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Indications for and use of long-acting injectable antipsychotics
- Source :
- International Clinical Psychopharmacology. 32:161-168
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- Studies have examined the differences in sociodemographic/clinical characteristics between patients on long-acting injectable (LAI) versus oral medications. However, most studies did not focus specifically on patients for whom LAIs would clearly be indicated. We performed a chart review of patients with schizophrenia or schizoaffective disorder. Patients were categorized as having an ‘indication for an LAI’ or not on the basis of their adherence history. Patients for whom an LAI was indicated and prescribed on discharge were then compared with similar patients for whom an LAI was not prescribed. Of 305 charts reviewed, consisting of 279 unique patients, 27.2% were judged to have an indication for an LAI (n = 76), but only 32.9% of these (n = 25) were discharged on an LAI. In the multiregression model, being African American, residing in a psychiatric residence, having a previous history of an LAI trial, and being treated with a higher antipsychotic dose were predictive of LAI prescription. It is important to focus on the population who are not likely to receive an LAI, but who have such indications for treatment.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
viruses
medicine.medical_treatment
Population
Schizoaffective disorder
Injections, Intramuscular
Article
Medication Adherence
03 medical and health sciences
0302 clinical medicine
immune system diseases
Chart review
Humans
Medicine
Pharmacology (medical)
Medical prescription
Antipsychotic
education
Inpatients
education.field_of_study
business.industry
virus diseases
Inpatient setting
medicine.disease
030227 psychiatry
Psychiatry and Mental health
Long acting
Psychotic Disorders
Schizophrenia
Delayed-Action Preparations
Female
business
030217 neurology & neurosurgery
Antipsychotic Agents
Subjects
Details
- ISSN :
- 02681315
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- International Clinical Psychopharmacology
- Accession number :
- edsair.doi.dedup.....29903a149f06391227bd4812676fb242