BACKGROUND: Switching between antipsychotic medications is common in the treatment of @entity161 . However, data on clinical and economic outcomes from antipsychotic switching, in particular acute care service use, is fairly limited. The goal of this research was to assess the clinical and economic ramifications of switching antipsychotics during outpatient management of @entity161 . METHODS: Data from a 1-year randomized, open-label cost-effectiveness study involving typical and atypical antipsychotics were assessed. The study protocol permitted switching of antipsychotics when clinically warranted. The risk of crisis-related events, use of acute-care services, and the time to the initial use of such services were determined in outpatients who switched antipsychotics compared with those who continued with their initial medications. Health care resource utilization data were abstracted from medical records and other sources (e.g., @entity1 self-report), and direct costs were estimated using previously published benchmarks. RESULTS: Almost one-third of @entity1 (29.3%) underwent a switch from their initial antipsychotic agent, with an average duration of 100 days before such treatment alterations. Compared with their counterparts who remained on their initial therapies, individuals who switched antipsychotics experienced a significantly higher risk of acute-care services, including hospitalization (p = .013) and crisis services (p = .011). @entity1 undergoing medication switches also used acute-care services significantly sooner (p = .004) and accrued an additional  3,000 (a 25% increase) in annual total health care costs per @entity1 , most of which was due to acute-care expenditures. CONCLUSION: Switching antipsychotic medications was found to be associated with considerably poorer clinical and economic outcomes, as reflected by, more frequent and more rapid use of acute-care services compared with @entity1 remaining on their initial treatments. TRIAL REGISTRATION: Trial ID 2325 in LillyTrials.com (also accessible via ClinicalStudyResults.org).

Clinical and economic ramifications of switching antipsychotics in the treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'persons'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenia']
@entity161 :: (MESH:D012559,Disease) :: ['schizophrenia']
