精神科專科醫院急性住院患者之死亡率__臺灣人文及社會科學引文索引資料庫

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題名：	精神科專科醫院急性住院患者之死亡率
書刊名：	臺灣精神醫學
作者：	潘俊宏／郭千哲／陳喬琪／胡維恆
作者(外文)：	Pan, Chun-hung／Kuo, Chian-jue／Chen, Chiao-chicy／Hu, Wei-herng
出版日期：	1998
卷期：	12:2
頁次：	頁36-45
主題關鍵詞：	精神科住院病患；標準化死亡比；死亡率；精神疾病；Psychiatric inpatient；Standardized mortality ratio；Mortality；Mental illness
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:1 共同引用:0 點閱:19

　　　　　目的︰為增進精神醫療照顧品質，探討急性精神科住院病患的死亡率。　　方法︰以1985年至1991年間，在臺北市一所精神科專科醫院之3,350位急性全日住院個案為對象（平均年齡36.7歲），予以追蹤至1991年底·經由紀錄連結的方式，取得個案死亡狀態，並計算標準化死亡比（standardized mortality ratio，簡稱SMR）。　　結果︰至追蹤結束為止共有172位死亡，所得SMR為4.86（男性4.96，女性4.83）；顯示不論是自然或非自然死因，死亡率並不低，其中以女性的非自然死亡率最高·依診斷別，SMR分別是物質使用疾患（12.17）、其他類（包括精神官能症與人格疾患，SMR＝5.32）、器質性精神疾患（5.18）、精神分裂症與妄想性疾患（4.48）以及情感性疾患（3.83）。　　結論︰急性精神科住院病患之死亡率在自然或非自然死因均較一般人口為高，年輕女性的非自然死亡是危險性最高的一群。

以文找文

　　　　　Objective: The aim of this research was to investigate the mortality of acute psychiatric inpatients over a 7-year period following admission. methods: The medical records of all 3,350 patients (mean age 36.7 year-old) with acute mental illness admitted to a psychiatric hospital from 1 January 1985 to 31 December 1991 were reviewed. Mortality was studied through record linkage and the standardized mortality ratio (SMR) compared with the general population was calculated. Results: One hundred seventy-two patients died during the follow-up period and the overall SMR was 4.86 (4.96 for men and 4.73 for women). Excess mortality was observed in both natural and unnatural causes of death and was significantly higher among female patients with unnatural death. The SMR was found highest in patients with substance use disorders (12.17), followed by the "other disorders" (including neurotic and personality disorders, 5.32), organic mental disorders (5.18), schizophrenia or paranoia (4.48), and the affective disorders (3.83). Conclusion: Excess mortality of both natural and unnatural causes in acute psychiatric inpatients was observed and the young female with unnatural death was the highest risk group.

以文找文

期刊論文
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圖書
1.	(1985)。台北市立療養院民國七十四年年報。台北市：台北市立療養院。延伸查詢
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圖書論文
1.	Breslow, N. E.、Day, N. E.(1987)。Statistical methods in cancer research。The design and analysis of cohort studies。Lyon：International agency for research on cancer。

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