title: Sex Differences in Psychiatric Hospitalizations of Individuals With Psychotic Disorders.
abstract: We aimed to evaluate the association between sex and hospitalization characteristics in psychotic disorders. We identified all acute hospitalizations, between 2010 and 2013, for psychotic disorders in patients younger than 45 and older than 55 years (n = 5411) in the hospital's database. In addition, we identified patients who were prescribed with intramuscular risperidone (n = 280) or clozapine (n = 192) at discharge. The results showed that women younger than 45 years had lower proportions of hospitalizations (33.52% vs. 66.47%) and involuntary hospitalizations (33.85% vs. 45.55%) than did men in the same age group. Women older than 55 years had higher proportions of hospitalizations (57.22% vs. 42.77%) and similar proportion of involuntary hospitalizations. Women younger than 45 years were prescribed similar doses of intramuscular risperidone and lower doses of clozapine (345.8 vs. 380.2 mg) and women older than 55 years were prescribed higher doses of intramuscular risperidone (44.8 vs. 34.4 mg/2 weeks) and clozapine (164.32 vs. 154.5 mg) than were men in the same age group. Women in the reproductive years have better hospitalization characteristics than do men on these measures.
authors.affiliation: *Beer Yaakov-Ness Ziona Mental Health Centre, Beer Yaakov, Israel; †Women's Mental Health Program, Women's College Hospital, Toronto, Canada; ‡Clinical Research Center, Soroka Medical Center, Beer Sheva, Israel; §Psoriatic Arthritis Program, Center for Prognostic Studies in the Rheumatic Diseases, Toronto Western Hospital, Toronto, ON, Canada; ∥Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv; and ¶Psychiatry Clinic, Herzelia, Israel.
authors.forename: Inbal
authors.initials: I
authors.lastname: Shlomi Polachek
authors.forename: Adi
authors.initials: A
authors.lastname: Manor
authors.forename: Yael
authors.initials: Y
authors.lastname: Baumfeld
authors.forename: Ashlesha
authors.initials: A
authors.lastname: Bagadia
authors.forename: Ari
authors.initials: A
authors.lastname: Polachek
authors.forename: Rael D
authors.initials: RD
authors.lastname: Strous
authors.forename: Zipora
authors.initials: Z
authors.lastname: Dolev
mesh_terms: D000328:Adult; D000368:Aged; D014150:Antipsychotic Agents / Q000008:administration & dosage*; D003024:Clozapine / Q000008:administration & dosage*; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000188:drug therapy / Q000628:therapy*; D012189:Retrospective Studies; D018967:Risperidone / Q000008:administration & dosage*; D012737:Sex Factors; D055815:Young Adult
chemical_list: D014150:Antipsychotic Agents; D003024:Clozapine; D018967:Risperidone