Abstract
Abstract
Background
Mortality is often used as an indicator of public health efforts. Even if mortality in psychiatric hospitals decreased since the introduction of modern treatment, the death toll is still high. The authors have analyzed the forensic autopsy data and the medical documentation regarding 115 death cases from psychiatric hospitals in south-eastern Romania during the period of 2000–2020.
Results
The average annual mortality rate was 5.13‰, the necropsy data corroborated with those from the medical documentary material indicates acute myocardial infarction as the dominant cause, with 65 (56.5%) cases, followed by upper respiratory tract occlusion with 23 cases (20%) and pulmonary thromboembolism in 4 cases (12.2%). Furthermore, in 6 cases (5.2%) the cause of death was traumatic: 4 cases of cranio-cerebral trauma and 2 cases of hanging.
Conclusions
In the mortality structure of psychiatric patients, cardiac death predominated, being influenced by the cardiotoxic effect of medication administered for the specific pathology; hence, an early involvement of cardiologists in the follow-up of patients and the finding of treatment schemes with a reduced cardiotoxic effect are required.
Publisher
Springer Science and Business Media LLC
Subject
Law,Health(social science),Pathology and Forensic Medicine
Reference15 articles.
1. Alexa-Stratulat T, Neagu M, Neagu AI, Alexa ID, Ioan BG (2018) Consent for participating in clinicaltrials - is it really informed? Dev World Bioeth 18(3):299–306. https://doi.org/10.1111/dewb.12199
2. Bazemore PH, Tonkonogy J, Ananth R (1991) Dysphagia in psychiatric patients: clinical and videofluoroscopic study. Dysphagia 6(1):2–5. https://doi.org/10.1007/BF02503456
3. Brown S, Inskip H, Barraclough B (2000) Causes of the excess mortality of schizophrenia. Br J Psychiatry Ment Sci 177(3):212–217. https://doi.org/10.1192/bjp.177.3.212
4. Colton CW, Manderscheid RW (2006) Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Prev Chronic Dis 3:A42
5. D'Avanzo B, La Vecchia C, Negri E (2003) Mortality in long-stay patients from psychiatric hospitals in Italy-results from the Qualyop project. Soc Psychiatry Psychiatr Epidemiol 38(7):385–389. https://doi.org/10.1007/s00127-003-0646-z
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