Abstract:
OBJECTIVE:To characterize temporal trends and outcomes of invasive mechanical ventilation (MV) for people with severe mental disorders (SMD) admitted due to natural causes. METHODS:We identified all 224,507 hospitalizations of patients aged 15-69 who underwent MV in Spain between 2000 and 2015, excluding poisonings and injuries, and divided them by presence of an SMD diagnosis. We compared the two study groups regarding demographic and clinical characteristics and examined time trends in the incidence of MV and in-hospital mortality. RESULTS:SMD patients were younger and had fewer comorbidities and lower in-hospital mortality than the non-SMD group. However, among patients admitted due to circulatory diseases, SMD patients had higher mortality risk (OR = 1.39; 95%CI = 1.22-1.59). In the SMD group, the increase in MV use quadrupled that of non-SMD patients (Average Annual Percent Change = 6.9%; 95%CI = 5.5-8.3 vs. 1.5%; 0.9-2.0, respectively). Overall in-hospital mortality declined similarly in both study groups. While the SMD group's circulatory-specific mortality also decreased, by 2015 it remained elevated in comparison to non-SMD patients (44% vs. 38%, respectively). CONCLUSION:The increase in MV use due to natural causes among people with SMD outpaced that of non-SMD patients, with comparable decreasing trends in mortality. Although declining, SMD patients' higher circulatory-specific mortality risk requires further investigation.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Martínez-Alés G,López-Cuadrado T,Olfson M,Bouza Cdoi
10.1016/j.genhosppsych.2020.04.007subject
Has Abstractpub_date
2020-01-01 00:00:00pages
15-20eissn
0163-8343issn
1873-7714pii
S0163-8343(20)30060-8journal_volume
65pub_type
杂志文章abstract::The authors present a case of dietary vitamin B12 deficiency in a patient with multiple sclerosis. A simple schemata for evaluating patients for vitamin B12 deficiency is included as a clinical aid for physicians. ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(94)90105-8
更新日期:1994-05-01 00:00:00
abstract::Prior literature suggested that psychiatric liaison on medical wards would produce a more positive attitude towards psychiatry, more psychosocial chart documentation, and a higher consultation request rate. Over 3 years, liaison was conducted on two medical wards, and its effect was contrasted with two control (consul...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(89)90050-9
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abstract::Suicidal behavior is disproportionately frequent among inner-city Hispanic adolescent girls. In an attempt to generate a multifactorial set of hypotheses to explain this behavior, 33 such subjects consecutively admitted for suicidal behavior and 15 demographically identical nonsuicidal subjects were assessed by means ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
abstract::In this study, 96 frequent attender patients in primary care were compared with 466 other primary care patients. The focus was on psychiatric morbidity, current and former psychiatric treatment, and self-perceived need for treatment. The prevalence of psychiatric illness was much greater among frequent attender patien...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(94)00059-m
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:This prospective study investigates the relationships between depressive symptoms, psychiatric medication use, and their interaction on risk of developing type 2 diabetes. METHOD:Data come from the 1998-2010 waves of the Health and Retirement Study, a US nationally representative cohort of adults aged 51 yea...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2015.05.008
更新日期:2015-09-01 00:00:00
abstract::Sexual abuse is a common problem among female primary care medical patients. There is a wide spectrum of long-term sequelae, ranging from mild to the complex symptom profiles consistent with the theories of a posttraumatic sense of identity. Generally, the latter occurs in the context of severe, chronic abuse, beginni...
journal_title:General hospital psychiatry
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doi:10.1016/s0163-8343(98)00021-8
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abstract::Hyperthyroidism has profound effects on mental health. The literature is sparse, however, with regard to suicide attempts related to untreated hyperthyroidism. This case report illustrates the presentation of a patient in the intensive care unit after a life-threatening Tylenol overdose presumed to be secondary to adj...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2012.12.006
更新日期:2013-09-01 00:00:00
abstract::Cannabis in its various forms has been known since time immemorial, the use of which has been rising steadily in India. 'Bad trips' have been documented after cannabis use, manifestations ranging from vague anxiety and fear to profoundly disturbing states of terror and psychosis. Cannabis is known to affect various ne...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2013.06.010
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Oral loading with the delayed release formulation of divalproex sodium is widely used for the treatment of patients with acute mania and produces rapid attainment of therapeutic serum levels. Recently, an extended release formulation of divalproex sodium (divalproex ER) was approved for treatment of migraine...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2005.02.001
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To determine whether a smartphone application (app) with an electronic headache diary and a progressive muscle relaxation (PMR) intervention is feasible and acceptable to people presenting to the Emergency Department (ED) with migraine. METHODS:This single arm prospective study assessed feasibility by actual...
journal_title:General hospital psychiatry
pub_type: 杂志文章
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更新日期:2021-01-08 00:00:00
abstract::This report describes the rates of recovery and remission from minor depression or dysthymia in primary care patients three months after completing a randomized controlled treatment trial. The subjects were primary care patients who received > or =4 treatment sessions with Problem-Solving Treatment, paroxetine, or pla...
journal_title:General hospital psychiatry
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::A study was conducted of all 51 patients admitted on 64 occasions with self-inflicted burns to the Welsh Regional Burns Unit between January 1979 and January 1991. Two different groups of patients were identified, namely, patients who attempted suicide and patients with self-mutilative behavior. Their differences on a...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(92)90007-w
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
abstract::Despite its relevance for quality care initiatives, the field of psychiatry has little scientific knowledge regarding the course of current major depression when primary care patients with the disorder remain undetected. Using statewide telephone screening, we identified and followed 98 adults with current major depre...
journal_title:General hospital psychiatry
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更新日期:1998-01-01 00:00:00
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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更新日期:2010-03-01 00:00:00
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journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2010.11.004
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:This study aimed at determining the prevalence of psychosis in tuberculosis (TB) patients in comparison to nontuberculosis control and its correlation with disease pattern. METHOD:One hundred and fifteen patients with TB and 112 family members visiting the multidrug treatment-resistant treatment center at Un...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2015.05.012
更新日期:2015-11-01 00:00:00
abstract::Every day there are 6000-7000 papers published in science. Since the C-L psychiatrist may be asked to consult on a patient with any medical illness, and who may be on any medical drug, methods need to be developed to review the recent literature and have an awareness of current findings. At the same time, teachers nee...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(99)00049-3
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journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2007.05.002
更新日期:2007-09-01 00:00:00
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journal_title:General hospital psychiatry
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更新日期:2012-09-01 00:00:00
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2007.09.005
更新日期:2008-01-01 00:00:00
abstract::Forty consecutive patients with disabling tinnitus were interviewed using a structured psychiatric interview and were asked to complete the Hopkins Symptom Checklist (SCL-90), the Chronic Illness Problem Inventory, and the Revised Ways of Coping Checklist. They were compared to a control group of 14 patients attending...
journal_title:General hospital psychiatry
pub_type: 杂志文章
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(02)00213-x
更新日期:2002-11-01 00:00:00
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:Persons with thoughts of self-harm may need evaluation for suicide risk. We examine the prevalence of thoughts of self-harm and whether persons with thoughts of self-harm are identified when two-stage depression screening is used. METHODS:Data are from the 2005-2010 National Health and Nutrition Examination ...
journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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