What does this research mean for the field?

The launch of the National Dementia Strategy in England was not associated with a reduction in the prevalence or changes in the types of antipsychotic prescribing in long-term care homes. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the association between the launch of the National Dementia Strategy and antipsychotic prescribing patterns in long-term residential care facilities across England.

September 1, 2016BMJ OpenOpen Access

Antipsychotic prescribing in care homes before and after launch of a national dementia strategy: an observational study in English institutions over a 4-year period

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Authors

ASAla SzczepuraUniversity of London DWDeidre WildCoventry University AKAmir KhanInstitute of Business Administration Karachi

Discussion

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Overview

Observational study reveals unchanged antipsychotic prescribing rates in dementia care home residents after strategy launch, highlighting persistent excessive treatment durations.

Key Points

To evaluate the association between the launch of the National Dementia Strategy and antipsychotic prescribing patterns in long-term residential care facilities across England.
Retrospective observational analysis of electronic medicines management data from 616 long-term care institutions comprising 31,619 residents over a 4-year period following strategy implementation.
Assessed antipsychotic point prevalence, dosage levels, treatment durations, and the proportion of second-generation versus first-generation agents across institutional characteristics and geographical regions.
Overall antipsychotic prescribing rates did not change significantly across the 4-year period (Kolmogorov-Smirnov test p=0.60), nor was there a significant transition toward second-generation agents (p=0.32).
Treatment duration exceeded recommended limits in 69.7% of cases, while dosage exceeded maximum indicated levels in only 1.3% of cases.
High-prescribing homes were significantly associated with location in deprived areas (RR=5.89, 95% CI 4.35 to 7.99, p<0.001) and registration for dementia care (RR=3.38, 95% CI 3.06 to 3.73, p<0.001), showing a sixfold regional variation.

Cite This Study

Szczepura et al. (2016) studied this question.

synapsesocial.com/papers/6aaa5d100d3342aa3754cc3b https://doi.org/10.1136/bmjopen-2015-009882

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September 1, 2016BMJ OpenOpen Access

Antipsychotic prescribing in care homes before and after launch of a national dementia strategy: an observational study in English institutions over a 4-year period

View Full Paper

Ask AI

Bookmark

Authors

ASAla SzczepuraUniversity of London DWDeidre WildCoventry University AKAmir KhanInstitute of Business Administration Karachi

Discussion

Member takes

Overview

Observational study reveals unchanged antipsychotic prescribing rates in dementia care home residents after strategy launch, highlighting persistent excessive treatment durations.

Key Points

To evaluate the association between the launch of the National Dementia Strategy and antipsychotic prescribing patterns in long-term residential care facilities across England.
Retrospective observational analysis of electronic medicines management data from 616 long-term care institutions comprising 31,619 residents over a 4-year period following strategy implementation.
Assessed antipsychotic point prevalence, dosage levels, treatment durations, and the proportion of second-generation versus first-generation agents across institutional characteristics and geographical regions.
Overall antipsychotic prescribing rates did not change significantly across the 4-year period (Kolmogorov-Smirnov test p=0.60), nor was there a significant transition toward second-generation agents (p=0.32).
Treatment duration exceeded recommended limits in 69.7% of cases, while dosage exceeded maximum indicated levels in only 1.3% of cases.
High-prescribing homes were significantly associated with location in deprived areas (RR=5.89, 95% CI 4.35 to 7.99, p<0.001) and registration for dementia care (RR=3.38, 95% CI 3.06 to 3.73, p<0.001), showing a sixfold regional variation.

Cite This Study

Szczepura et al. (2016) studied this question.

synapsesocial.com/papers/6aaa5d100d3342aa3754cc3b https://doi.org/10.1136/bmjopen-2015-009882

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