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Mortality among involuntary inpatients of psychiatric hospital

Authors
  • Fulga, Iuliu1
  • Neagu, Anca-Iulia1
  • Neagu, Marius1
  • Fulga, Ana1
  • 1 Dunarea de Jos University of Galati, 35 Cuza St., Galati, 800010, Romania , Galati (Romania)
Type
Published Article
Journal
Egyptian Journal of Forensic Sciences
Publisher
Springer Berlin Heidelberg
Publication Date
Jul 01, 2021
Volume
11
Issue
1
Identifiers
DOI: 10.1186/s41935-021-00228-4
Source
Springer Nature
Keywords
Disciplines
  • Original Article
License
Green

Abstract

BackgroundMortality is often used as an indicator of public health efforts. Even if mortality in psychiatric hospitals decreased since the introduction of modern treatment, the death toll is still high. The authors have analyzed the forensic autopsy data and the medical documentation regarding 115 death cases from psychiatric hospitals in south-eastern Romania during the period of 2000–2020.ResultsThe average annual mortality rate was 5.13‰, the necropsy data corroborated with those from the medical documentary material indicates acute myocardial infarction as the dominant cause, with 65 (56.5%) cases, followed by upper respiratory tract occlusion with 23 cases (20%) and pulmonary thromboembolism in 4 cases (12.2%). Furthermore, in 6 cases (5.2%) the cause of death was traumatic: 4 cases of cranio-cerebral trauma and 2 cases of hanging.ConclusionsIn the mortality structure of psychiatric patients, cardiac death predominated, being influenced by the cardiotoxic effect of medication administered for the specific pathology; hence, an early involvement of cardiologists in the follow-up of patients and the finding of treatment schemes with a reduced cardiotoxic effect are required.

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