Differences in the Effectiveness of Long-Acting Injection and Orally Administered Antipsychotics in Reducing Rehospitalization among Patients with Schizophrenia Receiving Home Care Services
Autor: | Hsiao-Fen Hsu, Jeremy C. Ying, Chia-Chan Kao, Ti Lu, Sheng-Yu Lee |
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Rok vydání: | 2019 |
Předmět: |
rehospitalization
Oral treatment Pediatrics medicine.medical_specialty medicine.medical_treatment Southern taiwan lcsh:Medicine oral antipsychotics Article psychiatric home care service First generation antipsychotic Treatment and control groups 03 medical and health sciences 0302 clinical medicine Female patient medicine long-acting antipsychotics Antipsychotic business.industry lcsh:R General Medicine medicine.disease 030227 psychiatry schizophrenia Long acting Schizophrenia business 030217 neurology & neurosurgery |
Zdroj: | Journal of Clinical Medicine Volume 8 Issue 6 Journal of Clinical Medicine, Vol 8, Iss 6, p 823 (2019) |
ISSN: | 2077-0383 |
DOI: | 10.3390/jcm8060823 |
Popis: | The current study explored the differences in the effectiveness of first and second generation long-acting injections and orally administered antipsychotics in reducing the rehospitalization rate among patients with schizophrenia receiving home care services in a medical center in Southern Taiwan. Longitudinal data between 1 January 2006, and 31 December 2015, were collected retrospectively. Patients were classified into three treatment groups: First generation antipsychotic (FGA) long-acting injection (LAI), second generation antipsychotic long-acting injection (SGA) (LAI), and oral antipsychotics. The primary outcomes were the rehospitalization rate and the follow-up time (duration of receiving home care services) until psychiatric rehospitalization. A total of 78 patients with schizophrenia were recruited. The average observation time was about 40 months. The oral treatment group tended to be older with a higher number of female patients and a lower level of education. The FGA treatment group tended to have a higher frequency and duration of hospitalization before receiving home care services. We found no significant differences in the follow-up time or psychiatric rehospitalization rate after receiving home care services among the three treatment groups. We propose that oral and LAI antipsychotics were equally effective when patients received home care services. Our results can serve as a reference for the choice of treatment for patients with schizophrenia in a home care program. |
Databáze: | OpenAIRE |
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