Læknablaðið - 15.09.2013, Qupperneq 17

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ENGLISH SUMMARY
Medication use in nursing homes in lceland 2002-2004. A descriptive study
Hansdottir H, Gudmannsson GP
Purpose: To describe medication use in nursing homes in lceland
during the years 2002-2004.
Methods: In nursing homes using automated medication delivery, the
number of medications used were calculated, from the beginning of
2002 to the end of 2004. Information was obtained from 10 nursing
homes; a total of 1409 individuals or approximately 60% of the inhabit-
ants of all nursing homes in lceland. 65% of the population were women,
mean age was 83 years and 43% died during the study periond. The
total number of prescribed medications was collected as well as their
use for common chronic conditions and symptoms was analysed.
Result: There were on average 8.9 (±4,0) medications used at the
beginning of the study period, increasing to 9.9 (±4,3) by its end. On
average, women got one more medication than men (p<0,001). 56.2%
of women and 47% of men received >10 kinds of medication by the
end of the study. Women got more psychiatric medications than men,
but men got more medications for cardiovascular diseases. 82% of the
Key words: nursing home, medication, polypharmacy, elderly.
Correspondence: Helga Hansdóttir, helgah@landspitali.is
population used psychiatric medications regularly, 65% used sedatives/
hypnotics, 50% antidepressants and 20 % antipsychotics. Approxima-
tely additional 15% used psychiatric medication temporarily overthe
study period. The majority of medications were used constantly during
the study period, especially cardiovascular medications. Medication
for urinary incontinence, non steroidal antiinflammatory medications,
medications for osteoporosis and medications against Alzheimers
disease were used more often temporarily than constantly. Medications
that were in constant use by >40% of the population were sedative/
hypnotics, antidepressants, paracetamol, diuretics and vitamin D.
Conclusion: There is a high number of medications used in nursing
homes in lceland. Most medications were already in use at the start of
the study and continued throughout the study period indicating that
medication review might be lacking. There are no indications of under-
treated of pain or depression. Vitamin D is frequently used but should be
used more often not least among men.
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