Singhal Sorabh, Billian Joseph, Kloosterman Casey, Bailey Teresa, Soares Neelkamal
Western Michigan University Homer Stryker M.D. School of Medicine, 300 Portage Street, Kalamazoo, MI, 49007, USA.
Division of Epidemiology and Biostatistics, Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI, 49008, USA.
Community Ment Health J. 2022 Apr;58(3):541-546. doi: 10.1007/s10597-021-00852-3. Epub 2021 May 29.
Second generation antipsychotic (SGA) medications are frequently prescribed to pediatric patients in the United States. This retrospective observational study sought to ascertain the extent of adherence to established pediatric SGA monitoring guidelines in community practice. The team used the electronic health record to determine clinician adherence to SGA monitoring guidelines at baseline, 12-week, and annual times relative to prescribing an SGA. At the time of their SGA prescription, 5.5% of pediatric patients had received all of the orders according to the monitoring guidelines. Annually, 2.5% of patients had received the necessary orders to completely adhere to monitoring guidelines; 42% of patients received no monitoring orders. Monitoring was more likely for children who had multiple types of providers and interacted with the healthcare system beyond a traditional office visit. This research informs healthcare providers about the gap between prescribing and monitoring for SGA medications in community practice for pediatric populations.
在美国，第二代抗精神病药物（SGA）经常被开给儿科患者。这项回顾性观察研究旨在确定社区实践中对既定儿科SGA监测指南的遵守程度。该团队利用电子健康记录来确定临床医生在相对于开具SGA处方的基线、12周和年度时对SGA监测指南的遵守情况。在开具SGA处方时，5.5%的儿科患者已根据监测指南收到了所有医嘱。每年，2.5%的患者收到了完全遵守监测指南所需的医嘱；42%的患者未收到任何监测医嘱。对于有多种类型医疗服务提供者且除了传统门诊就诊外还与医疗系统有互动的儿童，监测的可能性更大。这项研究向医疗服务提供者通报了社区实践中儿科人群SGA药物处方和监测之间的差距。
