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P4–199: Evaluating process of care, quality indicators in ambulatory dementia care
Author(s) -
Murman Daniel L.,
Lafata Jennifer Elston,
Dobie Elizabeth,
Divine George
Publication year - 2006
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2006.05.1938
Subject(s) - medicine , dementia , medical prescription , gee , psychosocial , ambulatory care , generalized estimating equation , pharmacy , gerontology , ambulatory , health care , family medicine , psychiatry , disease , nursing , statistics , mathematics , economics , economic growth
antipsychotic utilization was 7.9 months. Risperidone was the most frequently prescribed antipsychotic (26% of patients), followed by promazine (25%), olanzapine (14%) and haloperidol (11%). In 40% of the cases, another hypnotic or sedative drug was simultaneously administered. Antipsychotic drug utilization was significantly associated with female sex, older age and higher NPI score. BPSD significantly associated with antipsychotic use were in order agitation, aberrant motor behavior, irritability/ lability, night-time behavior, and delusions. Though the number of patients studied was relatively small to sensitively detect infrequent adverse reactions, antipsychotic exposure did not significantly influence mortality, hospitalization, falls or use of physical restraint at follow-up. Conclusions: These results raise concern about the current use of antipsychotics and stress the need for a rational management and pharmacological treatment of BPSD.