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Psychotropic drug use following venous thromboembolism versus diabetes mellitus in adolescence or young adulthood: a Danish nationwide cohort study.


ABSTRACT:

Objectives

Critical and chronic illness in youth such as diabetes can lead to impaired mental health. Despite the potentially traumatic and life-threatening nature of venous thromboembolism (VTE), the long-term mental health of adolescents and young adults with VTE is unclear. We compared the long-term mental health of adolescents and young adults with VTE versus adolescents and young adults with insulin-dependent diabetes mellitus (IDDM) using psychotropic drug purchase as proxy for mental health.

Design

Nationwide registry-based cohort study.

Setting

Denmark 1997-2015.

Participants

All patients aged 13-33 years with an incident diagnosis of VTE (n=5065) or IDDM (n=6609).

Exposure

First time primary hospital diagnosis of VTE or IDDM.

Primary and secondary outcome measures

Adjusted absolute risk and risk difference at 1 and 5 years follow-up for first psychotropic drug purchase comparing patients with VTE and patients with IDDM.

Results

The absolute 1?year risk of psychotropic drug use was 6.2% among VTE patients versus 3.6% among patients with IDDM, at 5 years this was 19.3%-14.7%, respectively. After adjusting for the effect of sex, age and risk factors for VTE this corresponded to a 1?year risk differences of 1.9% (95 % CI 0.1% to 3.3%). At 5?years follow-up the risk difference was 1.9% (95% CI 0.5% to 3.3%).

Conclusion

One-fifth of adolescents and young adults with incident VTE had claimed a prescription for a psychotropic drug within 5 years, a risk comparable to that of young patients with IDDM.

SUBMITTER: Hojen AA 

PROVIDER: S-EPMC6530366 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Publications

Psychotropic drug use following venous thromboembolism versus diabetes mellitus in adolescence or young adulthood: a Danish nationwide cohort study.

Højen Anette Arbjerg AA   Søgaard Mette M   Melgaard Line L   Lane Deirdre A DA   Sørensen Erik Elgaard EE   Goldhaber Samuel Zachary SZ   Larsen Torben Bjerregaard TB  

BMJ open 20190514 5


<h4>Objectives</h4>Critical and chronic illness in youth such as diabetes can lead to impaired mental health. Despite the potentially traumatic and life-threatening nature of venous thromboembolism (VTE), the long-term mental health of adolescents and young adults with VTE is unclear. We compared the long-term mental health of adolescents and young adults with VTE versus adolescents and young adults with insulin-dependent diabetes mellitus (IDDM) using psychotropic drug purchase as proxy for men  ...[more]

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