心理药物多药组合和多药的持续时间在医疗补助入学青少年中
Yueh-Yi Chiang1, Alejandro Amill-Rosario1, Phuong Tran1
1Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore.
Psychiatric services (Washington, D.C.)
|August 14, 2024
概括
心理药物多药,即使用多种精神药物,在年轻人中很常见,并且每年都在增加. 这些药物治疗方案表明慢性使用模式随着时间的推移.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 儿科 儿科 儿科
背景情况:
- 心理药物多药在儿科患者中很普遍.
- 了解处方模式对于优化青少年治疗结果至关重要.
研究的目的:
- 评估在医疗补助计划中注册的青少年中使用心理药物多药物的频率和模式.
- 在六年时间内分析心理药物使用趋势.
主要方法:
- 对2015-2020年国家医疗补助申请数据库的横截面分析.
- 纳入标准:年轻人 (≤17岁) 有心理药物索赔和连续的医疗补助入学 (≥90天).
- 精神药物多药性定义为连续90天以上的≥3个治疗类的索赔;根据年度日期和类组合进行分析.
主要成果:
- 确定了126,972名独特的年轻人.
- 三类组合是最常见的,经常涉及ADHD药物,抗精神病药物和抗抑郁药.
- 年均多药日数从2015年的227.8日增加到2020年的235.7日,显示出同比大幅增加 (RR=1.01).
结论:
- 年轻人的心理药物多药疗法方案表明慢性药物使用.
- 随着时间的推移,心理药物多药日数在统计学上显著增加.
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