Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital
Main Author: | |
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Publication Date: | 2016 |
Other Authors: | , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10400.10/1818 |
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. |
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Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General HospitalCause of deathHospital psychiatry departmentHospital Prof. Dr. Fernando Fonseca, E.P.E.PortugalCausas de morteServiço de psiquiatriaINTRODUCTION: 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.Ordem dos MédicosRepositório do Hospital Prof. Doutor Fernando FonsecaBarbosa, SSequeira, MCastro, SManso, RTKlut, CTrancas, BSantos, NBMaia, T2017-03-13T12:30:15Z2016-01-01T00:00:00Z2016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.10/1818engActa Med Port. 2016 Aug;29(7-8):468-4751646-075810.20344/amp.6905info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-20T15:52:33Zoai:repositorio.hff.min-saude.pt:10400.10/1818Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:52:51.753107Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
title |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
spellingShingle |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital Barbosa, S Cause of death Hospital psychiatry department Hospital Prof. Dr. Fernando Fonseca, E.P.E. Portugal Causas de morte Serviço de psiquiatria |
title_short |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
title_full |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
title_fullStr |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
title_full_unstemmed |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
title_sort |
Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital |
author |
Barbosa, S |
author_facet |
Barbosa, S Sequeira, M Castro, S Manso, RT Klut, C Trancas, B Santos, NB Maia, T |
author_role |
author |
author2 |
Sequeira, M Castro, S Manso, RT Klut, C Trancas, B Santos, NB Maia, T |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Hospital Prof. Doutor Fernando Fonseca |
dc.contributor.author.fl_str_mv |
Barbosa, S Sequeira, M Castro, S Manso, RT Klut, C Trancas, B Santos, NB Maia, T |
dc.subject.por.fl_str_mv |
Cause of death Hospital psychiatry department Hospital Prof. Dr. Fernando Fonseca, E.P.E. Portugal Causas de morte Serviço de psiquiatria |
topic |
Cause of death Hospital psychiatry department Hospital Prof. Dr. Fernando Fonseca, E.P.E. Portugal Causas de morte Serviço de psiquiatria |
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. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01T00:00:00Z 2016-01-01T00:00:00Z 2017-03-13T12:30:15Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.10/1818 |
url |
http://hdl.handle.net/10400.10/1818 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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Acta Med Port. 2016 Aug;29(7-8):468-475 1646-0758 10.20344/amp.6905 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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