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Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients

PURPOSE: We aimed to determine which antipsychotic is most effective for the treatment of acute schizophrenia with catatonic stupor. PATIENTS AND METHODS: Data were obtained from the medical records of 450 patients with the diagnosis of schizophrenia, who had received acute psychiatric inpatient tre...

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Autores principales: Yoshimura, Bunta, Hirota, Tomoya, Takaki, Manabu, Kishi, Yoshiki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797635/
https://www.ncbi.nlm.nih.gov/pubmed/24143105
http://dx.doi.org/10.2147/NDT.S52311
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author Yoshimura, Bunta
Hirota, Tomoya
Takaki, Manabu
Kishi, Yoshiki
author_facet Yoshimura, Bunta
Hirota, Tomoya
Takaki, Manabu
Kishi, Yoshiki
author_sort Yoshimura, Bunta
collection PubMed
description PURPOSE: We aimed to determine which antipsychotic is most effective for the treatment of acute schizophrenia with catatonic stupor. PATIENTS AND METHODS: Data were obtained from the medical records of 450 patients with the diagnosis of schizophrenia, who had received acute psychiatric inpatient treatment between January 2008 and December 2010 at our hospital. Among them, 39 patients (8.7%) met the definition of catatonic stupor during hospitalization. The diagnoses of schizophrenia in all 39 patients were reconfirmed during the maintenance phase. We retrospectively reviewed the medical records of these 39 patients to investigate which antipsychotics were chosen for treatment during the period from admission to recovery from catatonia, at the time of discharge, and 12 and 30 months after discharge. RESULTS: As compared to other antipsychotics, it was found out that use of quetiapine had better outcomes and hence was used more often. A total of 61.5% of patients were on quetiapine at the time of recovery from catatonia and 51.3% of patients were on quetiapine at the time of discharge as compared to only 17.9% of patients on quetiapine on admission. However, at 12 and 30 months after discharge, the rates had decreased to 38.4% and 25.6%. Similarly, of 29 patients who were not administered electroconvulsive therapy, quetiapine was used at significantly higher rates at the time of recovery from catatonia (48.3%) than at the time of admission (17.2%). All 39 patients had received an antipsychotic as the first-line treatment and some antipsychotics might have contributed to the development of catatonia. CONCLUSION: This study suggests that quetiapine is a promising agent for the treatment of schizophrenia with catatonic stupor during the acute phase.
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spelling pubmed-37976352013-10-18 Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients Yoshimura, Bunta Hirota, Tomoya Takaki, Manabu Kishi, Yoshiki Neuropsychiatr Dis Treat Case Series PURPOSE: We aimed to determine which antipsychotic is most effective for the treatment of acute schizophrenia with catatonic stupor. PATIENTS AND METHODS: Data were obtained from the medical records of 450 patients with the diagnosis of schizophrenia, who had received acute psychiatric inpatient treatment between January 2008 and December 2010 at our hospital. Among them, 39 patients (8.7%) met the definition of catatonic stupor during hospitalization. The diagnoses of schizophrenia in all 39 patients were reconfirmed during the maintenance phase. We retrospectively reviewed the medical records of these 39 patients to investigate which antipsychotics were chosen for treatment during the period from admission to recovery from catatonia, at the time of discharge, and 12 and 30 months after discharge. RESULTS: As compared to other antipsychotics, it was found out that use of quetiapine had better outcomes and hence was used more often. A total of 61.5% of patients were on quetiapine at the time of recovery from catatonia and 51.3% of patients were on quetiapine at the time of discharge as compared to only 17.9% of patients on quetiapine on admission. However, at 12 and 30 months after discharge, the rates had decreased to 38.4% and 25.6%. Similarly, of 29 patients who were not administered electroconvulsive therapy, quetiapine was used at significantly higher rates at the time of recovery from catatonia (48.3%) than at the time of admission (17.2%). All 39 patients had received an antipsychotic as the first-line treatment and some antipsychotics might have contributed to the development of catatonia. CONCLUSION: This study suggests that quetiapine is a promising agent for the treatment of schizophrenia with catatonic stupor during the acute phase. Dove Medical Press 2013 2013-10-10 /pmc/articles/PMC3797635/ /pubmed/24143105 http://dx.doi.org/10.2147/NDT.S52311 Text en © 2013 Yoshimura et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Series
Yoshimura, Bunta
Hirota, Tomoya
Takaki, Manabu
Kishi, Yoshiki
Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients
title Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients
title_full Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients
title_fullStr Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients
title_full_unstemmed Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients
title_short Is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? A case series of 39 patients
title_sort is quetiapine suitable for treatment of acute schizophrenia with catatonic stupor? a case series of 39 patients
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797635/
https://www.ncbi.nlm.nih.gov/pubmed/24143105
http://dx.doi.org/10.2147/NDT.S52311
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