title: Analgesic consumption in nursing homes: observational study about 99 nursing homes.
abstract: Few analgesics' studies in nursing homes are available. Quantitative and qualitative analgesic consumption evaluation in nursing homes in 2012. Multicenter, descriptive, retrospective and observational study about French Korian Nursing homes' residents, using Medissimo solution, and under at least one analgesic treatment during 2012. We considered as chronic prescription a duration greater than or equal to 28 days and as short prescription a duration less than 28 days. Population studied is 10.818 residents. 62% consumed at least one analgesic, 51% had a chronic analgesic consumption, 11% had a short analgesic consumption and 25% had an analgesic consumption both short and chronic. 47% residents under analgesic treatment received at least one prescription of painkillers "when require". Short prescription represents 19% of analgesic prescriptions: 57% are level 1 only, 20% are level 3 only and 16% are level 2 only. Chronic prescription represents 81% of analgesic prescriptions: 68% are level 1 only, 13% are level 2 only and 5% are level 3 only. 18 INNs were prescribed in nursing homes: paracetamol in 74% of cases, tramadol in 13% of cases, opioids and NSAIDs in 8% of cases. Our study reveals an analgesic consumption sometimes inappropriate with respect to paracetamol, tramadol and NSAIDs consumptions in addition to an overuse of fentanyl patch consumption. Residents in nursing homes are high analgesics consumers, often chronic. Paracetamol is the reference molecule.
authors.affiliation: Ehpad Korian Perier, Marseille, France.
authors.forename: Priscilla
authors.initials: P
authors.lastname: Clot-Faybesse
authors.affiliation: Service de gériatrie neuro-cardio-vasculaire, Hospices civils de Lyon, Lyon, France.
authors.forename: François
authors.initials: F
authors.lastname: Bertin-Hugault
authors.affiliation: Medissimo, Poissy, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Blochet
authors.affiliation: Institut du Bien Vieillir Korian, Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Denormandie
authors.affiliation: CLUD Nord, Assistance Publique Hôpitaux de Marseille, Marseille, France.
authors.forename: Patrice
authors.initials: P
authors.lastname: Rat
authors.affiliation: Groupe Korian, Paris, France.
authors.forename: Paul-Emile
authors.initials: PE
authors.lastname: Hay
authors.affiliation: Service de médecine interne et gériatrie, Assistance Publique Hôpitaux de Marseille, Marseille, France, UMR-CNRS7289, Aix-Marseille Université, Marseille, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Bonin-Guillaume
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D004363:Drug Utilization; D005260:Female; D005602:France; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology; D012189:Retrospective Studies
chemical_list: D000700:Analgesics
keywords: analgesic; elderly; nursing home