Patients with preexisting psychiatric disorders admitted to ICU: a descriptive and retrospective cohort study
| Autor: | Jean Marc Tadié, Pierre Fillatre, Arnaud Gacouin, Emmanuelle Sylvestre, Adel Maamar, Yves Le Tulzo, Margaux Dolan |
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| Přispěvatelé: | Service des maladies infectieuses et réanimation médicale [Rennes] = Infectious Disease and Intensive Care [Rennes], CHU Pontchaillou [Rennes], Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de Pharmacologie [Rennes], Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Guillaume Régnier [Rennes], Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES) |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Psychiatric diagnoses Poison control Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Self-harm Medicine 030212 general & internal medicine Psychiatry Depression (differential diagnoses) Outcome business.industry Research Hazard ratio 030208 emergency & critical care medicine Retrospective cohort study Odds ratio 3. Good health Critical care SAPS II [SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health Cohort [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Cohort study business Psychoactive medication |
| Zdroj: | Annals of Intensive Care Annals of Intensive Care, 2017, 7 (1), pp.1. ⟨10.1186/s13613-016-0221-x⟩ Annals of Intensive Care, SpringerOpen, 2017, 7 (1), pp.1. ⟨10.1186/s13613-016-0221-x⟩ |
| ISSN: | 2110-5820 |
| DOI: | 10.1186/s13613-016-0221-x |
| Popis: | International audience; Background: While the psychiatric disorders are conditions frequently encountered in hospitalized patients, there are little or no data regarding the characteristics and short- and long-term outcomes in patients with preexisting psychiatric disorders in ICU. Such assessment may provide the opportunity to determine the respective impact on mortality in the ICU and after ICU discharge with reasons for admission, including modalities of self-harm, of underlying psychiatric disorders and prior psychoactive medications.Methods: ICU and 1-year survival analysis performed on a retrospective cohort of patients with preexisting psychiatric disorders admitted from 2000 through 2013 in a 21-bed polyvalent ICU in a university hospital. Results: Among the 1751 patients of the cohort, 1280 (73%) were admitted after deliberate self-harm. Psychiatric diagnoses were: schizophrenia, n = 97 (6%); non-schizophrenia psychotic disorder, n = 237 (13%); depression disorder, n = 1058 (60%), bipolar disorder, n = 172 (10%), and anxiety disorder, n = 187 (11%). ICU mortality rate was significantly lower in patients admitted after self-harm than in patients admitted for other reasons than self-harm [38/1288 patients (3%) vs. 53/463 patients (11%), respectively, p |
| Databáze: | OpenAIRE |
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