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长期治疗对情绪障碍中的功能的影响:基于人口的历史队列研究
Ajay K Parsaik1, Aanchal Chaudhary2, Shivy Sharma2
1Department of Psychiatry and Behavioral Health, Marshfield Clinic Health System, Marshfield, Wisconsin, USA.
Bipolar disorders
|September 16, 2024
概括
慢性病 (CKD) 影响15%的患者长期疗法 (LTLT) 情绪障碍. 虽然高血压和年龄是危险因素,但在那些患有慢性病的人中,停止使用并没有改善功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 是双相情感障碍 (BD) 的关键治疗方法,但由于对慢性病 (CKD) 的担忧,其使用受到限制.
- 了解长期疗法 (LTLT) 患者中CKD的预测因素和结果对于安全有效的治疗至关重要.
研究的目的:
- 在接受LTLT的患者中确定CKD阶段≥3的临床和人口预测因素.
- 评估在诊断慢性病后断治疗对功能的影响.
主要方法:
- 从1990年到2019年,一项基于人口的历史队列研究对1603名在LTLT上患有情绪障碍的成年患者进行了研究.
- 关于暴露的数据,估计的膜过率和CKD是从电子医疗记录中提取的.
主要成果:
- 15.3%的患者患有CKD阶段≥3.3. 慢性病的重要风险因素包括高血压,年龄较大以及双相情感障碍 (BD) 的诊断.
- 功能随着的持续时间线性下降. 在患有慢性病的患者中,停用并没有改善功能.
结论:
- 慢性病影响了相当一部分LTLT患者,其进展可能与并发症有关. 监测功能和个体风险因素是必不可少的.
- 在这个队列中,停止治疗并没有逆转已确定的CKD,这凸显了主动脏监测的重要性.
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