La maladie de Parkinson au Canada (serveur d'exploration)

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Antipsychotic drug use in Canadian long-term care facilities: prevalence, and patterns following resident relocation.

Identifieur interne : 001252 ( PubMed/Checkpoint ); précédent : 001251; suivant : 001253

Antipsychotic drug use in Canadian long-term care facilities: prevalence, and patterns following resident relocation.

Auteurs : Brad Hagen [Canada] ; Chris Armstrong Esther ; Roland Ikuta ; Robert J. Williams ; Carole-Lynne Le Navenec ; Morgan Aho

Source :

RBID : pubmed:16050429

Descripteurs français

English descriptors

Abstract

Data on antipsychotic use were collected in two Canadian long-term care (LTC) facilities. During the one-year study, residents in one facility were relocated to a new facility, allowing examination of the changes in antipsychotic use associated with relocation.

PubMed: 16050429


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pubmed:16050429

Le document en format XML

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<title xml:lang="en">Antipsychotic drug use in Canadian long-term care facilities: prevalence, and patterns following resident relocation.</title>
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<name sortKey="Hagen, Brad" sort="Hagen, Brad" uniqKey="Hagen B" first="Brad" last="Hagen">Brad Hagen</name>
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<nlm:affiliation>School of Health Sciences, The University of Lethbridge, 4401 University Drive, Lethbridge, Alberta T1K 3M4, Canada. brad.hagen@uleth.ca</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>School of Health Sciences, The University of Lethbridge, 4401 University Drive, Lethbridge, Alberta T1K 3M4</wicri:regionArea>
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<name sortKey="Esther, Chris Armstrong" sort="Esther, Chris Armstrong" uniqKey="Esther C" first="Chris Armstrong" last="Esther">Chris Armstrong Esther</name>
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<name sortKey="Ikuta, Roland" sort="Ikuta, Roland" uniqKey="Ikuta R" first="Roland" last="Ikuta">Roland Ikuta</name>
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<name sortKey="Williams, Robert J" sort="Williams, Robert J" uniqKey="Williams R" first="Robert J" last="Williams">Robert J. Williams</name>
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<name sortKey="Le Navenec, Carole Lynne" sort="Le Navenec, Carole Lynne" uniqKey="Le Navenec C" first="Carole-Lynne" last="Le Navenec">Carole-Lynne Le Navenec</name>
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<title xml:lang="en">Antipsychotic drug use in Canadian long-term care facilities: prevalence, and patterns following resident relocation.</title>
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<name sortKey="Le Navenec, Carole Lynne" sort="Le Navenec, Carole Lynne" uniqKey="Le Navenec C" first="Carole-Lynne" last="Le Navenec">Carole-Lynne Le Navenec</name>
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<title level="j">International psychogeriatrics</title>
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<term>Adaptation, Psychological (drug effects)</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Analysis of Variance</term>
<term>Antipsychotic Agents (administration & dosage)</term>
<term>Canada (epidemiology)</term>
<term>Dementia (drug therapy)</term>
<term>Humans</term>
<term>Life Change Events</term>
<term>Long-Term Care (psychology)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Patient Transfer</term>
<term>Prevalence</term>
<term>Residential Facilities</term>
<term>Stress, Psychological (drug therapy)</term>
<term>Stress, Psychological (epidemiology)</term>
<term>Stress, Psychological (etiology)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Antipsychotic Agents</term>
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<term>Canada</term>
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<term>Adaptation, Psychological</term>
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<term>Dementia</term>
<term>Parkinson Disease</term>
<term>Stress, Psychological</term>
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<term>Parkinson Disease</term>
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<term>Aged, 80 and over</term>
<term>Analysis of Variance</term>
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<term>Life Change Events</term>
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<term>Prevalence</term>
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<div type="abstract" xml:lang="en">Data on antipsychotic use were collected in two Canadian long-term care (LTC) facilities. During the one-year study, residents in one facility were relocated to a new facility, allowing examination of the changes in antipsychotic use associated with relocation.</div>
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<Month>07</Month>
<Day>29</Day>
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<DateCompleted>
<Year>2005</Year>
<Month>10</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>10</Month>
<Day>20</Day>
</DateRevised>
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<ISSN IssnType="Print">1041-6102</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>17</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2005</Year>
<Month>Jun</Month>
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<Title>International psychogeriatrics</Title>
<ISOAbbreviation>Int Psychogeriatr</ISOAbbreviation>
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<ArticleTitle>Antipsychotic drug use in Canadian long-term care facilities: prevalence, and patterns following resident relocation.</ArticleTitle>
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<MedlinePgn>179-93</MedlinePgn>
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<AbstractText Label="BACKGROUND AND AIMS" NlmCategory="OBJECTIVE">Data on antipsychotic use were collected in two Canadian long-term care (LTC) facilities. During the one-year study, residents in one facility were relocated to a new facility, allowing examination of the changes in antipsychotic use associated with relocation.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">A comparative descriptive design was used. Pharmacy and chart data on antipsychotic use were gathered for three separate one-month periods during one year. Data were collected both in a facility experiencing relocation of all residents to a new facility, and in a facility not undergoing relocation. The three one-month data collection periods covered a one-month period before the relocation, immediately after the relocation, and six months after the relocation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the facility not experiencing relocation, an average of 31.3% of all residents were receiving antipsychotics. Residents in this facility received antipsychotics for an average length of 0.81 years, and 20.8% of all antipsychotic prescriptions reflected dose reductions within six months of the start of the prescription. Only 8.1% of prescriptions had accompanying documentation on the behavioral indication for the use of antipsychotics. A total of 73.4% of all antipsychotics were 'atypical' antipsychotics, and 13.5% of all antipsychotic prescriptions were written as 'p.r.n.' (as needed). While the use of antipsychotics remained relatively constant in the non-relocation facility (between 30.3% and 33.1% of all residents), the percentage of residents receiving antipsychotics in the facility experiencing a relocation climbed significantly; from 21.5% six months before the move, to 32.6% immediately after the move, to 36.9% six months after the move.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These findings, when compared with the U.S. standards on antipsychotic use (OBRA), suggest the need for additional research on antipsychotic use in Canadian LTC facilities.</AbstractText>
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   |texte=   Antipsychotic drug use in Canadian long-term care facilities: prevalence, and patterns following resident relocation.
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