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Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospital

dc.contributor.authorBarbosa, S
dc.contributor.authorSequeira, M
dc.contributor.authorCastro, S
dc.contributor.authorManso, RT
dc.contributor.authorKlut, C
dc.contributor.authorTrancas, B
dc.contributor.authorSantos, NB
dc.contributor.authorMaia, T
dc.date.accessioned2017-03-13T12:30:15Z
dc.date.available2017-03-13T12:30:15Z
dc.date.issued2016
dc.description.abstractINTRODUCTION: Psychiatric patients are at increased risk of death from a number of natural and unnatural causes. This study examines the mortality causes of all psychiatric inpatients of an acute psychiatric unit at a general hospital in Portugal for sixteen years (1998 to 2013). MATERIAL AND METHODS: Twenty-one inpatients died at the inpatient unit between 1998 and 2013 (average 1.3 per year). A retrospective study through case-file review was carried to collect demographic characteristics, medical and psychiatry diagnosis. Patients transferred to other wards during their admission were not included. RESULTS: Circulatory system diseases were the most prevalent causes of death, occurring in 2/3 of patients and include pulmonary embolism (n = 6), acute stroke (n = 3), cardiac arrhythmia (n = 2), acute myocardial infarction (n = 1), abdominal aortic aneurysm rupture (n = 1) and heart failure (n = 1). Two patients died with pneumonia and in four cases the cause of death was undetermined. Only one case of suicide was registered. DISCUSSION: Circulatory conditions were the most frequent causes of death in our inpatient unit. Albeit a relatively rare event, inpatient suicide does occur and, in addition to its complex consequences on staff, family and patients should remain a focus for continued prevention. CONCLUSION: Mortality studies are important for determining quality of health care and to create recommendations for preventive measures.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2016 Aug;29(7-8):468-475pt_PT
dc.identifier.doi10.20344/amp.6905pt_PT
dc.identifier.issn1646-0758
dc.identifier.urihttp://hdl.handle.net/10400.10/1818
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.relation.publisherversionfile://u_share/users/arminda.m.sustelo/Downloads/6905-21627-2-PB.pdfpt_PT
dc.subjectCause of deathpt_PT
dc.subjectHospital psychiatry departmentpt_PT
dc.subjectHospital Prof. Dr. Fernando Fonseca, E.P.E.pt_PT
dc.subjectPortugalpt_PT
dc.subjectCausas de mortept_PT
dc.subjectServiço de psiquiatriapt_PT
dc.titleCauses of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General Hospitalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboapt_PT
oaire.citation.endPage475pt_PT
oaire.citation.startPage468pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume29pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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