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Article

Risk Indicators Improve the Prescription Quality of Drugs with Anticholinergic Properties in Nursing Homes

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Pole Territorial Santé Publique et Performance, Hôpitaux Champagne Sud, 10003 Troyes, France
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Fondation Korian Pour le Bien Vieillir, 75008 Paris, France
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EA 3797, Santé Publique, Vieillissement, Qualité de vie et Réadaptation des Sujets Fragiles, Université Reims Champagne Ardennes, 51100 Reims, France
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Medissimo, 78300 Poissy, France
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Science Department Vidal, 92130 Issy les Moulineaux, France
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Pole Autonomie Santé, Centre Hospitalier Universitaire de Reims, 92130 Issy les Moulineaux, France
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Author to whom correspondence should be addressed.
Academic Editor: Stuart Gilmour
Int. J. Environ. Res. Public Health 2022, 19(1), 423; https://doi.org/10.3390/ijerph19010423
Received: 29 October 2021 / Revised: 24 December 2021 / Accepted: 28 December 2021 / Published: 31 December 2021
Aim: The objective of this study was to assess the impact of a collaborative therapeutic optimization program on the rate of potentially inappropriate prescription of drugs with anticholinergic properties in nursing homes. Methods: Quasi-experimental study in 37 nursing homes in France. The intervention included the use of quality indicators for prescriptions combined with educational sessions and dedicated materials for nursing home staff (unlimited access to study material for staff, including nurses, general practitioners, pharmacists). Indicators were calculated based on routine data collected from an electronic pill dispenser system. The primary outcome was the presence of at least one prescription containing ≥1 drug from a list of 12 drugs with anticholinergic properties. A difference-in-differences analysis was conducted at 18 months as well as propensity score weighting to minimize any potential indication bias. A generalized estimating equation model estimated the probability of being prescribed at least one target drug at any time during a 9-month period for each resident. Results: In total, 33 nursing homes (intervention group: n = 10; control group: n = 23) were included, totalling 8137 residents. There was a decrease in the use of drugs with anticholinergic properties over time in both groups, as well as a decline in the intervention group compared to the control group (Odds Ratio: 0.685, 95% CI: 0.533, 0.880; p < 0.01) that was attributable to the intervention. An estimated 49 anticholinergic properties drug prescriptions were avoided by the intervention. Conclusion: This study found that an intervention based on indicators derived from routine prescription data was effective in reducing use of drugs with anticholinergic properties prescriptions in nursing homes. View Full-Text
Keywords: nursing homes; management indicators; anticholinergic; potentially inappropriate prescriptions nursing homes; management indicators; anticholinergic; potentially inappropriate prescriptions
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MDPI and ACS Style

Sanchez, S.; Chrusciel, J.; Ndiongue, B.M.; Blochet, C.; Forget, J.F.; Letty, A.; Hay, P.E.; Novella, J.L. Risk Indicators Improve the Prescription Quality of Drugs with Anticholinergic Properties in Nursing Homes. Int. J. Environ. Res. Public Health 2022, 19, 423. https://doi.org/10.3390/ijerph19010423

AMA Style

Sanchez S, Chrusciel J, Ndiongue BM, Blochet C, Forget JF, Letty A, Hay PE, Novella JL. Risk Indicators Improve the Prescription Quality of Drugs with Anticholinergic Properties in Nursing Homes. International Journal of Environmental Research and Public Health. 2022; 19(1):423. https://doi.org/10.3390/ijerph19010423

Chicago/Turabian Style

Sanchez, Stéphane, Jan Chrusciel, Biné Mariam Ndiongue, Caroline Blochet, Jean François Forget, Aude Letty, Paul Emile Hay, and Jean Luc Novella. 2022. "Risk Indicators Improve the Prescription Quality of Drugs with Anticholinergic Properties in Nursing Homes" International Journal of Environmental Research and Public Health 19, no. 1: 423. https://doi.org/10.3390/ijerph19010423

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