Initiating long-acting injectable antipsychotics during acute admission for patients with schizophrenia – A 3-year follow-up

Autor: Chen-Chung Liu, Jia-Chi Shan, Chih-Lin Chiang, Ming H. Hsieh, Chih-Min Liu, Yi-Ling Chien, Shao-Chien Chen, Tzung-Jeng Hwang
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 114, Iss 6, Pp 539-545 (2015)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2013.01.004
Popis: The debate on whether long-acting injectable antipsychotic (LAIA) medication is superior to oral medication, in preventing rehospitalization of patients with schizophrenia, remains inconclusive. We compared rehospitalization rates over 3 years following discharge from an acute admission, in which patients either began using LAIAs regularly for the first time, or continued to use oral antipsychotics. Methods: A retrospective observational study of 92 inpatients with schizophrenia from a university-based medical center during 2004–2008. The primary outcome measure is the rehospitalization rates between groups, as estimated by Kaplan-Meier survival analysis. Results: Eighteen of 47 (38.3%) LAIA patients, and 16 of 45 (35.6%) oral medication patients were rehospitalized (average time to rehospitalization, 378 ± 262 vs. 378 ± 340 days; p = 0.997). The estimated cumulative rates of rehospitalization were similar between groups. The overall odds comparing the LAIA to the oral medication group were 1.085 ± 0.373 (95% confidence interval: 0.553–2.13, p = 0.813). Compared to the oral medication group, the LAIA group had fewer coded with sufficient previous treatment response (32% vs. 69%, p
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