A digital service from FCT Publication
Causas de morte numa unidade de internamento de agudos de psiquiatria de um hospital geral português
| Summary: | Introduction: Psychiatric patients are at increased risk of death from a number of natural and unnatural causes. This study examines the mortality causes of all psychiatric inpatients of an acute psychiatric unit at a general hospital in Portugal for sixteen years (1998 to 2013).Material and Methods: Twenty-one inpatients died at the inpatient unit between 1998 and 2013 (average 1.3 per year). A retrospective study through case-file review was carried to collect demographic characteristics, medical and psychiatry diagnosis. Patients transferred to other wards during their admission were not included.Results: Circulatory system diseases were the most prevalent causes of death, occurring in 2/3 of patients and include pulmonary embolism (n = 6), acute stroke (n = 3), cardiac arrhythmia (n = 2), acute myocardial infarction (n = 1), abdominal aortic aneurysm rupture (n = 1) and heart failure (n = 1). Two patients died with pneumonia and in four cases the cause of death was undetermined. Only one case of suicide was registered.Discussion: Circulatory conditions were the most frequent causes of death in our inpatient unit. Albeit a relatively rare event, inpatient suicide does occur and, in addition to its complex consequences on staff, family and patients should remain a focus for continued prevention.Conclusion: Mortality studies are important for determining quality of health care and to create recommendations for preventive measures. |
|---|---|
| Authors: | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| Subject: | Portugal Hospital SDG 3 - Good Health and Well-being Cause of death Mental disorders/mortality Hospital mortality Cause of Death; Hospital Mortality; Mental Disorders/mortality; Portugal; Psychiatric Department, Hospital. Medicine(all) Psychiatric department Causas de Morte; Mortalidade Hospitalar; Perturbações Mentais/mortalidade; Portugal; Serviço Hospitalar de Psiquiatria. |
| Year: | 2017 |
| Country: | Portugal |
| Document type: | journal article |
| Identifiers: | ID: PURE: 2432664 |
| Access type: | Restricted |
| Associated institution: | Repositório Institucional da UNL, RUN, Acta Médica Portuguesa |
| Funded project code: | PURE: 2432664 |
| Language: | Portuguese English |
| Origin: | Repositório Institucional da UNL |
| _version_ | 1850560625977065472 |
|---|---|
| author2 | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| author_facet | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| conditionsOfAccess_str | Copyright (c) 2016 Acta Médica Portuguesa |
| contentURL_str_mv | https://run.unl.pt/bitstream/10362/26644/1/6905_21627_2_PB.pdf |
| country_str | PT |
| description | Introduction: Psychiatric patients are at increased risk of death from a number of natural and unnatural causes. This study examines the mortality causes of all psychiatric inpatients of an acute psychiatric unit at a general hospital in Portugal for sixteen years (1998 to 2013).Material and Methods: Twenty-one inpatients died at the inpatient unit between 1998 and 2013 (average 1.3 per year). A retrospective study through case-file review was carried to collect demographic characteristics, medical and psychiatry diagnosis. Patients transferred to other wards during their admission were not included.Results: Circulatory system diseases were the most prevalent causes of death, occurring in 2/3 of patients and include pulmonary embolism (n = 6), acute stroke (n = 3), cardiac arrhythmia (n = 2), acute myocardial infarction (n = 1), abdominal aortic aneurysm rupture (n = 1) and heart failure (n = 1). Two patients died with pneumonia and in four cases the cause of death was undetermined. Only one case of suicide was registered.Discussion: Circulatory conditions were the most frequent causes of death in our inpatient unit. Albeit a relatively rare event, inpatient suicide does occur and, in addition to its complex consequences on staff, family and patients should remain a focus for continued prevention.Conclusion: Mortality studies are important for determining quality of health care and to create recommendations for preventive measures. |
| documentTypeURL_str | http://purl.org/coar/resource_type/c_6501 |
| documentType_str | journal article |
| id | 4f036dd9-bfbd-4573-8cac-4f13443f2258 |
| identifierDoi_str | https://doi.org/10.20344/amp.6905 |
| identifierOther_str | PURE: 2432664 |
| language | por eng |
| publicationDateFull_str | 2017-12-11T23:31:40Z |
| publicationDate_str | 2017-12-11 |
| publishDate | 2017 |
| relatedInstitutions_str_mv | Repositório Institucional da UNL RUN Acta Médica Portuguesa |
| resourceName_str | Repositório Institucional da UNL |
| spellingShingle | Causas de morte numa unidade de internamento de agudos de psiquiatria de um hospital geral português Portugal Hospital SDG 3 - Good Health and Well-being Cause of death Mental disorders/mortality Hospital mortality Cause of Death; Hospital Mortality; Mental Disorders/mortality; Portugal; Psychiatric Department, Hospital. Medicine(all) Psychiatric department Causas de Morte; Mortalidade Hospitalar; Perturbações Mentais/mortalidade; Portugal; Serviço Hospitalar de Psiquiatria. |
| title | Causas de morte numa unidade de internamento de agudos de psiquiatria de um hospital geral português |
| topic | Portugal Hospital SDG 3 - Good Health and Well-being Cause of death Mental disorders/mortality Hospital mortality Cause of Death; Hospital Mortality; Mental Disorders/mortality; Portugal; Psychiatric Department, Hospital. Medicine(all) Psychiatric department Causas de Morte; Mortalidade Hospitalar; Perturbações Mentais/mortalidade; Portugal; Serviço Hospitalar de Psiquiatria. |