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

Barbosa, Sofia; Sequeira, Márcia; Castro, Sara; Manso, Rita; Câmara, Catarina Klut; Trancas, Bruno; Borja-Santos, Nuno; Maia, Teresa

doi:10.20344/amp.6905

Cited by 7 publications

(8 citation statements)

References 35 publications

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“…PE is a relatively common and largely preventable cause of death for psychiatric patients [7]. Evidence shows a significantly increased risk of venous thromboembolism and PE in antipsychotic users compared to non-users [8].…”

Section: Discussionmentioning

confidence: 99%

“…Evidence shows a significantly increased risk of venous thromboembolism and PE in antipsychotic users compared to non-users [8]. A chart review study in Japan between May 1, 2009, and April 30, 2017, showed that catatonia was associated with an increased incidence of VTE [6][7][8]. According to the study conducted by Barbosa et al, among the causes of death in "unit of a Portuguese general hospital among the acute psychiatric inpatients," the main causes were circulatory system disorders (66.66%), mainly PE (28.57%) and stroke (14.29%) [7].…”

Section: Discussionmentioning

confidence: 99%

“…A chart review study in Japan between May 1, 2009, and April 30, 2017, showed that catatonia was associated with an increased incidence of VTE [6][7][8]. According to the study conducted by Barbosa et al, among the causes of death in "unit of a Portuguese general hospital among the acute psychiatric inpatients," the main causes were circulatory system disorders (66.66%), mainly PE (28.57%) and stroke (14.29%) [7]. Also, according to the study conducted by Shinde et al in India, the leading cause of death among inpatients of a psychiatric hospital was cardiovascular disorders (43.6%), and only (6.9%) of subjects died due to suicide [9].…”

Section: Discussionmentioning

confidence: 99%

“…Many common treatment modalities for psychiatric disorders increase the risk of coagulopathies, particularly antipsychotic medications [5] and conditions, such as catatonia are associated with an increased incidence of venous thromboembolism (VTE) [6]. PE is a relatively common and largely preventable cause of death for psychiatric patients [7]. Therefore, we present this case to emphasize the importance of thromboembolic complications in psychiatric patients, especially hospitalized patients.…”

Section: Introductionmentioning

confidence: 95%

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Pulmonary Embolism and Deep Vein Thrombosis Presenting as Anxiety, Akathisia, and Aggression in a Bipolar Patient: A Case Report From Iran

Hajian,

Guitinavard,

Bateni

2023

Iranian Rehabilitation Journal

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Objectives: Mortality from cardiovascular causes, including pulmonary embolism (PE), is the second most common cause of mortality in psychiatric patients. Signs and symptoms that are specific to PE include tachycardia and dyspnea. It rarely manifests as acute psychosis and other unspecific signs and symptoms. Many common treatment modalities for psychiatric disorders increase the risk of coagulopathies and conditions, such as catatonia are associated with an increased incidence of venous thromboembolism (VTE). PE is a preventable cause of death for psychiatric patients. Therefore, we present this case to emphasize the importance of VTE complications in psychiatric patients.Case Presentation: A 56-year-old woman was hospitalized a week before admission due to aggression, restlessness, and disturbance. She was hospitalized more than 6 times with the diagnosis of "bipolar spectrum". Based on available information, a diagnosis of "unspecified and related bipolar disorder" with akathisia (possibly doxepin and selective serotonin reuptake inhibitor [SSRI] induced) was considered. Doxepin, citalopram, and olanzapine were tapered. Also, sodium valproate tablet 200 mg/qid and propranolol tablet 20 mg/bid were added to her drugs. After two weeks, with no progress in relieving symptoms, tachycardia was detected. Therefore, consultation with an internal medicine specialist and more evaluation was requested. With a high level of D-dimer, and low saturation, we considered thromboembolism, the patient was sent to a general hospital, and then the diagnosis of VTE was confirmed.Discussion: One of the vital causes of death in psychiatric wards is VTE. It is difficult to diagnose VTE in a psychiatric patient; therefore, it can increase the risk of mortality. Therefore, psychiatrists must perform essential assessments for patients with clinical suspicion. We publish this case to raise awareness of thromboembolic complications in psychiatric patients, especially hospitalized patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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Pulmonary Embolism and Deep Vein Thrombosis Presenting as Anxiety, Akathisia, and Aggression in a Bipolar Patient: A Case Report From Iran

Hajian,

Guitinavard,

Bateni

2023

Iranian Rehabilitation Journal

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“…Caro editor, Em 2016 foi publicado nesta revista o artigo "Causas de Morte numa Unidade de Internamento de Agudos de Psiquiatria de um Hospital Geral Português", que concluiu que o tromboembolismo pulmonar foi a principal causa de morte no internamento psiquiátrico do Hospital Fernando Fonseca no período analisado de 1998 a 2013. 1 Este estudo alertou-nos para a problemática do tromboembolismo venoso (TEV) nos doentes psiquiátricos internados, sobre a qual gostaríamos de tecer algumas considerações.…”

Section: Fontes De Financiamentounclassified

Profilaxia do Tromboembolismo Venoso nos Doentes Psiquiátricos Internados

Pereira¹,

Simas²

2021

Acta Med Port

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Mortalität von Patientinnen und Patienten auf einer Abteilung für Alterspsychiatrie in Graz, Österreich – Eine retrospektive Fall-Kontroll-Studie

Rásky

Stolz

Jagsch³

2020

Neuropsychiatr

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Zusammenfassung Grundlagen Trotz der demografischen Entwicklung und der steigenden Zahl der psychiatrischen Erkrankungen älterer Menschen gibt es nur wenige wissenschaftliche Untersuchungen zu den Merkmalen von Patientinnen und Patienten in der Alterspsychiatrie und zu deren Sterblichkeit. In dieser retrospektiven Fall-Kontroll-Studie werden Patientendaten untersucht, um festzustellen, in welchen Merkmalen sich die dort verstorbenen von den entlassenen Patientinnen und Patienten unterscheiden. Methodik Insgesamt wurden 284 Patientenakten der Abteilung für Alterspsychiatrie und Alterspsychotherapie des Landeskrankenhaus Graz II ausgewertet. Zwischen 01.01.2015-31.12.2017 verstarben 51 Frauen und 91 Männer (= Fälle) im Krankenhaus. Diese wurden mit 142 nach Geschlecht gematchten und im selben Zeitraum entlassenen Patientinnen und Patienten (= Kontrollgruppe) verglichen. Die Auswertung erfolgte mittels logistischer Regressionsmodelle. Ergebnisse Die auf der alterspsychiatrischen Station verstorbenen Patientinnen und Patienten waren deutlich älter und bei deutlich schlechterer physischer Gesundheit als die entlassenen Patientinnen und Patienten. Die Verstorbenen hatten gegenüber den Entlassenen eine 2,7-fach erhöhte Chance für eine ischämische Herzkrankheit, eine 2,5-bzw. 3-fach erhöhte Chance aus einem Pflegeheim bzw. aus einem Krankenhaus überwiesen worden zu sein sowie eine 3-fach erhöhte Chance für einen geringen funk

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

Abstract: Mortality studies are important for determining quality of health care and to create recommendations for preventive measures.

Cited by 7 publications

References 35 publications

Pulmonary Embolism and Deep Vein Thrombosis Presenting as Anxiety, Akathisia, and Aggression in a Bipolar Patient: A Case Report From Iran

Pulmonary Embolism and Deep Vein Thrombosis Presenting as Anxiety, Akathisia, and Aggression in a Bipolar Patient: A Case Report From Iran

Profilaxia do Tromboembolismo Venoso nos Doentes Psiquiátricos Internados

Mortalität von Patientinnen und Patienten auf einer Abteilung für Alterspsychiatrie in Graz, Österreich – Eine retrospektive Fall-Kontroll-Studie

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