Strauss D, Anderson T W, Shavelle R, Sheridan F, Trenkle S
Department of Statistics, University of California at Riverside 92521, USA.
Ment Retard. 1998 Oct;36(5):386-91. doi: 10.1352/0047-6765(1998)036<0386:CODOPW>2.0.CO;2.
Between 1993 and 1995, 1,878 persons transferred from California institutions into the community. By early 1996, 45 had died--significantly more than expected (Strauss, Shavelle, Baumeister, and Anderson, 1998). We report here on the death certificates for this group, using a comparison group of 45 certificates for institutional residents. Thirty-two of the community deaths versus 10 of the institution deaths were "sudden" or "subacute." All of the institution deaths versus 79% of the community deaths were reported to the coroner, and 55% of the institutional deaths were followed by autopsy compared to 33% in the community. Six deaths were due to perforated bowels, 5 of which were in individuals residing in the community.
1993年至1995年间，1878人从加利福尼亚州的机构转入社区。到1996年初，已有45人死亡——这一数字明显高于预期（施特劳斯、沙维尔、鲍迈斯特和安德森，1998年）。我们在此报告该群体的死亡证明情况，并使用45份机构居民死亡证明作为对照。社区死亡案例中有32例为“突然”或“亚急性”死亡，而机构死亡案例中这一数字为10例。机构死亡案例全部上报给了验尸官，社区死亡案例上报比例为79%；机构死亡案例中有55%进行了尸检，社区死亡案例的这一比例为33%。有6例死亡是由肠道穿孔导致的，其中5例发生在社区居民身上。
