抗精神病药物和精神分裂症患者在极端高温期间死亡的其他风险因素:基于人口的病例控制研究
Shirley X Chen1,2, Michael J Lee3, David A McVea3
1Environmental Health Services, British Columbia Centre for Disease Control, Vancouver, Canada. shirley.chen@bccdc.ca.
Scientific reports
|October 3, 2025
概括
精神分裂症患者在极端高温事件 (EHE) 中面临更高的死亡风险. 抗精神病药物,特别是结合使用的抗精神病药物,显著增加这种风险,以及其他因素,如收入援助和年龄.
科学领域:
- 环境健康 环境健康
- 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:
- 极端高温事件 (EHEs) 带来了显著的死亡风险,特别是在脆弱人群中.
- 精神分裂症患者在EHEs期间经历较高的死亡率.
研究的目的:
- 调查2021年西北美洲精神分裂症患者中抗精神病药物使用和死亡率之间的关联.
- 为了确定其他风险因素,有助于EHE死亡率在这个人群.
主要方法:
- 利用不列颠哥伦比亚省的慢性疾病登记册来识别精神分裂症患者.
- 链接患者数据与EHE前30天的抗精神病药物处方.
- 采用多重后勤回归来比较已故和幸存者之间的死亡风险,控制共变量.
主要成果:
- 抗精神病药物开放与增加EHE死亡率有关 (OR 2.43).
- 特定抗精神病药物 (haloperidol,clozapine,zuclopenthixol) 和组合疗法 (OR 4.05) 的风险较高.
- 其他显著的死亡因素包括收入援助,年龄,性别和心理健康紧急访问.
结论:
- 抗精神病药物是精神分裂症患者EHE死亡率的重要风险因素.
- 组合抗精神病治疗进一步提高了EHEs期间的死亡风险.
- 需要采取多因素的方法来减轻精神分裂症患者的EHE风险,同时考虑药物和非药物因素.
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