Mortality in hospital patients with and without mental disorders: A data-linkage cohort study

Abstract

Objective: In the general population, people with mental disorders have increased mortality. This association, however, has not been explored in a population who at some time were inpatients of a public hospital. Methods: The sampling frame was patients admitted to an Australian regional public hospital 1996-2010. Those with known mental disorder were compared with an equal number of randomly selected patients without known mental disorder, matched for age, sex, and year of admission. Mortality outcomes were determined by linkage of hospital data and the National Death Index. Results: We identified 15,356 patients with mental disorder and 15,356 without known mental disorder, 25.2% of the former and 17.3% of the latter died during the study period. The odds ratio (OR) for death in those with mental disorder was 2.20 (95% confidence interval: 2.01-2.41) after adjusting for confounders, and their mean age at death was 4.6 years younger (p<0.001). Other independent risk factors for mortality were being Indigenous (OR 1.72, 1.32-2.24), not partnered (OR 1.55, 1.36-1.76) or having multiple comorbidities (OR 1.65, 1.43-1.90). In the model that included multiple interactions, the ORs for death in Indigenous patients with mental disorder were markedly higher (6.6 to 9.5), regardless of other risk factors. Discussion: Among patients with a history of public hospital admission, those with mental disorders have higher mortality than those without mental disorders. This gap in life expectancy mandates increased attention, by clinicians and health services alike, to preventable causes of death in people with mental illness.

The impact of Mental Health Nurse Consultants on the care of general hospital patients experiencing concurrent mental health conditions: An integrative literature review

“…Mental health conditions in GH patients are associated with increased mortality (Karim et al . 2019) and added distress for patients and relatives (Clissett et al . 2013).…”

“…Mental health conditions in GH patients are associated with increased mortality (Karim et al 2019) and added distress for patients and relatives (Clissett et al 2013). The additional complexity of care results in increased resource usage (Jansen et al 2018;Wolff et al 2018) and unique pressures on staff (Foye et al 2020).…”

Involving service users in Births and their outcomes: a retrospective birth cohort data linkage study analysing daily, weekly and yearly cycles and their implications for the NHS

“…Many data linkage studies on important public health topics have not involved partnership working with service users or the public [60][61][62], but this is gradually being addressed. In Wales [63] and in Scotland [64] involvement panels and discussion forums have been created to explore the views of people of different ethnicity, age and gender in whole population studies and, in London, The Maudsley Biomedical Research Centre created a patient and public involvement group to discuss use of mental health data with service users and carers [33].…”

Construcción, validación y confiabilidad de la escala de adaptación familiar de adultos con trastornos mentales

“…Las familias que deben responsabilizarse del cuidado y ayuda del enfermo (9,10) se enfrentan a múltiples situaciones que implican una sobrecarga para sus miembros, los cuales se ven frecuentemente afectados por sentimientos de malestar y sufrimiento (9) , esto por muchos factores como lo es la estigmatización del familiar con TM por la sociedad (11) .…”