What Makes Deprescription of Psychotropic Drugs in Nursing Home Residents with Dementia so Challenging? A Qualitative Systematic Review of Barriers and Facilitators

Effects of antibiotic stewardship program (ASP) interventions to optimize antibiotic use for infections in nursing home (NH) residents remain unclear. The aim of this systematic review and meta-analysis was to assess ASPs in NHs and their effects on antibiotic use, multi-drug-resistant organisms, antibiotic prescribing practices, and resident mortality. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review and meta-analysis using five databases (1988–2020). Nineteen articles were included, 10 met the criteria for quantitative synthesis. Inappropriate antibiotic use decreased following ASP intervention in eight studies with a pooled decrease of 13.8% (95% confidence interval [CI]: [4.7, 23.0]; Cochran’s Q = 166,837.8, p < .001, I2 = 99.9%) across studies. Decrease in inappropriate antibiotic use was highest in studies that examined antibiotic use for urinary tract infection (UTI). Education and antibiotic stewardship algorithms for UTI were the most effective interventions. Evidence surrounding ASPs in NH is weak, with recommendations suited for UTIs.

Download Full-text

Systematic Review: Health-Related Characteristics of Elderly Hospitalized Adults and Nursing Home Residents Associated with Short-Term Mortality

Journal of the American Geriatrics Society ◽

10.1111/jgs.12273 ◽

2013 ◽

Vol 61 (6) ◽

pp. 902-911 ◽

Cited By ~ 47

Author(s):

John M. Thomas ◽

Leo M. Cooney ◽

Terri R. Fried

Keyword(s):

Systematic Review ◽

Nursing Home ◽

Nursing Home Residents ◽

Short Term ◽

Short Term Mortality ◽

Health Related

Download Full-text

Technology-based interventions for nursing home residents: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2021-056142 ◽

2021 ◽

Vol 11 (12) ◽

pp. e056142

Author(s):

Zhaohui Su ◽

Kylie Meyer ◽

Yue Li ◽

Dean McDonnell ◽

Nitha Mathew Joseph ◽

...

Keyword(s):

Systematic Review ◽

Nursing Home ◽

Digital Health ◽

Nursing Home Residents ◽

Cochrane Collaboration ◽

Included Study ◽

Evaluation Framework ◽

Nursing Facilities ◽

Eligibility Criteria ◽

The Impact

IntroductionA growing number of technology-based interventions are used to support the health and quality of life of nursing home residents. The onset of COVID-19 and recommended social distancing policies that followed led to an increased interest in technology-based solutions to provide healthcare and promote health. Yet, there are no comprehensive resources on technology-based healthcare solutions that describe their efficacy for nursing home residents. This systematic review will identify technology-based interventions designed for nursing home residents and describe the characteristics and effects of these interventions concerning the distinctive traits of nursing home residents and nursing facilities. Additionally, this paper will present practical insights into the varying intervention approaches that can assist in the delivery of broad digital health solutions for nursing home residents amid and beyond the impact of COVID-19.Methods and analysisDatabases including the PubMed, PsycINFO, CINAHL and Scopus will be used to identify articles related to technology-based interventions for nursing home residents published between 1 January 2010 to 30 September 2021. Titles, abstracts and full-text papers will be reviewed against the eligibility criteria. The Cochrane Collaboration evaluation framework will be adopted to examine the risk of bias of the included study. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process and implications for existing interventions and research evaluated by a multidisciplinary research team.Ethics and disseminationAs the study is a protocol for a systematic review, ethical approval is not required. The study findings will be disseminated via peer-reviewed publications and conference presentations.Trial registration numberCRD 42020191880.

Download Full-text