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Factors associated with non‐use of antipsychotics among older residents with schizophrenia in long‐term institutional care
Author(s) -
Alanen HannaMari,
FinneSoveri Harriet,
Lein Esa
Publication year - 2008
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2060
Subject(s) - antipsychotic , dementia , schizophrenia (object oriented programming) , minimum data set , medicine , psychiatry , logistic regression , underweight , long term care , polypharmacy , geriatric psychiatry , gerontology , nursing homes , body mass index , disease , nursing , overweight
Objective To investigate factors associated with non‐use of antipsychotics among older schizophrenia residents in long‐term institutional care. Design A retrospective study was designed using cross‐sectional data gathered between 1 January and 30 June 2006 in Finland. Data were extracted from the Resident Assessment Instrument (RAI) database, based on Minimum Data Set for long‐term care facilities (MDS‐LC) assessments. Participants Residents with schizophrenia 65 years or older were included, giving a total of 356 patient assessments. Results The prevalence of older schizophrenia residents not receiving any antipsychotic medication was 18.5%. Factors independently associated with non‐use of antipsychotics in the logistic regression model were: severe degree of functional impairment, severely impaired vision, any diagnosis of dementia and severe underweight. There was a negative association between non‐use of antipsychotics and a factor ‘had arrived from a psychiatric hospital’. Conclusions Severe degree of functional impairment and dementia were the main findings associated with non‐use of antipsychotics in this resident group. Copyright © 2008 John Wiley & Sons, Ltd.