Effect of Multiple Medicines on Dementia Initial Treatment: Experience and Thinking.

IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY
Jinghuan Gan, Meng Wang, Shuai Liu, Zhichao Chen, Xiao-Dan Wang, Yong Ji
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引用次数: 0

Abstract

Little is known about multiple medicines and initial therapy among people with dementia. To examine the effect of multiple medicines on the initiation of anti-dementia therapy in patients diagnosed with cognitive impairment (CI), a retrospective study with 2742 CI patients was conducted based on the outpatients' medical records. The dementias receiving 1-2 drugs were more likely to be prescribed with anti-dementia (one drug: OR = 1.877; two drugs: OR = 1.770) and psychotropic (one drug: OR = 1.980) treatment, whereas had lower chances of receiving psychotropic medication with the combinations of more than three drugs (Alzheimer's disease: OR = .365; vascular dementia: OR = .940; frontotemporal lobe degeneration: OR = .957; and dementia with Lewy bodies/Parkinson's disease dementia: OR = .952). Multiple medicines can affect anti-dementia therapy initiation in dementia patients and should be paid extreme caution.

多种药物对痴呆初期治疗的影响:经验与思考。
人们对痴呆症患者的多种药物和初始治疗知之甚少。为了研究多种药物对认知障碍(CI)患者开始抗痴呆治疗的影响,我们根据门诊病人的医疗记录对 2742 名认知障碍患者进行了回顾性研究。接受 1-2 种药物治疗的痴呆症患者更有可能接受抗痴呆(一种药物:OR = 1.877;两种药物:OR = 1.770)和精神药物(一种药物:OR = 1.980)治疗,而接受三种以上药物联合治疗的痴呆症患者接受精神药物治疗的几率较低(阿尔茨海默病:OR = 0.365;血管性痴呆:OR = 0.365):OR=0.365;血管性痴呆症OR=0.940;额颞叶变性:OR=0.957;路易体痴呆/帕金森病痴呆:OR = .952)。多种药物会影响痴呆患者抗痴呆治疗的启动,因此应格外谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Alzheimers Disease and Other Dementias
American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY
CiteScore
5.40
自引率
0.00%
发文量
30
审稿时长
6-12 weeks
期刊介绍: American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).
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