Bipolar Disorder in Nursing Homes: Impact on Antipsychotic Use, Diagnosis Patterns, and New Diagnoses in People with Dementia.

ABSTRACT:

Objectives

Nursing home quality measures include the proportion of residents who receive antipsychotics. Residents with bipolar disorder are included even though antipsychotics are FDA-approved for this indication. We evaluated how including residents with bipolar disorder impacted the antipsychotic use quality measure for long-stay residents. We evaluated the agreement of minimum data set (MDS) bipolar disorder diagnoses with Medicare data, whether dementia was diagnosed before bipolar disorder, and how less-specific bipolar disorder diagnoses impacted findings.

Design

Cross-sectional study.

Setting

Nursing homes in Iowa.

Participants

21,955 long-stay nursing home residents in the first quarter of 2014.

Measurements

We identified antipsychotic use and b

SUBMITTER: Carnahan RM 

PROVIDER: S-EPMC6946118 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature