门诊抗精神病药物的使用和严重的COVID-19:在现实世界的数据研究中避免年龄的影响
Samuel Pintos-Rodríguez1, Irene Visos-Varela1, Almudena Rodríguez-Fernández2,3,1
1Department of Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain.
The international journal of neuropsychopharmacology
|April 11, 2024
概括
在65岁以下的人群中,抗精神病药的使用并没有增加COVID-19住院的风险. 然而,服用抗精神病药物的老年人 (65岁以上) 患上住院和COVID-19疾病进展的风险更高.
科学领域:
- 药理学和公共卫生
- 传染病流行病学 传染病流行病学
背景情况:
- 关于抗精神病药物的使用和COVID-19的结果存在不一致的发现,可能是由于它们在与年龄相关的疾病中的使用.
- 有限的证据解决了非老年人群中对COVID-19的抗精神病作用.
研究的目的:
- 评估抗精神病药物使用与COVID-19住院和疾病进展风险之间的关联.
- 在一般人群中按年龄组分层这种风险.
主要方法:
- 采用基于人群的多个病例控制研究设计.
- 病例是患有阳性PCR测试的患者,需要住院治疗或正在进行住院治疗.
- 对照组包括没有阳性PCR测试的个体或非住院的阳性PCR患者.
主要成果:
- 在65岁以下的患者中,抗精神病药物的使用没有增加COVID-19住院的风险 (aOR 0.94) 或疾病进展 (aOR 0.96).
- 在65岁及以上的患者中,抗精神病药物的使用与住院 (aOR 1.58) 和疾病进展 (aOR 1.31) 的风险显著增加有关.
结论:
- 抗精神病药物的使用与65岁以下个体的COVID-19住院或进展风险增加无关.
- 在老年人 (65岁以上) 中观察到的高风险可能与非标签抗精神病药物处方做法有关.
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