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KMID : 0361520050160060475
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Korean Journal of Psychopharmacology
2005 Volume.16 No. 6 p.475 ~ p.479
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Changes in the Antipsychotic Drugs Usage in the Psychiatric Inpatients at a University Hospital between 1997 and 2003
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김원/Kim W
우영섭/박원명/정영은/채정호/전태연/김광수/Woo YS/Bahk WM/Jung YE/Chae JH/Jun TY/Kim KS
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Abstract
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Objective : Patterns of clinical use of antipsychotics have changed greatly in the past decade. The authors’ goal was to examine trends in the use of typical and atypical antipsychotic medications in a inpatient unit at a university hospital between 1997 and 2003.
Methods : We evaluated medication use in inpatients treated with antipsychotic drugs during Jan-Dec 2003 and compared the results with inpatients treated with antipsychotics in 1997.
Results : The distribution of psychiatric diagnosis in 2003 was different from that in 1997 (χ²=36.57, p<0.001). The proportion of patients with illness other than schizophrenia spectrum disorders was increased in 2003 (χ²=33.56, p<0.001). An atypical agent was prescribed for 193 (93.7%) patients in 2003, and there was significant increase in the proportion of patients receiving atypical antipsychotics (χ²=68.80, p<0.001).
Conclusion : The results of the present study confirm that atypical antipsychotic medication have replaced typical antipsychotic medications for a wide range of diagnoses in Korea. We think it reflects the current progress of psychopharmacology and clinical complexity of antipsychotic treatment in a changing environment.
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