This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Psychotropic drug consumption at admission and discharge of nursing home residents


Rolland, Yves, Andrieu, Sandrine, Crochard, Anne, Goni, Sylvia, Hein, Christophe, Vellas, Bruno


Journal Of The American Medical Directors Association, Volume: 13, No.: 4, Pages.: 407.e7-12

Year of Publication



Objectives: To quantify transitions of residents into or out of nursing homes (NHs) and to describe psychotropic drug prescription at admission and discharge and with regard to dementia diagnosis.; Design: A descriptive, cross-sectional, noninterventional study.; Setting: The setting included 300 NH in France.; Participants: Participants included 2231 NH residents.; Measurements: Participants reported the number, origin, and destination of residents transiting into or out of the NH in the previous 3 months and provided information on NH characteristics. For eight residents admitted or discharged by the NH, information was collected on medical characteristics, including psychotropic and antidementia drug prescription, and dementia status.; Results: The mean number of beds in participating NHs was 85.9 ± 33.2 (mean occupation rate = 96.6%). The mean number of admissions and discharges in the previous 3 months was 13.7 ± 8.5 and 11.2 ± 4.3, respectively. Most admissions (direct admission 3.2 ± 3.3 or readmission 6.4 ± 6.0) and discharges (4.4 ± 6.7) were from and to the hospital. Of the 2231 residents included, 1005 (45.0%) were diagnosed with dementia. At least one psychotropic drug (antidepressant, hypnotic, antipsychotic, or anxiolytic) was prescribed to 70.7% of residents and in particular an antipsychotic to 19.1% of residents. Psychotropic drugs, and in particular antipsychotic drugs, were significantly more prescribed to demented residents than to nondemented residents (76.2% vs 64.3% and 28.0% vs 11.8%, respectively). The extent of prescription (at least one psychotropic drug) was similar in residents admitted to (70.2%) and discharged from (67.5%) the NHs. Antidementia drugs (acetylcholinesterase inhibitors or NMDA receptor antagonists) were prescribed to 53.7% of demented residents.; Conclusion: Movement of residents into and out of NHs and especially from and to the hospital is extensive and the prescription rate for psychotropic drugs is very high in this population, especially in residents with dementia. Multiple groups of health care providers should be targeted by educational measures to improve the quality of care for NH residents.; Copyright © 2012 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

Bibtex Citation

@article{Rolland_2012, doi = {10.1016/j.jamda.2011.12.056}, url = {}, year = 2012, month = {may}, publisher = {Elsevier {BV}}, volume = {13}, number = {4}, pages = {407.e7--407.e12}, author = {Yves Rolland and Sandrine Andrieu and Anne Crochard and Sylvia Goni and Christophe Hein and Bruno Vellas}, title = {Psychotropic Drug Consumption at Admission and Discharge of Nursing Home Residents}, journal = {Journal of the American Medical Directors Association} }


administration & dosage, aged, aged, 80 and over, dementia, diagnosis, drug, drug therapy, drug utilization, epidemiology, female, france, geriatric assessment, homes for the aged, humans, inappropriate prescribing, male, medication, methods, needs assessment, nursing homes, patient admission, patient discharge, pharmacology, psychotropic, psychotropic drugs, statistics & numerical data, use

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cohort Study

Type of Outcomes

Other, Service use or cost reductions (incl. hospital use reduction, care home admission delay)


Nursing Homes

Type of Interventions

Pharmaceutical Interventions

Pharmaceutical Interventions

Antipsychotics and antidepressants