Metabolic Implications of Psychotropic Medications in a Publicly-Funded State Psychiatric Hospital

R. Bota, Timothy Dellenbaugh, A. Giorgadze, Chadd K Eaglin, C. Dávila
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Abstract

Objective To assess the metabolic implications for patients admitted to a psychiatric hospital in several patient populations. Method Data was collected from the medical records of 108 randomly chosen patients initially diagnosed with schizophrenia and depression in our hospital from 2002 to 2003. Results Weight gain over a one-year period was demonstrated in each group of patients (treated with antipsychotics or antidepressants) (p < 0.001). After the implementation of routine lipid panel test, several patients were initially diagnosed with dyslipidemia. Discussion It is important to order routine laboratory work rationally, as this adds to the cost of hospitalization, while considering standard of care recommendations.
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精神药物在公立精神病院的代谢影响
目的探讨不同人群精神病院住院患者的代谢影响。方法收集我院2002 ~ 2003年首次诊断为精神分裂症合并抑郁症患者108例的病历资料。结果每组患者(接受抗精神病药物或抗抑郁药物治疗)在一年内均出现体重增加(p < 0.001)。实施常规脂质板试验后,有几例患者最初被诊断为血脂异常。合理安排常规实验室工作很重要,因为这增加了住院费用,同时考虑标准护理建议。
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