Antipsychotic use in nursing home residents admitted with hip fracture

Source: Journal of the American Geriatrics Society
Area: Evidence > Medicines Management > References
Objectives: To evaluate the association between receiving antipsychotics and the outcomes of a cohort of nursing home (NH) residents with and without presumed delirium after hip fracture.
Design: Population-based cohort study.
Setting: 11,119 nursing homes throughoit the USA from 1 Jan 2000 to 31 Dec 2007.
Participants: First-time NH admissions with hip fracture (n = 77,759).
Measurements: The Nursing Home Confusion Assessment Method was used to identify residents with no delirium, subsyndromal delirium, and full delirium.  Propensity score reweighting was used, with analyses stratified according to delirium level.
Results: In subjects with no delirium symptoms, approximately 5% (n = 3250) received antipsychotic drugs.  These individuals were less likely to be discharged home (odds ratio (OR) = 0.68; P less than 0.001), had a higher likelihood of death before nursing home discharge (OR = 1.28; P = 0.03), stayed in nursing homes longer (beta 2.83; P ...

Source: NeLM - Care of Older People - January 15, 2013 Category: Geriatrics Source Type: news