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Published on: November 21, 2013
Antipsychotic use varies by patient age
Elisa F Cascade1, Amir H Kalali, Leslie Citrome
1Ms. Cascade is Vice President, Strategic Research and Safety, Quintiles Inc., Falls Church, Virginia.
Atypical antipsychotic prescribing patterns vary significantly by age. While schizophrenia and affective psychoses dominate use in adults, these conditions represent a smaller proportion of atypical antipsychotic use in pediatric and geriatric populations.
Area of Science:
- Psychiatry
- Pharmacology
- Health Services Research
Background:
- Atypical antipsychotics, introduced in the mid-1990s, are increasingly prescribed for various conditions.
- Understanding current practice patterns is crucial for optimizing patient care.
Purpose of the Study:
- To investigate the utilization of atypical antipsychotics across different patient age groups.
- To identify variations in prescribing trends based on age demographics.
Main Methods:
- Retrospective analysis of atypical antipsychotic prescription data.
- Stratification of patient data by age groups: 0-17, 18-39, 40-64, and 65+.
- Comparison of diagnostic indications for atypical antipsychotic use across age strata.
Main Results:
- In adults (18-64), schizophrenia and affective psychoses accounted for approximately 70% of atypical antipsychotic use.
- In pediatric (0-17) and geriatric (65+) populations, these diagnoses represented only 41% and 36% of use, respectively.
- This indicates a broader range of indications for atypical antipsychotics in younger and older patients.
Conclusions:
- Atypical antipsychotic prescribing patterns differ markedly across age groups.
- Schizophrenia and affective psychoses are primary indications in adult populations.
- Further research is needed to understand the specific indications and outcomes in pediatric and geriatric patients prescribed atypical antipsychotics.
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