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Temporal Trends in Analgesic Use in Long‐Term Care Facilities: A Systematic Review of International Prescribing.
- Source :
-
Journal of the American Geriatrics Society . Feb2018, Vol. 66 Issue 2, p376-382. 7p. 1 Diagram, 2 Charts, 1 Graph. - Publication Year :
- 2018
-
Abstract
- Objectives: To explore global changes in the prescription of analgesic drugs over time in the international long‐term care (LTC) population. Design: Systematic review. Setting: We included original research articles in English, published and unpublished, that included number of participants, country and year(s) of data collection, and prescription of analgesics (analgesics not otherwise specified, opioids, acetaminophen; scheduled only, or scheduled plus as needed (PRN)). Participants: LTC residents. Measurements: We searched PubMed, EMBASE, CINAHL, International Pharmaceutical Abstracts, PsycINFO, Cochrane, Web of Science, Google Scholar, using keywords for LTC facilities and analgesic medication; hand‐searched references of eligible papers; correspondence. Studies were quality rated using an adapted Newcastle‐Ottawa scale. Pearson correlation coefficients were generated between percentage of residents prescribed an analgesic and year of data collection. If available, we investigated changes in acetaminophen and opioid prescriptions. Results: Forty studies met inclusion criteria. A moderate correlation (0.59) suggested that scheduled prescription rates for analgesics have increased over time. Similar findings were reflected in scheduled prescriptions for acetaminophen and opioids. No increase was seen when analyzing scheduled plus PRN analgesics. Use of opioids (scheduled plus PRN) appears to have increased over time. Conclusion: Worldwide, use of opioids and acetaminophen has increased in LTC residents. Research is needed to explore whether this reflects appropriate pain management for LTC residents and if PRN medication is used effectively. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANALGESICS industry
*ANALGESICS
*LONG-term care facilities
*TREATMENT of dementia
*DRUG prescribing
*CINAHL database
*STATISTICAL correlation
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDICAL information storage & retrieval systems
*PSYCHOLOGY information storage & retrieval systems
*MEDLINE
*META-analysis
*NURSING home patients
*ONLINE information services
*SYSTEMATIC reviews
*PHYSICIAN practice patterns
*DATA analysis software
*DESCRIPTIVE statistics
*OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 66
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 127968336
- Full Text :
- https://doi.org/10.1111/jgs.15238