کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2566331 1128080 2007 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pulmonary disease among inpatient decedents: Impact of schizophrenia
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
پیش نمایش صفحه اول مقاله
Pulmonary disease among inpatient decedents: Impact of schizophrenia
چکیده انگلیسی

ObjectivesDetermine the risk associated with schizophrenia for common pulmonary illness (pneumonia and chronic obstructive pulmonary disorder (COPD)) during the last year of life.MethodsInpatient decedents in Veterans (VA) hospitals in 2002 (N = 27,798) were identified. Logistic regression modeled diagnosis of pulmonary illness in either the final year or final admission as a function of schizophrenia, smoking history and other covariates.ResultsAmong decedents, 943 (3%) had schizophrenia, 3% were women, most were white (76%) or African–American (18%), and average age at death was 72.4 years (SD 11.5). Three-fifths received VA outpatient care in the year prior to death. Among those with schizophrenia, only two-fifths had outpatient care. Pneumonia was more common among schizophrenia patients (38% vs 31%) as was COPD (46% vs 38%). In models controlling for history of smoking and other covariates, schizophrenia was a risk factor for pulmonary disease in the last year of life (OR = 1.9, 95% CI 1.6–2.2) but less so for final-stay pulmonary disease (OR = 1.5, 95% CI 1.3–1.7).ConclusionsVA inpatient decedents with schizophrenia were at increased risk for pneumonia and COPD, independent of smoking indicators. Clinicians treating schizophrenia patients need to be especially alert to potential comorbid medical conditions and ensure vulnerable patients receive appropriate care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Progress in Neuro-Psychopharmacology and Biological Psychiatry - Volume 31, Issue 3, 13 April 2007, Pages 720–726
نویسندگان
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