Parkinsonism and exposure to neuroleptic drugs in elderly people living in institutions.
Identifieur interne : 000004 ( Ncbi/Checkpoint ); précédent : 000003; suivant : 000005Parkinsonism and exposure to neuroleptic drugs in elderly people living in institutions.
Auteurs : F. Tison [France] ; J. Lecaroz ; L. Letenneur ; J F DartiguesSource :
- Clinical neuropharmacology [ 0362-5664 ]
English descriptors
- KwdEn :
- Academies and Institutes, Aged, Aged, 80 and over, Antipsychotic Agents (adverse effects), Antipsychotic Agents (therapeutic use), Cognition (drug effects), Cross-Sectional Studies, Humans, Motor Activity (drug effects), Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Risk Factors.
- MESH :
- chemical , adverse effects : Antipsychotic Agents.
- chemical , therapeutic use : Antipsychotic Agents.
- drug effects : Cognition, Motor Activity.
- drug therapy : Parkinson Disease.
- physiopathology : Parkinson Disease.
- Academies and Institutes, Aged, Aged, 80 and over, Cross-Sectional Studies, Humans, Risk Factors.
Abstract
Three-hundred fifty-two randomly selected residents, aged over 65 years, of 42 representative long-term care institutions in a defined geographic area of south-western France, were assessed for demographic characteristics, drug intake, and motor and cognitive status. Neuroleptic drug intake is described and demographic variables and motor and cognitive status are analyzed according to exposure to neuroleptics and presence of parkinsonism. Exposure to neuroleptics was considered as a "risk factor" for parkinsonism, and the risk (proportion) of parkinsonism attributable to neuroleptics calculated. Twenty-one percent of subjects were exposed to neuroleptics, of whom 27% took more than one. Subjects taking neuroleptics were significantly younger and more cognitively impaired. About 30% of subjects taking neuroleptics had parkinsonism (6.25% of the sample). Postural and action tremors were more frequent than resting tremor, and asymmetry of parkinsonian signs was found in 25%. The mean dosage taken by exposed subjects with parkinsonism was found to be twice that of those without. The proportion of cases of parkinsonism attributable to neuroleptics in institutions was 19%. Our results clearly show that neuroleptic drug use in institutionalized elderly persons is associated with a high risk for parkinsonism.
PubMed: 10047927
Affiliations:
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pubmed:10047927Le document en format XML
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Letenneur</name></author><author><name sortKey="Dartigues, J F" sort="Dartigues, J F" uniqKey="Dartigues J" first="J F" last="Dartigues">J F Dartigues</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>1999 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:10047927</idno><idno type="pmid">10047927</idno><idno type="wicri:Area/PubMed/Corpus">001431</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001431</idno><idno type="wicri:Area/PubMed/Curation">001390</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001390</idno><idno type="wicri:Area/PubMed/Checkpoint">001390</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001390</idno><idno type="wicri:Area/Ncbi/Merge">000004</idno><idno type="wicri:Area/Ncbi/Curation">000004</idno><idno type="wicri:Area/Ncbi/Checkpoint">000004</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Parkinsonism and exposure to neuroleptic drugs in elderly people living in institutions.</title><author><name sortKey="Tison, F" sort="Tison, F" uniqKey="Tison F" first="F" last="Tison">F. Tison</name><affiliation wicri:level="3"><nlm:affiliation>Département de Neurologie, Hôpital Pellegrin, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurologie, Hôpital Pellegrin, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Lecaroz, J" sort="Lecaroz, J" uniqKey="Lecaroz J" first="J" last="Lecaroz">J. Lecaroz</name></author><author><name sortKey="Letenneur, L" sort="Letenneur, L" uniqKey="Letenneur L" first="L" last="Letenneur">L. Letenneur</name></author><author><name sortKey="Dartigues, J F" sort="Dartigues, J F" uniqKey="Dartigues J" first="J F" last="Dartigues">J F Dartigues</name></author></analytic><series><title level="j">Clinical neuropharmacology</title><idno type="ISSN">0362-5664</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academies and Institutes</term><term>Aged</term><term>Aged, 80 and over</term><term>Antipsychotic Agents (adverse effects)</term><term>Antipsychotic Agents (therapeutic use)</term><term>Cognition (drug effects)</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Motor Activity (drug effects)</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (physiopathology)</term><term>Risk Factors</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antipsychotic Agents</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antipsychotic Agents</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Cognition</term><term>Motor Activity</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Academies and Institutes</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Three-hundred fifty-two randomly selected residents, aged over 65 years, of 42 representative long-term care institutions in a defined geographic area of south-western France, were assessed for demographic characteristics, drug intake, and motor and cognitive status. Neuroleptic drug intake is described and demographic variables and motor and cognitive status are analyzed according to exposure to neuroleptics and presence of parkinsonism. Exposure to neuroleptics was considered as a "risk factor" for parkinsonism, and the risk (proportion) of parkinsonism attributable to neuroleptics calculated. Twenty-one percent of subjects were exposed to neuroleptics, of whom 27% took more than one. Subjects taking neuroleptics were significantly younger and more cognitively impaired. About 30% of subjects taking neuroleptics had parkinsonism (6.25% of the sample). Postural and action tremors were more frequent than resting tremor, and asymmetry of parkinsonian signs was found in 25%. The mean dosage taken by exposed subjects with parkinsonism was found to be twice that of those without. The proportion of cases of parkinsonism attributable to neuroleptics in institutions was 19%. Our results clearly show that neuroleptic drug use in institutionalized elderly persons is associated with a high risk for parkinsonism.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li></region><settlement><li>Bordeaux</li></settlement></list><tree><noCountry><name sortKey="Dartigues, J F" sort="Dartigues, J F" uniqKey="Dartigues J" first="J F" last="Dartigues">J F Dartigues</name><name sortKey="Lecaroz, J" sort="Lecaroz, J" uniqKey="Lecaroz J" first="J" last="Lecaroz">J. Lecaroz</name><name sortKey="Letenneur, L" sort="Letenneur, L" uniqKey="Letenneur L" first="L" last="Letenneur">L. Letenneur</name></noCountry><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Tison, F" sort="Tison, F" uniqKey="Tison F" first="F" last="Tison">F. Tison</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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