Mortality in psychiatric hospital patients: a cohort analysis of prognostic factors

International Journal of Epidemiology
M ValentiF Di Orio

Abstract

This work followed a group of patients living in a psychiatric hospital in Central Italy in 1978 at the time of enforcement of the Italian reform law (No. 180) for closing down mental hospitals. The study had the following aims: a) to compare in terms of mortality patients discharged into the community with patients who did not experience deinstitutionalization; b) to determine the survival of the cohort of patients and to analyse prognostic risk factors for death; c) to analyse differences in mortality rates between psychiatric patients and the general population. The study was designed as an historical follow-up investigation. Univariate (product limit) and multivariate (proportional hazards model) methods were used to estimate prognostic variables and related death risks. Mortality was assessed using standardized mortality ratios (SMR) on the entire cohort as well as after stratification according to age, sex, cause of death and discharge status, assuming the Abruzzo Region's population as standard. Length of hospitalization and discharge from hospital are prognostic variables for death risk, with relative risks respectively of 4.22 (95% confidence interval [CI]: 2.41-7.40) for a length of hospitalization of 10-25 years, and...Continue Reading

Citations

May 15, 2008·Social Psychiatry and Psychiatric Epidemiology·Heidi HonkonenMatti Joukamaa
Jun 8, 2001·Forensic Science International : Synergy·M D Pérez-CárcelesE Osuna
Feb 28, 2002·Acta Psychiatrica Scandinavica. Supplementum·L Burti
Apr 16, 2013·Cancer·Jackson S MusuuzaSiran M Koroukian
Jan 18, 2012·Current Problems in Pediatric and Adolescent Health Care·Ellen S Rome
Apr 14, 2016·International Journal of Mental Health Systems·Kan-Yuan ChengChih-Yuan Lin
Jul 17, 2014·Social Psychiatry and Psychiatric Epidemiology·Claire-Lise CharrelThierry Danel
Apr 29, 2008·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Yasuharu TokudaGerald H Stein
Nov 29, 2002·The British Journal of Psychiatry : the Journal of Mental Science·Marco PiccinelliFrancesco Barale

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