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[1968 - 1982年住院精神科患者死亡率评估]

[Evaluation of mortality in hospitalized mental patients 1968-1982].

作者信息

Casadebaig F, Quemada N, Chevalier A

机构信息

INSERM U 302, Le Vésinet.

出版信息

Rev Epidemiol Sante Publique. 1990;38(3):227-36.

PMID:2396036
Abstract

Yearly, between 1968 and 1976, and every two years from 1976 to 1982, diagnostic data based on a national classification of mental disorders were homogeneously collected in French public psychiatric hospitals. The hospitalized population was estimated by the person-year method, using data on length of stay. The number of observed deaths was compared with the number of deaths expected (Standardized mortality ratio). The standardized mortality ratio (SMR) for psychiatric inpatients were found irregularly and slightly decreasing, except among women under 45: this SMR was higher in 1982 (9.6) than in 1968 (7.4). The SMR for neuroses, in the under 55 years age group, showed a regular increase especially among women. The SMR for psychoses and mental retardation was decreasing among men. For people aged more than 55 years the SMR was decreasing for all groups of diagnosis.

摘要

在1968年至1976年期间,每年都会收集法国公立精神病院基于全国精神障碍分类的诊断数据;从1976年到1982年,每两年收集一次。住院人数采用人年法,根据住院时间数据进行估算。将观察到的死亡人数与预期死亡人数进行比较(标准化死亡率)。除45岁以下女性外,精神病住院患者的标准化死亡率呈现不规则且略有下降的趋势:1982年该标准化死亡率(9.6)高于1968年(7.4)。在55岁以下年龄组中,神经症的标准化死亡率呈稳步上升趋势,尤其是在女性中。男性中精神分裂症和智力障碍的标准化死亡率呈下降趋势。对于55岁以上的人群,所有诊断组的标准化死亡率均呈下降趋势。

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