Movement Disorders (revue)

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Long-term outcome of clozapine use for psychosis in Parkinsonian patients

Identifieur interne : 000B92 ( PascalFrancis/Curation ); précédent : 000B91; suivant : 000B93

Long-term outcome of clozapine use for psychosis in Parkinsonian patients

Auteurs : Hubert H. Fernandez [États-Unis] ; Edward M. Donnelly [États-Unis] ; Joseph H. Friedman [États-Unis]

Source :

RBID : Pascal:04-0454060

Descripteurs français

English descriptors

Abstract

A retrospective analysis was carried out on 39 parkinsonian patients on clozapine treatment ≥24 months for psychosis. The cohort had a mean age of 76 years and an average clozapine dose of 47 mg/day over 60 months of clozapine use. Of 39 patients, 13 (33%) patients were eventually admitted to nursing homes. 6 (46%) of whom died over a period of 5 years. The overall 5-year mortality rate in this cohort was 44% (17/39). Of 39 patients, 33 (85%) had continued partial/good response and 5 (13%) had complete resolution of psychosis. None discontinued clozapine due to motor worsening. Among patients who responded early on, the long-term efficacy of clozapine for psychosis was sustained. The risk of nursing home placement and mortality among parkinsonian patients treated with clozapine for psychosis in this geriatric cohort was better than that reported previously. Our data are more consistent with recently published long-term outcome data suggesting an improvement in the prognosis of parkinsonian patients with psychosis with the use of atypical antipsychotic agents such as clozapine.
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A11 01  1    @1 FERNANDEZ (Hubert H.)
A11 02  1    @1 DONNELLY (Edward M.)
A11 03  1    @1 FRIEDMAN (Joseph H.)
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C01 01    ENG  @0 A retrospective analysis was carried out on 39 parkinsonian patients on clozapine treatment ≥24 months for psychosis. The cohort had a mean age of 76 years and an average clozapine dose of 47 mg/day over 60 months of clozapine use. Of 39 patients, 13 (33%) patients were eventually admitted to nursing homes. 6 (46%) of whom died over a period of 5 years. The overall 5-year mortality rate in this cohort was 44% (17/39). Of 39 patients, 33 (85%) had continued partial/good response and 5 (13%) had complete resolution of psychosis. None discontinued clozapine due to motor worsening. Among patients who responded early on, the long-term efficacy of clozapine for psychosis was sustained. The risk of nursing home placement and mortality among parkinsonian patients treated with clozapine for psychosis in this geriatric cohort was better than that reported previously. Our data are more consistent with recently published long-term outcome data suggesting an improvement in the prognosis of parkinsonian patients with psychosis with the use of atypical antipsychotic agents such as clozapine.
C02 01  X    @0 002B17
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C03 01  X  ENG  @0 Psychosis @5 01
C03 01  X  SPA  @0 Psicosis @5 01
C03 02  X  FRE  @0 Pronostic @5 02
C03 02  X  ENG  @0 Prognosis @5 02
C03 02  X  SPA  @0 Pronóstico @5 02
C03 03  X  FRE  @0 Clozapine @2 NK @2 FR @5 03
C03 03  X  ENG  @0 Clozapine @2 NK @2 FR @5 03
C03 03  X  SPA  @0 Clozapina @2 NK @2 FR @5 03
C03 04  X  FRE  @0 Système nerveux pathologie @5 04
C03 04  X  ENG  @0 Nervous system diseases @5 04
C03 04  X  SPA  @0 Sistema nervioso patología @5 04
C03 05  X  FRE  @0 Homme @5 05
C03 05  X  ENG  @0 Human @5 05
C03 05  X  SPA  @0 Hombre @5 05
N21       @1 257
N44 01      @1 OTO
N82       @1 OTO

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Pascal:04-0454060

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