.51; 95% CI, 3.50-7.58), and the number
of prescribed medications (OR, 1.29; 95% CI, 1.23-1.35). Of
physicians’ characteristics (sex, age, specialization in general
practice, years of working experiences as a general
practitioner, and years of experiences working in a nursing
home), male sex was associated with psychotropic medication
prescribing (OR, 1.80; 95% CI, 1.17-2.76).
Conclusion Frequency of psychotropic medication prescribing
in elderly nursing home residents in Slovenia is
high and is comparable to Western European countries.
Our next step should be optimizing the prescribing in patients
with the highest prescription rate.
Ključne riječi
Hrčak ID:
71421
URI
Datum izdavanja:
15.2.2011.
Posjeta: 1.281 *