Fioritti A, Giaccotto L, Melega V
Mental Health Service, Azienda USL Città di Bologna, Italy.
Can J Psychiatry. 1997 Jun;42(5):515-20. doi: 10.1177/070674379704200509.
To determine the rate of choking incidents among the psychiatric population of 4 inpatient facilities, classifying the incidents according to their probable etiology.
All incidents recorded over 18 months were retrospectively analyzed for demographic variables, psychiatric and medical diagnoses, and drug therapy at the time of incident. Where possible, patients underwent psychiatric, neurological, and medical examination.
Thirty-one incidents were recorded involving 18 patients at a rate of one incident every 56.32 months' hospitalization per person. One case proved fatal, one patient died several weeks after the incident from aspiration pneumonia, and 5 patients needed reanimation or the Heimlich manoeuvre. Etiological classification showed that incidents due to bradykinetic dysphagia and "fast eating" were the most numerous, even among the fatal or grave cases.
Various simple, effective preventive measures emerge from the study.
确定4家住院机构中精神科患者的窒息事件发生率，并根据可能的病因对这些事件进行分类。
对18个月内记录的所有事件进行回顾性分析，分析人口统计学变量、精神科和医学诊断以及事件发生时的药物治疗情况。在可能的情况下，对患者进行精神科、神经科和医学检查。
记录了31起事件，涉及18名患者，每人每56.32个月住院发生1起事件。1例死亡，1例患者在事件发生几周后因吸入性肺炎死亡，5例患者需要复苏或采用海姆立克急救法。病因分类显示，即使在致命或严重病例中，因运动迟缓性吞咽困难和“进食过快”导致的事件最为常见。
该研究得出了各种简单有效的预防措施。
