急性精神科出院患者的死亡率：一项为期5年的前瞻性研究。
Mortality Among Patients Discharged From an Acute Psychiatric Department: A 5-Year Prospective Study.
作者信息
Prestmo Astrid, Høyen Karina, Vaaler Arne Einar, Torgersen Terje, Drange Ole Kristian
机构信息
Department of Østmarka, Division of Mental Health Care, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
出版信息
Front Psychiatry. 2020 Aug 18;11:816. doi: 10.3389/fpsyt.2020.00816. eCollection 2020.
The primary aim of the study was to explore the post discharge standardized mortality ratio of patients from an acute psychiatric department in Norway. The secondary aims were to explore if the standardized mortality ratio is still increasing and to examine the causes of death in the defined population. We conducted a 5-year prospective study among patients admitted to an acute psychiatric department with catchment area responsibilities. A total of 380 patients were included in the study, and the number and causes of deaths were obtained from the Norwegian Cause of Death Registry. Excess mortality was found for the patient group. The standardized mortality ratio for all causes of death was 6.7 (95% CI, 4.6-8.8). The study finds an increased standardized mortality ratio relative to a previous corresponding study in Norway, and the suicide risk was especially elevated the first 2 years after discharge.
该研究的主要目的是探讨挪威一家急性精神科出院患者的标准化死亡率。次要目的是探究标准化死亡率是否仍在上升，并调查特定人群的死亡原因。我们对一家负责特定区域的急性精神科收治的患者进行了一项为期5年的前瞻性研究。共有380名患者纳入该研究，死亡人数和死因从挪威死亡原因登记处获取。研究发现患者组存在超额死亡率。所有死因的标准化死亡率为6.7（95%可信区间，4.6 - 8.8）。该研究发现，与挪威之前的一项相应研究相比，标准化死亡率有所上升，且出院后的头两年自杀风险尤其高。
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