% 0期刊文章% Zhixiao王%一个乔伊斯·克莱默%宣李%朗达Copher %安妮特权力% T抗癫痫药物使用模式在儿童和成人人口医疗补助(P06.110) % D J神经病学2012% % P P06.110-P06.110 % V 78% N 1补充% X目的:评估医疗补助癫痫患者治疗模式。首页背景有限研究关于癫痫治疗模式的医疗补助的人口,尤其是儿科患者。设计/方法:进行回顾性分析使用汤森路透的医疗补助计划声称来自13个州(2005 - 2009)的数据。患者> = 1诊断癫痫(ICD-9-CM: 345. xx)和> 1药房申领抗癫痫药物(AED)连续医疗和药品注册6个月和12个月的处方(第一AED处方日期)时间包括在内。AED模式在成人(> = 18年)和儿科患者(2-17年)分别进行评估。治疗模式的变化比较AED 2005年到2008年之间开始的一年。结果:5707例患者符合选择标准,46%的成年人和54%的儿童。2005儿童群体,最常见的单一药物疗法是奥卡西平(光23%),卡马西平(卡马西平,18%),和levetiracetam (LEV, 17%)和他们改变了全光网22%,卡马西平12%,列弗由2008年的32%。在2005成年人群中,最常见的单一药物疗法是苯妥英(PHT, 35%),列弗(11%)和卡马西平(11%)和他们改变PHT 31%,列弗25%,卡马西平在2008年达到8%。最常见的儿童polytherapy包括LEV加上另一个AED,虽然PHT加上另一个AED是最常用的成年人。在2005年的儿童群体,82.0%接受单药治疗(70.3% AED, 11.7%顺序单一疗法),其次是单方polytherapy开关(12.5%),和polytherapy只(5.5%)。在2005年的成人群体,77.9%接受单药治疗(67.9% AED, 10%顺序单一疗法),其次是单方polytherapy开关(11.7%)和单独polytherapy (10.4%)。类似的模式为两组观察到随着时间的推移。Conclusions: The majority of Medicaid patients received monotherapy but changes in AED selection over time were observed among both adult and pediatric patients. There were substantial differences in AED use between the pediatric and adult patients.Supported by: Eisai Inc.Disclosure: Dr. Cramer has received personal compensation for activities with Bial, Eisai Inc., Sepracor, and UCB Pharma. Dr. Wang has received personal compensation for activities with Eisai Inc. as an employee. Dr. Li has received personal compensation for activities with Eisai Inc. as a contractor. Dr. Copher has received personal compensation for activities with Eisai Inc. Dr. Powers has received personal compensation for activities with Eisai Inc. as an employee.Thursday, April 26 2012, 07:30 am-12:00 pm %U