中山醫學大學機構典藏 CSMUIR:Item 310902500/23824
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    题名: Risk of Pneumonia is associated with Antipsychotic Drug Use among older patients with Parkinson's Disease: A Case-control Study
    作者: Huang, KH;Kuo, WY;Kuan, YH;Chang, YC;Tsai, TH;Lee, CY
    关键词: pneumonia;antipsychotics;Parkinson's disease;pharmacoepidemiology
    日期: 2021
    上传时间: 2022-08-05T09:43:28Z (UTC)
    出版者: IVYSPRING INT PUBL
    ISSN: 1449-1907
    摘要: Objective: To investigate the risk of pneumonia associated with the use of antipsychotic drugs in older-adult patients with Parkinson's disease (PD) in Taiwan. Methods: This case-control study was based on data from the longitudinal health insurance database in Taiwan. We analyzed the data of 51,158 older patients with PD for the period between 2001 and 2016. To reduce the potential confounding caused by unbalanced covariates in nonexperimental settings, we used propensity score matching to include older patients without pneumonia to serve as the control group. Results: Compared with patients who had never taken antipsychotics, current (adjusted odds ratios [aOR] =1.63, 95% confidence interval [CI] = 1.51-1.75), recent (aOR = 1.63, 95% CI = 1.52-1.74), and past (aOR = 1.89, 95% CI = 1.80-2.00) users of antipsychotics had a higher risk of incident pneumonia. Among typical and atypical antipsychotics, haloperidol and clozapine were associated with higher risks of incident pneumonia, respectively. By contrast, aripiprazole was not associated with a higher risk of pneumonia. Conclusion: Older patients with PD receiving typical antipsychotics or atypical antipsychotics had a higher risk of pneumonia. Among these antipsychotics, clozapine had the highest risk of pneumonia. Clinicians should pay attention to the risk of pneumonia in older patients with PD who receive typical antipsychotics and atypical antipsychotics.
    URI: http://dx.doi.org/10.7150/ijms.63246
    https://www.webofscience.com/wos/woscc/full-record/WOS:000702608300024
    https://ir.csmu.edu.tw:8080/handle/310902500/23824
    關聯: INTERNATIONAL JOURNAL OF MEDICAL SCIENCES ,2021,v18,issue 15, P3565-3573
    显示于类别:[中山醫學大學研究成果] 期刊論文

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