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논문 기본 정보

자료유형
학술저널
저자정보
오승민 (인하대병원) 김원형 (인하대병원) 신준환 (인하대병원) 김지현 (인하대병원) 이정섭 (인하대병원) 배재남 (인하대병원) 김철응 (인하대병원)
저널정보
대한생물치료정신의학회 생물치료정신의학 생물치료정신의학 제23권 제3호(통권 제50호)
발행연도
2017.10
수록면
181 - 189 (9page)

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초록· 키워드

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Objectives:Paliperidone palmitate long-acting injection(PP) is an effective and broadly well tolerated treatment in practice. The aim of this study was to determine factors relating to discontinuation with treatment with PP, we analyzed the time course and causes of PP discontinuation that occurred in 12 months period in a clinical setting.
Methods:Retrospective database of 81 patients with schizophrenia were reviewed for analyzing the duration of PP and the reasons for discontinuation(from June 2011 to November 2016), with the motives for discontinuation coded. The causes for termination were analyzed.
Results:Overall, 58% patients discontinued PP beyond 12 months from initiation. The common reasons for discontinuation were follow-up loss(42.5%), no effect(19.1%), side effect(19.1%). extrapyramidal symptom accounted for 44.4% of all side effect inducing discontinuation. Pain, somnolence accounted for 22.2% of side effect, respectively. Inpatient initiation, switched from risperidone, risperidone long-acting injection(LAI), compliance before injection, hospitalization during treatment course, GAF score at last LAI, CGI-S at last LAI were associated with discontinuation on univariate analysis. However, only hospitalization during treatment course was independently associated with discontinuation on multivariate analysis.
Conclusion:Hospitalization after PP was associated with 12-month PP discontinuation. Prospective researches using more objective tools are needed to clarify the reasons for PP discontinuation.

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UCI(KEPA) : I410-ECN-0101-2018-512-001471094