From: Do prescription rates of psychotropic drugs change over three years from nursing home admission?
Covariate | Antidepressants | Antipsychotics | Anxiolytics | Sedatives and hypnotics | Antidementia drugs | |||||
---|---|---|---|---|---|---|---|---|---|---|
Reg. coeff. (SE) | p-value | Reg. coeff. (SE) | p-value | Reg. coeff. (SE) | p-value | Reg. coeff. (SE) | p-value | Reg. coeff. (SE) | p-value | |
Time | 0.07 (0.02) | < 0.001 | 0.04 (0.03) | 0.157 | 0.06 (0.02) | 0.005 | −0.03 (0.03) | 0.358 | 0.01 (0.02) | 0.561 |
Time*Time | −0.001 (0.0006) | 0.023 | −0.001 (0.0008) | 0.150 | −0.001 (0.0006) | 0.029 | 0.0009 (0.001) | 0.374 | −0.001 (0.0007) | 0.135 |
OR (95% CI) | p-value | OR (95% CI) | p-value | OR (95% CI) | p-value | OR (95% CI) | p-value | OR (95% CI) | p-value | |
Age | 0.93 (0.90–0.97) | < 0.001 | 0.96 (0.92–0.99) | 0.023 | 0.98 (0.95–1.01) | 0.172 | 1.02 (0.99–1.05) | 0.213 | 0.97 (0.93–1.00) | 0.062 |
Gender, female | 2.09 (1.26–3.47) | 0.005 | 1.17 (0.64–2.15) | 0.608 | 0.99 (0.59–1.65) | 0.961 | 0.90 (0.56–1.45) | 0.676 | 1.01 (0.59–1.74) | 0.973 |
Charlson Comorbidity Index | 1.02 (0.91–1.14) | 0.748 | 0.96 (0.60–1.53) | 0.097 | 0.97 (0.87–1.09) | 0.640 | 0.99 (0.89–1.09) | 0.810 | 0.86 (0.75–0.98) | 0.023 |
GMHR, Poor/Fair | 1.04 (0.73–1.50) | 0.824 | 0.96 (0.60–1.53) | 0.851 | 1.17 (0.79–1.73) | 0.440 | 0.74 (0.52–1.06) | 0.104 | 0.78 (0.52–1.15) | 0.207 |
PSMS | 0.85 (0.72–1.01) | 0.070 | 0.90 (0.72–1.13) | 0.358 | 0.99 (0.82–1.19) | 0.890 | 0.85 (0.72–1.01) | 0.059 | 1.16 (0.96–1.39) | 0.121 |
CDR sob | 0.98 (0.93–1.04) | 0.519 | 1.02 (0.95–1.09) | 0.597 | 0.98 (0.93–1.04) | 0.464 | 0.89 (0.85–0.94) | < 0.001 | 1.03 (0.97–1.09) | 0.337 |
CSDD | 1.05 (1.00–1.10) | 0.045 | 0.98 (0.93–1.04) | 0.590 | 1.02 (0.97–1.07) | 0.411 | −0.06 (0.03)b | 0.040 | 0.95 (0.90–1.00) | 0.075 |
CSDD * Time | 0.01 (0.004)b | 0.010 | ||||||||
CSDD * Time * Time | −0.0003 (0.0001)b | 0.014 | ||||||||
NPI-agitation | 1.00 (0.96–1.03) | 0.868 | 1.00 (0.96–1.04) | 0.980 | 1.01 (0.98–1.04) | 0.626 | 0.99 (0.96–1.02) | 0.446 | 0.97 (0.94–1.01) | 0.136 |
NPI-psychosis | 0.98 (0.93–1.03) | 0.391 | 1.11 (1.05–1.17) | < 0.001 | 1.02 (0.97–1.07) | 0.515 | 0.98 (0.93–1.04) | 0.549 | 1.04 (0.98–1.09) | 0.212 |
NPI-affective | 1.09 (1.04–1.14) | < 0.001 | 1.03 (0.98–1.08) | 0.227 | 1.05 (1.01–1.10) | 0.026 | 1.04 (0.99–1.08) | 0.083 | 1.00 (0.96–1.05) | 0.929 |
NPI-caregivers | 1.00 (0.95–1.04) | 0.851 | 1.00 (0.95–1.05) | 0.998 | 0.99 (0.94–1.03) | 0.581 | 1.03 (0.98–1.08) | 0.201 | 1.03 (0.98–1.09) | 0.222 |
QUALID | 0.97 (0.94–1.01) | 0.094 | 1.01 (0.97–1.06) | 0.541 | 1.02 (0.98–1.05) | 0.416 | 1.03 (0.99–1.06) | 0.134 | 1.00 (0.96–1.04) | 0.827 |
NPI-apathy | 1.04 (0.98–1.11) | 0.175 | 1.00 (0.93–1.08) | 0.984 | 0.98 (0.92–1.05) | 0.657 | 1.03 (0.97–1.10) | 0.265 | 0.93 (0.86–1.00) | 0.039 |
Type of unit: special care unit | 0.81 (0.50–1.30) | 0.379 | 1.32 (0.75–2.34) | 0.332 | 1.58 (0.98–2.57) | 0.062 | 1.54 (0.96–2.45) | 0.071 | 1.78 (1.09–2.90) | 0.021 |
No. patients/unit | 0.97 (0.93–1.00) | 0.080 | 1.00 (0.95–1.05) | 0.996 | 1.03 (0.99–1.07) | 0.190 | 1.01 (0.98–1.05) | 0.523 | 0.97 (0.93–1.01) | 0.196 |
No. hours physician/unit | 1.02 (0.97–1.07) | 0.490 | 1.01 (0.95–1.07) | 0.764 | 1.01 (0.97–1.06) | 0.591 | 0.98 (0.93–1.03) | 0.449 | 1.00 (0.95–1.06) | 0.957 |