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Antipsychotic Use and Metabolic Monitoring in Individuals with Developmental Disabilities Served in a Medicaid Medical Home.

Abstract
This study describes antipsychotic use and metabolic monitoring rates among individuals with developmental disabilities enrolled in a subspecialty medical home (N = 826). Four hundred ninety-nine participants (60.4 %) were taking antipsychotics, which was associated with male gender (p = 0.01), intellectual disability with and without autism spectrum disorder (p = 0.001 and p = 0.04, respectively), and inversely associated with the youngest and oldest age categories (p = 0.001 and p = 0.04, respectively). Among those taking antipsychotics, annual metabolic monitoring rates ranged from 89 % (lipids) to 99 % (weight). Age was positively associated with glucose (p < 0.001) and lipid monitoring (p < 0.001). Adult participants with dyslipidemia (p < 0.01), prediabetes/diabetes (p = 0.04), and hypertension (p = 0.02) were significantly more likely to obtain lipid monitoring. These values exceeded previously reported rates suggesting the importance of an integrated care model.
AuthorsLisa M Ruiz, Mackenzie Damron, Kyle B Jones, Dean Weedon, Paul S Carbone, Amanda V Bakian, Deborah A Bilder
JournalJournal of autism and developmental disorders (J Autism Dev Disord) Vol. 46 Issue 6 Pg. 1887-1894 (06 2016) ISSN: 1573-3432 [Electronic] United States
PMID26818535 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antipsychotic Agents
  • Lipids
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antipsychotic Agents (pharmacology, therapeutic use)
  • Autism Spectrum Disorder (complications, drug therapy, metabolism)
  • Body Weight (drug effects)
  • Child
  • Child, Preschool
  • Developmental Disabilities (complications, drug therapy, metabolism)
  • Female
  • Humans
  • Intellectual Disability (complications, drug therapy, metabolism)
  • Lipids (blood)
  • Male
  • Medicaid
  • Middle Aged
  • Patient-Centered Care
  • Sex Factors
  • United States
  • Young Adult

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