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Psychotropic drug use in patients with various chronic somatic diseases

机译:患有各种慢性躯体疾病的患者使用精神药物

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Background and Objectives: To reveal insight into prevalence and incidence of psychotropic drug use in patients with various chronic somatic diseases and into time differences between incidence of the somatic disease and start of psychotropic drug use. Methods: A cohort study was performed using the Agis Health Database from 2002 to 2005. Patients with one or more of nine frequently occurring chronic somatic diseases were selected (N = 140,983). The non-exposed group (N = 417,486) was composed of patients without any of these nine diseases. For the somatic disease prescribed drugs were used as a proxy-indicator. Prevalences and incidences of psychotropic drug use were calculated as well as mean time between the incidence of the somatic disease and release date of the psychotropic drug. Results: Prevalence of antidepressant drugs and benzodiazepines was increased among patients with somatic diseases, with odds ratios of respectively 1.83 (95%CI 1.80-1.87) and 2.31 (95%CI 2.27-2.35). In the first year after incidence of the somatic disease, mean duration in time to start of psychotropic drug use was significantly shorter compared to patients without somatic disease. Conclusions: Physicians should be aware of the high prevalence and earlier onset of psychotropic drug use in all patients with chronic somatic diseases.
机译:背景与目的:了解各种慢性躯体疾病患者中精神药物的使用率和发生率,以及躯体疾病发生率与开始使用精神药物之间的时间差。方法:从2002年至2005年,使用Agis Health Database进行了一项队列研究。选择了9种经常发生的慢性躯体疾病中的一种或多种的患者(N = 140,983)。未暴露组(N = 417,486)由没有这9种疾病中的任何一种的患者组成。对于躯体疾病,使用处方药作为替代指标。计算了精神药物的使用率和发生率,以及躯体疾病的发生与精神药物释放日期之间的平均时间。结果:躯体疾病患者中抗抑郁药和苯二氮类药物的患病率增加,优势比分别为1.83(95%CI 1.80-1.87)和2.31(95%CI 2.27-2.35)。在发生躯体疾病的第一年,与没有躯体疾病的患者相比,开始使用精神药物的平均时间显着缩短。结论:医师应意识到所有慢性躯体疾病患者中精神药物的高患病率和较早发作。

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