长期停留情绪稳定剂的使用随着抗精神病药物的处方减少而增加
Jonathan D Winter1,2, J William Kerns1,2, Katherine M Winter1
1VCU-Shenandoah Family Practice Residency, Front Royal, VA, USA.
GeroPsych
|February 20, 2026
概括
2011-2016年,弗吉尼亚州养老院的抗精神病药物处方数量下降,而抗性情绪稳定剂的使用量大幅上升,特别是在没有的居民中. 这种转变发生不论发作-的诊断.
科学领域:
- 老年人药房 老年人药房
- 精神病学药理学 精神病学药理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 养老院居民经常接受抗精神病药物.
- 抗药物越来越多地被用作情绪稳定剂.
- 了解处方趋势对于患者护理至关重要.
研究的目的:
- 分析抗精神病和抗性情绪稳定剂处方的趋势.
- 为了比较2011年至2016年弗吉尼亚州养老院的处方模式.
- 研究发作对这些处方趋势的影响.
主要方法:
- 对养老院索赔数据的回顾性队列分析.
- 后勤回归建模用于评估处方频率变化.
- 对有和没有的住院医生处方数据的检查.
主要成果:
- 在长期住院居民中,抗精神病药物处方从13.1%降至5.6%.
- 抗性情绪稳定剂的使用增加了27.0%至8.6%的流行率.
- 抗性情绪稳定剂的处方增加集中在没有的住户中.
- 非洲裔美国人和男性患情绪稳定剂的风险增加.
结论:
- 在养老院使用抗情绪稳定剂的数量正在上升,而这与无关.
- 处方模式显示,从抗精神病药物转向抗性情绪稳定剂,即使在非患者中也是如此.
- 需要进一步的研究来了解这些处方转换的影响.
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