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Chronic schizophrenia: Long-acting injectable vs. oral antipsychotics during maintenance treatment
Key clinical point: Chronic schizophrenia patients receiving only long-acting injectable antipsychotics (LAIAs) are at a lower risk of disease relapse and have reduced psychiatric service utilization vs. those receiving only oral antipsychotics (OAPs) during the maintenance treatment.
Major finding: Patients who received only LAIAs vs. those who received only OAPs had a lower percentage of psychiatric hospitalization (5.8% vs. 8.4%; odds ratio, 0.68; P less than .01), shorter lengths of hospitalization days (65.9 vs. 82.8; coefficient [b] = −16.87, P = .03), and fewer emergency room visits (1.8 vs. 2.3; b = −0.25; P less than .01) per patient.
Study details: This Taiwanese population-based cohort study included 40,194 patients with schizophrenia (age range, 15-65 years; LAIAs, n = 948; OAPs, n = 39,246).
Disclosures: This study was funded by the Bali Psychiatric Center, Ministry of Health and Welfare, Taiwan. The authors declared no conflicts of interest.
Fang SC et al. Hum Psychopharmacol. 2020 Mar 17. doi: 10.1002/hup.2729.