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  1. Mortality in psychiatric hospital patients : A cohort analysis of prognostic factors.

    Article - En anglais

    Background

    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 deinstitution-alization ; 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.

    Methods

    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.

    Results

    Length of hospitalization and discharge from hospital are prognostic variables for death risk, with relative risks respectively of 4.22 (95% confidence interval [Cl] : 2.41-7.40) for a length of hospitalization of 10-25 years, and 8.13 (95% Cl : 4.73-13.88) for non-discharge.

    The global SMR of the cohort was 2.68 (95% Cl : 2.42-3.07).

    Non-discharged patients showed higher SMR than discharged. (...)

    Mots-clés Pascal : Mortalité, Homme, Hôpital psychiatrique, Italie, Europe, Centre, Facteur risque, Désinstitutionnalisation, Epidémiologie, Rapport standardisé mortalité, Trouble psychiatrique

    Mots-clés Pascal anglais : Mortality, Human, Psychiatric hospital, Italy, Europe, Center, Risk factor, Desinstitutionalization, Epidemiology, Standardized mortality ratio, Mental disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0051341

    Code Inist : 002B18C14. Création : 14/05/1998.