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Use of antipsychotics among elderly nursing home residents with dementia in the US: an analysis of National Survey Data
Kamble P, Chen H, Sherer JT, Aparasu RR.. Drugs & aging, 2009-01-01
Topic: Risk, prevention and care in population studies
Plain-language summary
However, recent data suggest that the risk of adverse effects may offset the benefits of atypical agents in patients with dementia. Objectives To examine utilization of antipsychotic medications and the factors associated with use of atypical antipsychotics among elderly nursing home residents with dementia. Multiple logistic regression analysis within the conceptual framework of Andersen's Behavioural Model was used to examine the predisposing, enabling and need characteristics associated with use of atypical antipsychotics. Results According to the 2004 NNHS, the overall prevalence of dementia among elderly nursing home residents was 52.58%. The enabling factor facility bed capacity was significantly associated with use of atypical antipsychotics. These findings suggest a need to optimize use of atypical antipsychotics in elderly dementia patients in nursing homes in the light of recent efficacy and safety data.
What this study adds
Evidence grade: Low
This analysis of national survey data examined antipsychotic use among elderly nursing home residents with dementia and factors linked to use of atypical antipsychotics. Reported effect size: 52.58%; 32.88%; 31.63%.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Kamble, P., Chen, H., Sherer, J. T., & Aparasu, R. R. (2009). Use of antipsychotics among elderly nursing home residents with dementia in the US: an analysis of National Survey Data. Drugs & aging. https://doi.org/10.2165/00002512-200926060-00005
Vancouver
Kamble P, Chen H, Sherer JT, Aparasu RR. Use of antipsychotics among elderly nursing home residents with dementia in the US: an analysis of National Survey Data. Drugs & aging. 2009. doi:10.2165/00002512-200926060-00005. PMID: 19591523.
BibTeX
@article{kamble2009-19591523,
author = {Kamble, P. and Chen, H. and Sherer, J. T. and Aparasu, R. R.},
title = {{Use of antipsychotics among elderly nursing home residents with dementia in the US: an analysis of National Survey Data}},
journal = {Drugs \& aging},
year = {2009},
doi = {10.2165/00002512-200926060-00005},
pmid = {19591523},
url = {https://doi.org/10.2165/00002512-200926060-00005}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- However, recent data suggest that the risk of adverse effects may offset the benefits of atypical agents in patients with dementia.
- Objectives To examine utilization of antipsychotic medications and the factors associated with use of atypical antipsychotics among elderly nursing home residents with dementia.
- Multiple logistic regression analysis within the conceptual framework of Andersen's Behavioural Model was used to examine the predisposing, enabling and need characteristics associated with use of atypical antipsychotics.
- Results According to the 2004 NNHS, the overall prevalence of dementia among elderly nursing home residents was 52.58%.
- The enabling factor facility bed capacity was significantly associated with use of atypical antipsychotics.
Why it matters
This analysis of national survey data examined antipsychotic use among elderly nursing home residents with dementia and factors linked to use of atypical antipsychotics. It notes that recent data suggest the risk of adverse effects may offset the benefits of atypical agents in patients with dementia.
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Study details
- Effect size52.58%; 32.88%; 31.63%
- Evidence strengthLow
How this study scored 39/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Drugs & aging) |
| Journal's citation record | 1 / 4 | Drugs & Aging: journal h-index 135 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2009 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 114 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 6.0 citations a year over 19 year(s) since 2009 |
| Impact for its field and year | 3 / 6 | Cited 5.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 3 other studies in this library |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Rajender R. Aparasu: h-index 37 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | University of Houston: institution h-index 656 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 19591523) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 39 / 100 | — |
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