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3 results

  • Antipsychotic prescribing patterns in care homes and relationship with dementia

  • David P. Alldred, Duncan R. Petty, Peter Bowie, Arnold G. Zermansky, David K. Raynor
  • Journal:
    Psychiatric Bulletin / Volume 31 / Issue 9 / September 2007
    Published online by Cambridge University Press:
    02 January 2018, pp. 329-332
    Print publication:
    September 2007
    • Article
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  • Aims and Method

    To determine the prescribing patterns for antipsychotics in care homes for the elderly, a cross-sectional study was carried out using data from the intervention group of a randomised controlled trial of medication review in care homes.

    Results

    Of 331 residents studied, 67 (20%) were prescribed an antipsychotic (70% atypical); 57 of these (85%) did not have a diagnosis of a psychotic disorder. The antipsychotic prescribing rate was 32% (46 out of 146) for those with dementia and 10% (17 out of 174) for those without dementia. A quarter (82 out of 331) had received a medication review by the general practitioner in the preceding 12 months.

    Clinical Implications

    One-fifth of residents were prescribed an antipsychotic with little evidence of review. Systems should ensure residents' treatment is reviewed regularly.