الفهرس 
Mortality in Mentally Ill PeopleOnly 14 pages are availabe for public view
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Abstract
The current study is retrospective study carried out on the medical records of psychiatric inpatients (n = 145) who died during their inpatient stay at Abbassia Mental Hospital in the past 5 years (January 2010 to December 2014) constituted the study population. Out of 144 psychiatric inpatient deaths, the researchers were able to trace and recruit the case record files of 144 inpatients. Untraced file was submitted for legal purposes; hence such file was not reviewed.
All data of inpatients files including mortality reports registered in the registration department of El-Abbassia psychiatric hospital were reviewed.
Files of patients who died during their admission in the hospital were studied through case file review.
For each case, manual inspections of files were done and the following data were collected:
Socio-Demographic characteristics
Psychiatric diagnoses according to ICD-10.
Duration of hospitalization for the last admission.
Co-morbid medical condition.
Details of the current episode.
Psychotropic medications at the time of the incidents, its doses.
In addition received ECT (Electro-Convulsive-Therapy) if any.
For each incident data collected about reported complications, its duration, possible interventions prior to death together with features of the incident.
Number of consultations to other specialties in the hospital.
Number of consultations and transfer to a general medical hospital
Cause of death
Results:
During the study period 15956 patients admitted among which 145 patient died that is to say mortality rate was 9/1000. The mean age of patients died was 57.5 years of age with a female predominance as mortality rate among females was 3/100. The majority of patients were unemployed, illiterate .Long stay hospitalization (know as more than 6 months duration) was 75.5% of inpatients deaths reported in this study. Most common diagnosis were Schizophrenia, delusional disorder, dementia, epilepsy, bipolar affective disorder, depression. Relevant psychiatric symptoms in the last month before death were mood symptoms and aggressive behavior respectively. Half of the patients were unknown to have medical co-morbidity. The remaining half was found to have cardiac disorder, diabetes mellitus, neurological disorder and a combination of more than one illness. Antipsychotics, antidepressants, anticholinergics, mood stabilizers and ECT were the most common therapies received in the last month before death. Laboratory findings revealed that the majority of patients (more than three fourths) had abnormal blood picture in the last month before death. Sudden death due to unknown reasons was the most common cause of death found. Normal aging was the second cause of death noticed. Other causes were neurological and renal diseases respectively. Unknown deaths at one hand and Chlorpromazine, typical and Anti-cholinergic drugs at the other hand.
Discussion and Conclusion:
Observed deaths in our patient population were more than two times as high as expected, compared with the general population. The mean age at death for Abassia decedents was 57.5+/-15.3years.Sudden and unknown causes of death were more reported in this study than previous studies. Medical co-morbidities were consistent with the known risk factors for the identified natural leading causes of death in previous studies. Furthermore mortality rate was much higher in females rather than males as most of them were of older age and of long stay group. Similar to findings of most studies that have examined these issues, our findings showed that serious health care gaps exist for this vulnerable population.