Differences between countries in adult acute psychiatric hospitalization: Clinical features and drug prescription in Spain and the United States of America - 13/04/16
Riassunto |
Introduction |
Diverse prescription patterns and differences in length of psychiatry inpatient stay among European and American countries have been reported [1, 2].
Objectives |
To describe and compare clinical features and drug prescriptions in two Acute Psychiatric Units from Spain and USA.
Methods |
Cross-sectional and comparative study. Sample: 73 inpatients from Reno (USA-Inpatients) and 65 from Oviedo (Spain-Inpatients) admitted to public Adult Acute Psychiatric Unit over a two-month period. Sociodemographic/clinical data and drug prescription were collected.
Results |
Sociodemographic/clinical comparison (Table 1) and drug prescription differences (Table 2) are shown.
No significant differences in antipsychotics’ prescription except for the most frequently used [risperidone in Spain (36%)/ziprasidone in US (19.6%), Chi2=39.7**].
Conclusions |
(A) Psychiatric inpatients in US are younger, have longer hospitalization, show more comorbid substance use disorder and differ from Spanish inpatients in frequency of diagnostic categories (schizophrenic disorders represent a larger proportion).
(B) Inpatients in Spain usually receive polytherapy, and are more frequently treated with antidepressants and anxiolytics, especially benzodiazepines. In contrast, USA-Inpatients take lithium more often [1, 2].
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Vol 33 - N° S
P. S113 - marzo 2016 Ritorno al numero
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