Use of medication among nursing home residents: a Danish drug utilisation study.

Age and Ageing
Carina LundbyMette Reilev

Abstract

Data on drug utilisation patterns in nursing home populations is scarce. We aimed to describe drug use patterns in Danish nursing home residents. We established a cohort of 5,179 individuals (63% women; median age of 84 years) admitted into 94 nursing homes across Denmark during 2015-2017. Data on prescription drug use and other census data were obtained from the nationwide Danish health registries. The total number of drug classes filled increased from a median of 6 drugs (interquartile range [IQR] 3-9) at 18-24 months before nursing home admission to a median of 8 drugs (IQR 6-11) just after admission, with the most common drug classes comprising paracetamol (61%), platelet inhibitors (41%), proton pump inhibitors (34%), statins (33%) and potassium supplements (31%). The incidence rate of new drug treatments increased from 21 new treatments/100 residents/month at 12-24 months before admission to a peak of 71 new treatments/100 residents/month in the month prior to admission, while it levelled off to about 34 new treatments/100 residents/month after 6-9 months. The drug classes primarily responsible for this peak were laxatives, antibiotics and analgesics. The largest absolute increases were seen for laxatives (53%), paracetam...Continue Reading

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Citations

Jun 6, 2020·Age and Ageing·Tomas James WelshAnneka Mitchell
Feb 19, 2021·Journal of the American Geriatrics Society·Carina LundbyAnton Pottegård
Nov 28, 2020·Research in Social & Administrative Pharmacy : RSAP·Georgina A HughesJanet K Sluggett
Aug 13, 2021·Pharmacoepidemiology and Drug Safety·Anton PottegårdWade Thompson

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