Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate

Background/Aim. There is no available published data about the use of long-acting injectable paliperidone palmitate (PP) in schizophrenia patients in the Republic of Serbia. The aim of this study was to assess hospitalization rates be-fore and after the switch to once-monthly long-acting injectable...

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Main Authors: Totić-Poznanović Sanja, Marković Miloš
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2023-01-01
Series:Vojnosanitetski Pregled
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Online Access:https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300007T.pdf
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author Totić-Poznanović Sanja
Marković Miloš
author_facet Totić-Poznanović Sanja
Marković Miloš
author_sort Totić-Poznanović Sanja
collection DOAJ
description Background/Aim. There is no available published data about the use of long-acting injectable paliperidone palmitate (PP) in schizophrenia patients in the Republic of Serbia. The aim of this study was to assess hospitalization rates be-fore and after the switch to once-monthly long-acting injectable PP in schizophrenia patients, as well as their compliance with this drug. Methods. We conducted a retrospective cross-sectional study in which hospitalization rates were evaluated 12 months before and 12 months after the switch to once-monthly long-acting injectable PP in 113 schizophrenia patients. The age of the enrolled patients was between 18 and 66 years. Results. The average age of the enrolled patients was 38.36 ± 11.62 years. Among them, 77 (68.1%) were male, and 36 (31.9%) were female. Out of the total number of 113 patients treated with once-monthly injectable PP, 78 (69.03%) were on monotherapy, while 35 (30.97%) had one additional oral antipsychotic (risperidone, olanzapine, aripiprazole, or clozapine). Out of the total number of 113 patients, 68 (60.18%) were not hospitalized in the 12-month period before the switch to once-monthly long-acting injectable PP, while 45 (39.82%) were hospitalized in the same period. Given that 8 patients out of the total number of 113 were excluded from therapy due to an adverse event or their own decision in the period after the switch to PP, the analysis of the hospitalization rate after the switch to PP was performed for the remaining 105 patients, of which 9 (8.57%) were hospitalized in the period after the switch to PP, and 96 (91.43%) were not. Conclusion. Our results show high compliance in the treatment with once-monthly injectable PP and a positive impact of treatment with this drug on low hospitalization rate in a 12-month period in patients with schizophrenia. Considering the availability of this drug in the Republic of Serbia, these results encourage the use of once-monthly injectable PP as an important therapeutic option in schizophrenia patients.
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spelling doaj-art-e2186c1684b34fb383104513cd437e522025-08-20T02:04:21ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202023-01-0180865065410.2298/VSP221114007T0042-84502300007TRetrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitateTotić-Poznanović Sanja0https://orcid.org/0009-0005-1208-2343Marković Miloš1University Clinical Center of Serbia,Clinic for Psychiatry, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaClinic for Mental Disorders “Dr. Laza Lazarević”, Belgrade, SerbiaBackground/Aim. There is no available published data about the use of long-acting injectable paliperidone palmitate (PP) in schizophrenia patients in the Republic of Serbia. The aim of this study was to assess hospitalization rates be-fore and after the switch to once-monthly long-acting injectable PP in schizophrenia patients, as well as their compliance with this drug. Methods. We conducted a retrospective cross-sectional study in which hospitalization rates were evaluated 12 months before and 12 months after the switch to once-monthly long-acting injectable PP in 113 schizophrenia patients. The age of the enrolled patients was between 18 and 66 years. Results. The average age of the enrolled patients was 38.36 ± 11.62 years. Among them, 77 (68.1%) were male, and 36 (31.9%) were female. Out of the total number of 113 patients treated with once-monthly injectable PP, 78 (69.03%) were on monotherapy, while 35 (30.97%) had one additional oral antipsychotic (risperidone, olanzapine, aripiprazole, or clozapine). Out of the total number of 113 patients, 68 (60.18%) were not hospitalized in the 12-month period before the switch to once-monthly long-acting injectable PP, while 45 (39.82%) were hospitalized in the same period. Given that 8 patients out of the total number of 113 were excluded from therapy due to an adverse event or their own decision in the period after the switch to PP, the analysis of the hospitalization rate after the switch to PP was performed for the remaining 105 patients, of which 9 (8.57%) were hospitalized in the period after the switch to PP, and 96 (91.43%) were not. Conclusion. Our results show high compliance in the treatment with once-monthly injectable PP and a positive impact of treatment with this drug on low hospitalization rate in a 12-month period in patients with schizophrenia. Considering the availability of this drug in the Republic of Serbia, these results encourage the use of once-monthly injectable PP as an important therapeutic option in schizophrenia patients.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300007T.pdfantipsychotic agentsdelayed-action preparationsdrug-related adverse effect and adverse reactionshospitalizationpaliperidone palmitatepatient complianceschizofreniaserbia
spellingShingle Totić-Poznanović Sanja
Marković Miloš
Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate
Vojnosanitetski Pregled
antipsychotic agents
delayed-action preparations
drug-related adverse effect and adverse reactions
hospitalization
paliperidone palmitate
patient compliance
schizofrenia
serbia
title Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate
title_full Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate
title_fullStr Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate
title_full_unstemmed Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate
title_short Retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once-monthly long-acting injectable paliperidone palmitate
title_sort retrospective analysis of hospitalization rates in patients with schizophrenia 12 months before and 12 months after the switch on once monthly long acting injectable paliperidone palmitate
topic antipsychotic agents
delayed-action preparations
drug-related adverse effect and adverse reactions
hospitalization
paliperidone palmitate
patient compliance
schizofrenia
serbia
url https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300007T.pdf
work_keys_str_mv AT toticpoznanovicsanja retrospectiveanalysisofhospitalizationratesinpatientswithschizophrenia12monthsbeforeand12monthsaftertheswitchononcemonthlylongactinginjectablepaliperidonepalmitate
AT markovicmilos retrospectiveanalysisofhospitalizationratesinpatientswithschizophrenia12monthsbeforeand12monthsaftertheswitchononcemonthlylongactinginjectablepaliperidonepalmitate