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Related Experiment Videos

Changes in hypnotic usage in residential homes for the elderly: a longitudinal study.

C J Gilleard, C Smits, K Morgan

    Archives of Gerontology and Geriatrics
    |October 1, 1984
    PubMed
    Summary

    Hypnotic drug use in elderly care homes increased slightly, with 35% of residents taking them. Hospital admissions were linked to higher hypnotic use, and prescribing trends shifted towards shorter-acting drugs and lower doses.

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    Area of Science:

    • Gerontology
    • Pharmacology
    • Public Health

    Background:

    • Hypnotic drug use is common in elderly care facilities.
    • Previous studies in 1980 and 1981 established baseline usage rates.

    Purpose of the Study:

    • To assess current hypnotic drug prevalence in local authority homes for the elderly.
    • To monitor changes in hypnotic drug usage patterns and prescribing habits.
    • To investigate associations between hypnotic use, admission source, and drug characteristics.

    Main Methods:

    • A 1-day point prevalence study was conducted in 25 local authority homes.
    • A 6-month monitoring program tracked new admissions and their hypnotic use.
    • Data collected on resident population, hypnotic use, admission source, and drug type/dosage.

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    Main Results:

    • 35% of 1114 residents were taking hypnotics, a slight increase from previous surveys.
    • Significant variation in hypnotic use (0.0% to 61.8%) across homes.
    • Residents admitted from hospitals were more likely to be taking hypnotics.
    • Shift towards short half-life hypnotics and lower prescribed doses observed.

    Conclusions:

    • Hypnotic drug prevalence remains high in elderly care, with notable inter-facility variation.
    • Admission source, particularly from hospitals, is associated with increased hypnotic use.
    • Prescribing practices are evolving, favoring safer hypnotic options and reduced dosages, indicating increased risk awareness.