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Titolo:
EFFECT OF THE OMNIBUS-RECONCILIATION-ACT-1987 ON ANTIPSYCHOTIC PRESCRIBING IN NURSING-HOME RESIDENTS
Autore:
SEMLA TP; PALLA K; PODDIG B; BRAUNER DJ;
Indirizzi:
UNIV ILLINOIS,COLL PHARM,DEPT PHARM PRACTICE MC 886,833 S WOOD ST CHICAGO IL 60612 UNIV ILLINOIS,COLL MED CHICAGO IL 00000 HINES VA MED CTR,SERV PHARM CHICAGO IL 00000
Titolo Testata:
Journal of the American Geriatrics Society
fascicolo: 6, volume: 42, anno: 1994,
pagine: 648 - 652
SICI:
0002-8614(1994)42:6<648:EOTOOA>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHOTROPIC-DRUG USE; CONTROLLED TRIAL; REGULATIONS; IMPACT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social Sciences Citation Index
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
T.P. Semla et al., "EFFECT OF THE OMNIBUS-RECONCILIATION-ACT-1987 ON ANTIPSYCHOTIC PRESCRIBING IN NURSING-HOME RESIDENTS", Journal of the American Geriatrics Society, 42(6), 1994, pp. 648-652

Abstract

Objective: To determine the impact of OBRA 87 on antipsychotic prescribing in a 485-bed nursing home. Design: Twelve-month retrospective cohort review of medical charts, medication administration records, and computerized pharmacy records. Measurements: The percent of residents by diagnostic group and antipsychotic use. Main Results: An attempt was made to stop or lower the dose of antipsychotic in 75% of the 107 residents studied. Antipsychotics were stopped in 45% of residents with adementia-only diagnosis and 25% of residents with a psychiatric diagnosis (P < 0.05). Residents with documented symptoms appropriate for the use of an antipsychotic, per OBRA 87, were significantly less likelyto have their antipsychotic stopped. Twenty percent of residents whose antipsychotic was either stopped or its dose lowered had the agent restarted or its dose increased. Conclusion: OBRA 87 had a significant impact on antipsychotic use in this facility.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/08/20 alle ore 08:56:19