Initiation of psychotropic medication in hospitalized patients with COVID-19: Association with clinical and biological characteristics.

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Human Psychopharmacology: Clinical and Experimental Pub Date : 2021-09-01 Epub Date: 2021-04-14 DOI:10.1002/hup.2789
Enrico Capuzzi, Alice Caldiroli, Silvia Leo, Massimiliano Buoli, Massimo Clerici
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引用次数: 4

Abstract

Introduction: Inpatients with coronavirus disease 2019 (COVID-19) show a high rate of neuropsychiatric manifestations, possibly related to a higher risk of serious illness or death. Use of psychotropic medications (PMs) indicates the presence of neuropsychiatric symptoms in COVID-19 patients. So far, potential clinical predictors of use of PMs have not been much investigated. In order to extend research in this area, we aimed to investigate the prevalence of PM prescription among a sample of inpatients with COVID-19 and to find potential predictors of initiation of PMs in these individuals.

Methods: This is a cross-sectional single-center study, conducted during the first outbreak peak in a hospital of northern Italy. Information on socio-demographic characteristics, comorbidities, routine blood test, use of potential COVID-19 treatments, and length of stay were retrieved from medical records.

Results: Data were available for 151 inpatients. Forty-seven of them (31.1%) started at least one prescription of a PM. PM prescription was significantly inversely associated with lymphocyte and platelet counts. A significant association was also found for lactate dehydrogenase (LDH).

Conclusion: Our findings suggest that the initiation of PMs could be common among COVID-19 inpatients. Lymphocyte and platelet counts as well as LDH levels may reflect neuropsychiatric complications of COVID-19.

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COVID-19住院患者开始精神药物治疗:与临床和生物学特征的关系
2019冠状病毒病(COVID-19)住院患者表现出高比例的神经精神症状,可能与较高的严重疾病或死亡风险有关。使用精神药物(pm)表明COVID-19患者存在神经精神症状。到目前为止,尚未对使用PMs的潜在临床预测因素进行过多的研究。为了扩大这一领域的研究,我们旨在调查COVID-19住院患者样本中PM处方的流行情况,并寻找这些个体中PM开始的潜在预测因素。方法:这是一项横断面单中心研究,在意大利北部一家医院的第一次爆发高峰期间进行。从医疗记录中检索有关社会人口统计学特征、合并症、常规血液检查、使用潜在的COVID-19治疗方法和住院时间的信息。结果:获得151例住院患者的资料。其中47人(31.1%)至少服用过一次PM处方。PM处方与淋巴细胞和血小板计数呈显著负相关。乳酸脱氢酶(LDH)也有显著的相关性。结论:我们的研究结果表明,在COVID-19住院患者中,PMs的开始可能是普遍的。淋巴细胞和血小板计数以及LDH水平可能反映COVID-19的神经精神并发症。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
34
审稿时长
6-12 weeks
期刊介绍: Human Psychopharmacology: Clinical and Experimental provides a forum for the evaluation of clinical and experimental research on both new and established psychotropic medicines. Experimental studies of other centrally active drugs, including herbal products, in clinical, social and psychological contexts, as well as clinical/scientific papers on drugs of abuse and drug dependency will also be considered. While the primary purpose of the Journal is to publish the results of clinical research, the results of animal studies relevant to human psychopharmacology are welcome. The following topics are of special interest to the editors and readers of the Journal: -All aspects of clinical psychopharmacology- Efficacy and safety studies of novel and standard psychotropic drugs- Studies of the adverse effects of psychotropic drugs- Effects of psychotropic drugs on normal physiological processes- Geriatric and paediatric psychopharmacology- Ethical and psychosocial aspects of drug use and misuse- Psychopharmacological aspects of sleep and chronobiology- Neuroimaging and psychoactive drugs- Phytopharmacology and psychoactive substances- Drug treatment of neurological disorders- Mechanisms of action of psychotropic drugs- Ethnopsychopharmacology- Pharmacogenetic aspects of mental illness and drug response- Psychometrics: psychopharmacological methods and experimental design
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