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  1. Psychiatric illness in patients with end-stage renal disease.

    Article - En anglais

    PURPOSE 

    We sought to determine the prevalence of psychiatric illness in hospitalized patients with end-stage renal disease.

    We also examined the association between end-stage renal disease treatment modality and risk of hospitalization with a diagnosis of a mental disorder, and compared rates of hospitalization with a diagnosis of psychiatric illness in renal failure patients to patients with other chronic medical illnesses.

    SUBJECTS AND METHODS 

    We performed a cohort study of all Med icare-enrolled dialysis patients in 1993.

    Risk of hospitalization with a diagnosis ofa mental disorder among renal failure patients was compared with Medicare patients with diabetes mellitus, ischemic heart disease, cerebrovascular disease, and peptic ulcer disease.

    RESULTS 

    Almost 9% of all dialysis patients were hospitalized with a mental disorder.

    Men, African-Americans, and younger patients were more likely to be hospitalized with a mental disorder.

    The adjusted risk of hospitalization for peritoneal dialysis patients was lower compared with hemodialysis patients for any mental disorder, depression, and alcohol and drug use.

    Hospitalization with mental disorders was 1.5 to 3.0 times higher for renal failure patients compared with other chronically ill patients.

    CONCLUSIONS 

    Hospitalization with a psychiatric illness is common among the US end-stage renal disease population.

    Depression, dementia and drug-related disorders were especially common. (...)

    Mots-clés Pascal : Trouble psychiatrique, Prévalence, Association, Insuffisance rénale, Stade terminal, Facteur risque, Exploration clinique, Etude cohorte, Homme, Etats Unis, Amérique du Nord, Amérique, Système nerveux pathologie, Psychiatrie, Appareil urinaire pathologie, Rein pathologie

    Mots-clés Pascal anglais : Mental disorder, Prevalence, Association, Renal failure, Terminal stage, Risk factor, Clinical investigation, Cohort study, Human, United States, North America, America, Nervous system diseases, Psychiatry, Urinary system disease, Kidney disease

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

    Cote : 98-0469828

    Code Inist : 002B18C14. Création : 19/02/1999.