The Relation between the Number, Kind and Total Amount of Psychoactive Drugs Used and the Outcome of Dysphagia in Patients with Psychiatric Disorders
10.2490/jjrmc.50.743
- VernacularTitle:精神疾患を持つ患者における向精神薬の内服種類数・総量と摂食・嚥下障害の帰結との関係－高齢者を主な対象とした事後的検証－
- Author:
Tomoyuki NAKAMURA
;
Ichiro FUJISHIMA
;
Norimasa KATAGIRI
;
Ritsu NISHIMURA
;
Naoki KATAYAMA
;
Koji WATANABE
- Publication Type:Journal Article
- Keywords:
psychiatric disorder;
dysphagia;
psychoactive drug;
antipsychotic;
polypharmacy
- From:The Japanese Journal of Rehabilitation Medicine
2013;50(9):743-750
- CountryJapan
- Language:Japanese
-
Abstract:
Objective : To examine the relation between psychoactive drugs and the outcome of dysphagia in patients with psychiatric disorders. Methods : We examined 53 inpatients who were prescribed speech therapy in the psychiatry ward of our hospital from January 2011 to April 2012. We categorized the patients into a poor outcome group and a good outcome group by the necessity for alternative nutrition at discharge and analyzed the number and kind of typical antipsychotic, atypical antipsychotic, hypnotic, antidepressant and mood stabilizer, total amount of typical antipsychotic, atypical antipsychotic used at admission and at discharge, sex, psychiatric disorder, central nervous system disease, aspiration pneumonia, duration of hospitalization, psychiatric disorder disease period, speech therapy intervention period and GAF scale at admission. Results : The outcome of dysphagia had a significant relation with the number and kind of antipsychotic used, especially typical antipsychotic used at admission. The good outcome group had a higher total amount of antipsychotic use, especially atypical antipsychotics. Conclusion : Long-term practical oral intake should not comprise antipsychotic polypharmacy, especially typical antipsychotics before onset of dysphagia, but should instead consist of a monopharmacy approach with atypical antipsychotics.
