Evidence map›Paper›PMID 39164984›Full record

ArticleNeuropsychopharmacology reports2024

Prevalence of polypharmacy and factors impacting psychotropic prescribing patterns in women of childbearing potential at inpatient mental health services in Qatar.

Nervana Elbakary, Oraib Abdallah, Sami Ouanes, Ahmad Hasanoglu, Eiman Abedlfattah-Arafa, Maha Al-Shaikhly, Shatha Alqam, Sulaiman Alshakhs, Zainab Hijawi, Majid Al-Abdulla and 2 more

Abstract read
In one paragraph

Article in Neuropsychopharmacology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nervana ElbakaryPharmacy Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-1522-4034
Oraib AbdallahPharmacy Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-4180-4235
Sami OuanesMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-0867-060X
Ahmad HasanogluMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0009-0005-1253-5154
Eiman Abedlfattah-ArafaPharmacy Department, AlKhor Hospital, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0002-4273-3013
Maha Al-ShaikhlyMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.
Shatha AlqamPharmacy Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0009-0000-5418-9273
Sulaiman AlshakhsMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-3244-9649
Zainab HijawiMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0009-0008-5933-8045
Majid Al-AbdullaMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0002-3631-2650
Noriya Al-KhuzaeiPharmacy Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-2748-4597
Sazgar HamadMedical Department, Mental Health Services, Hamad Medical Corporation, Doha, Qatar.ORCID 0009-0006-9475-906X

Funding

Qatar National Library
6 · The paper itself

Abstract

aimsWomen may experience unique mental disorders due to hormone shifts. Rates of schizophrenia and bipolar disorder are similar between genders, but onset and symptoms may differ. Women tend to use more psychotropic drugs due to limited therapeutic options. This study was aimed to estimate the prevalence of psychotropic polypharmacy among females of childbearing potential and factors impacting prescribing patterns.

methodsThis was a quantitative retrospective chart review for patients admitted to inpatient units at the Mental Health Hospital in Qatar. SPSS® Statistics was used for data analysis. In addition to descriptive statistics applied, linear regression and binary logistic regression models were used to examine the clinical and sociodemographic factors associated with polypharmacy and full therapeutic response upon discharge, respectively. An alpha value of 0.05 was used.

resultsOf the 347 patients, 52.7% of the patients received a prescription of at least two psychotropic drugs upon discharge. Around two-thirds (63.1%) were prescribed at least one antipsychotic. Potential predictors of polypharmacy were age (p = 0.027), longer hospital stay (p = 0.003), family history (p < 0.001), absence of suicidal history (p = 0.005), and a diagnosis of a mood disorder (p = 0.009), or a diagnosis of a psychotic disorder (p = 0.015). A full response upon discharge was less likely to occur in patients with a longer stay (OR = 0.940; p = 0.029) and in those with a substance use disorder (OR = 0.166; p = 0.035).

conclusionThere is a notably high prevalence of total polypharmacy upon discharge. Some identified factors are modifiable. Evidence-based prescription practices through hospital guidelines and education should be emphasized to avoid unreasonable polypharmacy.

Indexed as

PolypharmacyPractice Patterns, Physicians'Psychotropic DrugsAdolescentAdultAntipsychotic AgentsDrug PrescriptionsFemaleHumansInpatientsMental DisordersMental Health ServicesMiddle AgedPrevalenceQatarRetrospective StudiesAntipsychotic AgentsPsychotropic Drugsantipsychoticschlorpromazinehospital staysuicidal historytreatment response

Identifiers

PMID39164984
PMCPMC11609733

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.