中国科学院机构知识库网格
Chinese Academy of Sciences Institutional Repositories Grid
The Prevalence, Risk Factors and Clinical Correlates of QTc Prolongation in Chinese Hospitalized Patients With Chronic Schizophrenia

文献类型:期刊论文

作者Cao, Haiyan4; Zhou, Yongjie1; Li, Tao4; Yao, Cong4; Yang, Weiliang4; Kong, Siying4; Wang, Yanyan4; Yu, Baoping4; Jiao, Qingyan4; Sun, Yun4
刊名FRONTIERS IN PSYCHIATRY
出版日期2021-08-16
卷号12页码:11
关键词schizophrenia antipsychotics QTc prolongation Chinese prevalence risk factor clinical correlates
ISSN号1664-0640
DOI10.3389/fpsyt.2021.704045
通讯作者Zhang, Xiangyang(zhangxy@psych.ac.cn) ; Li, Jie(jieli@tjmhc.com)
英文摘要Background: The QTc interval may be significantly prolonged in schizophrenia patients taking antipsychotics. Few studies have addressed QTc prolongation (QTP) in Chinese patients.

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Objectives: This study was designed to evaluate the prevalence of QTP and its clinical correlates in Chinese hospitalized patients with chronic schizophrenia.

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Methods: A total of 436 inpatients and 291 normal controls matched with age and sex were included. QTc prolongation was defined as 2 standard deviations (SD) above the mean value of normal controls. Positive and Negative Syndrome Scale (PANSS) and its five-factor model were used to evaluate psychopathological symptoms.

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Results: QTc interval was significantly longer in patients than in normal controls. The prevalence of QTP is 8.26% in Chinese hospitalized patients with chronic schizophrenia. More women than men displayed QTP. Compared with patients without QTP, the patients with QTP had significantly higher concrete/disorganized subscore, lower low density lipoprotein (LDL) and lower total protein (TP). Furthermore, binary logistic regression analysis showed that higher number of hospitalizations, higher concrete/disorganized subscore and lower LDL were risk factors for QTP. Correlation analysis indicated significant association between QTc interval and the following variables: sex, age, duration of illness, the number of hospitalizations, PANSS total score, fasting blood glucose (FPG). Finally, a multiple regression analysis showed that older age, antipsychotic polypharmacy, higher PANSS total score, and lower LDL were risk factors for QTP. Among them, LDL seemed to be a protective factor for QTP.

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Conclusions: QTc interval was longer in schizophrenia patients than in normal controls. The prevalence of QTP is 8.26% in Chinese hospitalized patients with chronic schizophrenia. Some clinical characteristics were risk factors for QTP. And LDL seemed to be a protective factor for QTP.

收录类别SCI
WOS关键词NEGATIVE SYNDROME SCALE ; INTERVAL PROLONGATION ; ANTIPSYCHOTIC-DRUGS ; 5-FACTOR MODEL ; DE-POINTES ; KCNH2 ; GENE ; ELECTROCARDIOGRAM ; REPOLARIZATION ; ADOLESCENTS
资助项目National Key R&D Program of China by Ministry of Science and Technology of China[2016YFC1306800] ; Tianjin Key Project for Chronic Diseases Prevention by Tianjin Municipal Science and Technology Bureau[2017ZXMFSY00070] ; Tianjin Key Discipline for Psychiatry
WOS研究方向Psychiatry
语种英语
WOS记录号WOS:000693099000001
出版者FRONTIERS MEDIA SA
资助机构National Key R&D Program of China by Ministry of Science and Technology of China ; Tianjin Key Project for Chronic Diseases Prevention by Tianjin Municipal Science and Technology Bureau ; Tianjin Key Discipline for Psychiatry
源URL[http://ir.psych.ac.cn/handle/311026/40200]  
专题心理研究所_中国科学院心理健康重点实验室
通讯作者Zhang, Xiangyang; Li, Jie
作者单位1.Shenzhen Kangning Hosp, Dept Psychiat Rehabil, Shenzhen, Peoples R China
2.Jining Psychiat Hosp, Dept Psychiat, Jining, Peoples R China
3.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Beijing, Peoples R China
4.Tianjin Med Univ, Inst Mental Hlth, Tianjin Anding Hosp, Tianjin, Peoples R China
推荐引用方式
GB/T 7714
Cao, Haiyan,Zhou, Yongjie,Li, Tao,et al. The Prevalence, Risk Factors and Clinical Correlates of QTc Prolongation in Chinese Hospitalized Patients With Chronic Schizophrenia[J]. FRONTIERS IN PSYCHIATRY,2021,12:11.
APA Cao, Haiyan.,Zhou, Yongjie.,Li, Tao.,Yao, Cong.,Yang, Weiliang.,...&Li, Jie.(2021).The Prevalence, Risk Factors and Clinical Correlates of QTc Prolongation in Chinese Hospitalized Patients With Chronic Schizophrenia.FRONTIERS IN PSYCHIATRY,12,11.
MLA Cao, Haiyan,et al."The Prevalence, Risk Factors and Clinical Correlates of QTc Prolongation in Chinese Hospitalized Patients With Chronic Schizophrenia".FRONTIERS IN PSYCHIATRY 12(2021):11.

入库方式: OAI收割

来源:心理研究所

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