Document Detail


Comparison of short-acting intramuscular antipsychotic medication: impact on length of stay and cost.
MedLine Citation:
PMID:  20335789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective cohort study was conducted to determine if there is an association between short-acting intramuscular (SAIM) antipsychotics used for acute agitation and length of stay (LOS). Patients with a diagnosis of schizophrenia or schizoaffective disorder who were dispensed at least one dose of a SAIM antipsychotic were divided into groups based on the initial SAIM antipsychotic received once admitted to a psychiatric unit. Electronic records were used to gather demographic information, LOS, and number of injections received during an admission. Cost was calculated from the number of injections received. One-hundred and thirty-six patients were enrolled. When comparing the haloperidol group to the second generation antipsychotic group, there was no statistically significant difference, in LOS 16.98 ± 9.56 days versus 17.59 ± 11.52 days (P = 0.75), respectively. There was a statistically significant difference in both cost and number of injections between groups, favoring the haloperidol group. Ziprasidone was associated with a shorter LOS compared with olanzapine, 13.57 and 19.10 days, respectively (P = 0.026). Patient characteristics should be evaluated when determining an agent for acute agitation. However, because literature indicates second generation SAIM antipsychotics are only noninferior to haloperidol; other factors should also be evaluated; including impact on LOS and impact on hospital resources. This study indicates use of a second generation SAIM antipsychotic for acute agitation is more costly, requires more injections, and was not associated with a shorter length of stay when compared with SAIM haloperidol.
Authors:
Jonathan G Leung; Amanda M Benedetti; Lawrence A Frazee; Nancy Myers
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of therapeutics     Volume:  18     ISSN:  1536-3686     ISO Abbreviation:  Am J Ther     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-11     Completed Date:  2012-01-24     Revised Date:  2013-05-27    
Medline Journal Info:
Nlm Unique ID:  9441347     Medline TA:  Am J Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  300-4     Citation Subset:  IM    
Affiliation:
Virginia Commonwealth University Health System, Richmond, VA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antipsychotic Agents / administration & dosage,  economics*,  therapeutic use
Benzodiazepines / economics,  therapeutic use
Cohort Studies
Drug Costs*
Female
Haloperidol / economics,  therapeutic use
Humans
Injections, Intramuscular
Length of Stay / economics,  statistics & numerical data*
Male
Middle Aged
Piperazines / economics,  therapeutic use
Psychomotor Agitation / drug therapy*
Quinolones / economics,  therapeutic use
Retrospective Studies
Schizophrenia / drug therapy*
Thiazoles / economics,  therapeutic use
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 0/Piperazines; 0/Quinolones; 0/Thiazoles; 12794-10-4/Benzodiazepines; 132539-06-1/olanzapine; 52-86-8/Haloperidol; 6UKA5VEJ6X/ziprasidone; 82VFR53I78/aripiprazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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