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Effect of Psychotropic Drugs on Development of Diabetes Mellitus in Patients With Alzheimers Disease

机译:精神药物对阿尔茨海默病患者糖尿病发展的影响

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摘要

We aimed to examine risk of diabetes mellitus (DM) among older adults with Alzheimer's disease receiving 3 types of psychotropic drugs, that is, antipsychotics, antidepressants, and sedative anxiolytics.We retrospectively analyzed data from a hospital-based Clinical Research Center for Dementia of South Korea (CREDOS) study conducted between January 1, 2008 and December 31, 2012. Participants (n = 3042) with Alzheimer's disease were aged 65 or older and had no preexisting history of DM. Development of DM was identified using claims for initiating at least 1 prescription of antidiabetic medications or a diagnosis of DM during the follow-up period. Cox proportional hazards regression was used to demonstrate the Hazard ratio of DM in use of each psychotropic drug.Among the 3042 participants, 426 patients (14.0%) developed DM, representing an incidence rate of 5.2/100 person-years during an average 2.9 years of follow-up period. Among the 3 types of psychotropic drugs, antipsychotic users had a significantly higher risk of DM (hazard ratio = 1.74, 95% confidence interval = 1.10, 2.76) than nonusers, after adjusting covariates. Antidepressants and sedative anxiolytics did not achieve statistical significance.These results suggested that the diabetes risk was elevated in Alzheimer patients on antipsychotic treatment. Therefore, patients with Alzheimer's disease receiving antipsychotic treatment should be carefully monitored for the development of DM.
机译:我们旨在检查患有3种类型的精神药物(即抗精神病药,抗抑郁药和镇静性抗焦虑药)的老年痴呆症老年人的糖尿病风险(DM)。我们回顾性分析了来自一家位于加州的痴呆症临床研究中心的数据韩国(CREDOS)研究于2008年1月1日至2012年12月31日进行。参与者(n = 3042)患有阿尔茨海默氏病,年龄65岁或65岁以上,无糖尿病史。 DM的发生是通过在后续期间启动至少1份抗糖尿病药处方或诊断DM的声明来确定的。 Cox比例风险回归用于证明每种精神药物使用DM的危险比.3042名参与者中,有426名患者(14.0%)发生了DM,平均2.9年的发生率是5.2 / 100人年。随访期。在调整协变量之后,在三种类型的精神药物中,抗精神病药物使用者的DM风险显着高于非使用者(危险比= 1.74,95%置信区间= 1.10,2.76)。抗抑郁药和镇静抗焦虑药没有统计学意义。这些结果表明,接受抗精神病药物治疗的阿尔茨海默氏症患者的糖尿病风险较高。因此,应仔细监测接受抗精神病药物治疗的阿尔茨海默氏病患者的糖尿病发展。

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