Publicação

Causas de morte numa unidade de internamento de agudos de psiquiatria de um hospital geral português

Detalhes bibliográficos
Resumo:	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.
Autores:	NOVA Medical School\|Faculdade de Ciências Médicas (NMS\|FCM)
Assunto:	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.
Ano:	2017
País:	Portugal
Tipo de documento:	journal article
Identificadores:	ID: PURE: 2432664
Tipo de acesso:	Restrito
Instituição associada:	Repositório Institucional da UNL, RUN, Acta Médica Portuguesa
Código do projeto financiado:	PURE: 2432664
Idioma:	português inglês
Origem:	Repositório Institucional da UNL

Descrição
Resumo:	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.