id:"swepub:oai:lup.lub.lu.se:a27b0d5e-2e5d-4f9f-b937-46ab2e4c6b98"
Search: id:"swepub:oai:lup.lub.lu.se:a27b0d5e-2e5d-4f9f-b937-46ab2e4c6b98" > Mortality in person...
- 1 of 1
- Previous record
- Next record
- To hitlist
Mortality in persons with mental disorders is substantially overestimated using inpatient psychiatric diagnoses
- Crump, Casey (author)
- Ioannidis, John P. A. (author)
-
- Sundquist, Kristina (author)
- Lund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Allmänmedicin och klinisk epidemiologi,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups,Family Medicine and Clinical Epidemiology
- show more...
- Winkleby, Marilyn A. (author)
- show less...
- (creator_code:org_t)
- Elsevier BV, 2013
- 2013
- English.
- In: Journal of Psychiatric Research. - : Elsevier BV. - 1879-1379 .- 0022-3956. ; 47:10, s. 1298-1303
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- Mental disorders are associated with premature mortality, and the magnitudes of risk have commonly been estimated using hospital data. However, psychiatric patients who are hospitalized have more severe illness and do not adequately represent mental disorders in the general population. We conducted a national cohort study using outpatient and inpatient diagnoses for the entire Swedish adult population (N = 7,253,516) to examine the extent to which mortality risks are overestimated using inpatient diagnoses only. Outcomes were all-cause and suicide mortality during 8 years of follow-up (2001-2008). There were 377,339 (5.2%) persons with any inpatient psychiatric diagnosis, vs. 680,596 (9.4%) with any inpatient or outpatient diagnosis, hence 44.6% of diagnoses were missed using inpatient data only. When including and accounting for prevalent psychiatric cases, all-cause mortality risk among persons with any mental disorder was overestimated by 153% using only inpatient diagnoses (adjusted hazard ratio [aHR], 5.89; 95% Cl, 5.85-5.92) vs. both inpatient and outpatient diagnoses (aHR, 5.11; 95% Cl, 5.08-5.14). Suicide risk was overestimated by 18.5% (aHRs, 23.91 vs. 20.18), but this varied widely by specific disorders, from 4.4% for substance use to 49.1% for anxiety disorders. The sole use of inpatient diagnoses resulted in even greater overestimation of all-cause or suicide mortality risks when prevalent cases were unidentified (similar to 20-30%) or excluded (similar to 25-40%). However, different methods for handling prevalent cases resulted in only modest variation in risk estimates when using both inpatient and outpatient diagnoses. These findings have important implications for the interpretation of hospital-based studies and the design of future studies. (C) 2013 Elsevier Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Mental disorders
- Mortality
- Suicide
Publication and Content Type
- art (subject category)
- ref (subject category)
Find in a library
- Journal of Psychiatric Research (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Crump, Casey
- Ioannidis, John ...
- Sundquist, Krist ...
- Winkleby, Marily ...
- Sundquist, Jan
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Psychiatry
- Articles in the publication
- Journal of Psych ...
- By the university
- Lund University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
