| Mortality in medical-surgical inpatients referred for psychiatric consultation. | |
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MedLine Citation:
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PMID: 19555794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study is to calculate the 1-year mortality rate of medical-surgical inpatients referred for psychiatric consultation and to determine factors associated with mortality in this population. METHOD: We conducted a retrospective chart review of medical-surgical inpatients referred for psychiatric consultation (N=454). Patients who died within 1 year of psychiatric consultation were compared to age-matched patients from the same group who survived on demographic and clinical domains. RESULTS: Sixty-nine patients (15.2%) died within 1 year of referral for psychiatric consultation. Delirium was the only psychiatric diagnosis significantly associated with 1-year mortality [52.2% vs. 29.9%, P=.01; hazard ratio (HR), 1.7]. Cancer was the only medical condition associated with 1-year mortality (24.6% vs. 6.0%, P<.0001; HR, 3.03). Having both delirium and cancer shortened mean survival time significantly. Mortality risk was also associated with time duration between admission and psychiatric consultation. CONCLUSION: The 1-year mortality rate in this group of medical-surgical inpatients referred for psychiatric consultation was 15.2%. Mortality was independently associated with delirium and cancer. Mortality was also associated with greater length of time from admission to consultation, which raises a question about whether earlier psychiatry consultation may have a positive impact on survival. |
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Authors:
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Gayla B Tennen; James R Rundell; Susanna R Stevens |
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Publication Detail:
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Type: Journal Article Date: 2009-05-02 |
Journal Detail:
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Title: General hospital psychiatry Volume: 31 ISSN: 1873-7714 ISO Abbreviation: Gen Hosp Psychiatry Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-06-26 Completed Date: 2009-07-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7905527 Medline TA: Gen Hosp Psychiatry Country: United States |
Other Details:
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Languages: eng Pagination: 341-6 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario M4N 3M5, Canada. gayla.tennen@sunnybrook.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Aged Comorbidity Delirium / complications, mortality Female Humans Inpatients / statistics & numerical data* Kaplan-Meiers Estimate Male Mental Disorders* / complications, mortality Middle Aged Minnesota / epidemiology Mortality* Neoplasms / complications, mortality Prevalence Proportional Hazards Models Referral and Consultation / statistics & numerical data* Retrospective Studies Risk Factors Severity of Illness Index Survival Rate Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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