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首页> 外文期刊>Nordic journal of psychiatry. >Changes in mortality after first psychiatric admission: A 20-year prospective longitudinal clinical study
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Changes in mortality after first psychiatric admission: A 20-year prospective longitudinal clinical study

机译：首次精神科入院后死亡率的变化：一项为期20年的前瞻性纵向临床研究

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摘要

Objective: To examine changes in the mortality of patients admitted to a Norwegian psychiatric hospital from 1985 to 2003: this period saw profound changes in structure and organization of the mental healthcare system. Method: A 20-year prospective longitudinal, record linkage study of all patients admitted to a psychiatric hospital with sector responsibility from 1985 to 2003. Results: Excess mortality was found for the patient group. Overall standardized mortality ratio (SMR) (95% confidence interval, CI) was 2.85 (2.53-3.07)/2.15 (1.94-2.41) for male/female patients. One third of the patients who died in the study period died within 2 years after first admission, and 45% of the deaths happened within 2 years after last discharge. The median age at death decreased in the study period for patients who were younger than 65 years at their first admission. The median difference of lost years of life for the patients younger than 65 years at first admittance was 26.95/23.96 years for male/female patients. SMR increased for the youngest cohorts during the study period over time. From 1985 to 2003, SMR increased dramatically for both genders. Conclusion: Patients admitted to a Norwegian psychiatric hospital for their first stay during 1985-2003 suffered increased excess mortality, whereas mortality in the general population decreased. The mortality was highest in the first 2 years after admission. Despite profound changes in the mental healthcare system, the mortality gap increased in the study period and was highest in the youngest birth cohorts.
机译：目的：研究1985年至2003年在挪威精神病医院住院的患者的死亡率变化：在此期间，精神保健系统的结构和组织发生了深刻变化。方法：一项为期20年的前瞻性纵向记录链接研究，研究对象为1985年至2003年入院并负责该部门的精神病医院的所有患者。结果：发现该患者组的死亡率过高。男性/女性患者的整体标准死亡率（SMR）（95％置信区间，CI）为2.85（2.53-3.07）/2.15（1.94-2.41）。在研究期间死亡的患者中，有三分之一的患者在首次入院后2年内死亡，而45％的死亡发生在上次出院后的2年内。对于首次入院的65岁以下的患者，研究期间的死亡中位数下降。初次入院的65岁以下患者的丧失生命年的中位数差异为男性/女性患者为26.95 / 23.96岁。在研究期内，最年轻的人群的SMR随时间增加。从1985年到2003年，男女两性的SMR急剧增加。结论：1985-2003年期间首次入住挪威精神病医院的患者的过高死亡率增加，而普通人群的死亡率下降。入院后的头两年死亡率最高。尽管精神保健系统发生了深刻的变化，但死亡率差距在研究期间有所增加，并且在最年轻的出生队列中最高。

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