Licht R W, Mortensen P B, Gouliaev G H, Lund J
Afdeling for psykiatrisk demografi, Psykiatrisk Hospital i Arhus.
Ugeskr Laeger. 1994 Nov 7;156(45):6699-702.
By use of the computerized, nationwide psychiatric case register in Denmark, three cohorts of psychiatric patients hospitalized for at least one year during either 1972, 1977 or 1982, were identified and followed until April 1, 1988, regarding time of death. A decline in overall excess mortality compared with the general population was seen from the 1972-cohort to the 1982-cohort irrespective of sex, age group and diagnosis. This may be due to real improved survival, but could also reflect different mechanisms of selection. To analyse cause of death, 298 long-stay patients at Psychiatric hospital in Arhus were followed for 5.5 years. Lung disease caused the highest excess mortality. The authors emphasize that risk of death in long-stay patients below 50 years of age is still fourfold compared to the general population and point to the necessity of improving medical care.
通过使用丹麦全国计算机化的精神病病例登记册，确定了三组在1972年、1977年或1982年期间至少住院一年的精神病患者队列，并对其进行随访直至1988年4月1日，记录死亡时间。从1972年队列到1982年队列，无论性别、年龄组和诊断如何，与普通人群相比，总体超额死亡率均呈下降趋势。这可能是由于实际生存率提高，但也可能反映了不同的选择机制。为了分析死因，对奥胡斯精神病院的298名长期住院患者进行了5.5年的随访。肺部疾病导致的超额死亡率最高。作者强调，50岁以下长期住院患者的死亡风险仍比普通人群高四倍，并指出改善医疗护理的必要性。
