Drug use and drug-related problems in nursing homes: prevalence, changes following medication review and variation between institutions. Drug use and medication review in nursing homes in Oslo
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Sammendrag
Drug-related problems are common in nursing homes and medication reviews are measures to improve the quality of medication use. We assessed changes in drug use after multidisciplinary medication reviews and variations in drug use and in drug-related problems between nursing homes in Oslo. We also compared the drug use of older people living in nursing homes or at home. Medication reviews decreased the total drug use and the use of inappropriate drugs. Drug use and drug-related problems varied largely between the nursing homes, suggesting different prescription cultures at the institutions. Opioids and psychotropic drugs were associated with an increased risk for drug-related problems at the respective institutions. Drug use by older people differed according to care level, with a probable overuse of psychotropic drugs and opioids in nursing homes and of cardiovascular and arthritis drugs at home.Artikkelliste
Article I: Fog AF, Kvalvaag G, Engedal K, Straand J. Drug-related problems and changes in drug utilization after medication reviews in nursing homes in Oslo, Norway. Scand J Prim Health Care. 2017;35:329–35. doi: 10.1080/02813432.2017.1397246. The article is included in the thesis. Also available at: https://doi.org/10.1080/02813432.2017.1397246 |
Article II: Fog AF, Mdala I, Engedal K, Straand J. Variation between nursing homes in drug use and in drug-related problems. BMC Geriatr. 2020;20:336. doi: 10.1186/s12877-020-01745-y. The article is included in the thesis. Also available at: https://doi.org/10.1186/s12877-020-01745-y |
Article III: Fog AF, Straand J, Engedal K, Blix HS. Drug use differs by care level. A cross-sectional comparison between older people living at home or in a nursing home in Oslo, Norway. BMC Geriatr. 2019;19(1):49. doi: 10.1186/s12877-019-1064-8. The article is included in the thesis. Also available at: https://doi.org/10.1186/s12877-019-1064-8 |