The association between access to emergency respite and hospital admission: A longitudinal, cohort case register study

2021 ◽  
Author(s):  
Dipti Patil ◽  
Abigail Hall ◽  
Syeda Hasan ◽  
Holly Pye ◽  
Paul Lonergan ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Register Study ◽  
Case Register ◽  
Longitudinal Cohort

A descriptive case-register study of delusional disorder

2008 ◽  
Vol 23 (2) ◽  
pp. 125-133 ◽  
Author(s):  
Enrique de Portugal ◽  
Nieves González ◽  
Josep M. Haro ◽  
Jaume Autonell ◽  
Jorge A. Cervilla
Keyword(s):  
Community Mental Health Services ◽  
Depressive Mood ◽  
Delusional Disorder ◽  
Register Study ◽  
Global Functioning ◽  
Case Register ◽  
Axis Ii ◽  
Paranoid Personality Disorder ◽  
History Of ◽  
Dsm Iv

AbstractObjectiveA few empirically based studies' data on delusional disorder (DD) exist. We aim to describe sociodemographic and clinical correlates of DD and to identify clinical profiles associated to DD and its subtypes.MethodsThis is a case-register study based on all those subjects attending community mental health services within a geographically well-defined area. Four hundred and sixty-seven patients had been diagnosed as DD cases at psychiatric services serving a catchment area of some 607,494 inhabitants living in South Barcelona (Spain) during a three-year period (2001–2003). A thorough systematic review of computerised medical records was used to establish DSM-IV diagnosis, rendering a valid sample of 370 patients who fulfilled DSM-IV criteria for DD. Independent variables gathered include sociodemographic data, family and personal psychiatric history, and comorbid diagnoses on all DSM-IV axes (including GAF). We used descriptive and univariate statistical methods to explore sample frequencies and correlates across DD types.ResultsThe mean age of the patients was 55 years and the sample had a mean GAF score of 51 suggesting a poor functionality; 56.5% of the patients were female. The most frequent DD types were persecutory (48%), jealous (11%), mixed (11%) and somatic (5%), whilst 23% qualified for the NOS type. Most frequent symptoms identified were self-reference (40%), irritability (30%), depressive mood (20%) and aggressiveness (15%). Hallucinations were present in 16% of the patients (6% tactile; 4% olfactory). Nearly 9% had a family history of schizophrenia (higher among those with the jealous subtype) and 42% had a comorbid axis II diagnosis (mostly paranoid personality disorder). Depression was significantly more frequent among the persecutory and jealous types. Finally, global functioning was significantly better among jealous and mixed types and worse amongst erotomanic and grandiose cases (p = 0.008).ConclusionsIn the absence of other similar empirical data, this modest study provides unique empirical evidence of some clinical and risk correlates of DD and its subtypes.

Mortality Among Patients with Psychiatric Illness a Ten-Year Case Register Study in an Area with a Community-based System of Care

1995 ◽  
Vol 166 (6) ◽  
pp. 783-788 ◽  
Author(s):  
Francesco Amaddeo ◽  
Giulia Bisoffi ◽  
Paola Bonizzato ◽  
Rocco Micciolo ◽  
Michele Tansella
Keyword(s):  
Poisson Regression ◽  
Psychiatric Patients ◽  
Age Groups ◽  
System Of Care ◽  
Register Study ◽  
First Year ◽  
Community Based ◽  
Pattern Of Care ◽  
Case Register ◽  
Specialist Services

BackgroundMost studies which showed an excess mortality in psychiatric patients have been conducted on hospitalised samples.MethodThis was a case register study. All South Verona patients with an ICD diagnosis who had psychiatric contacts with specialist services in 1982–1991 were included. Mortality was studied in relation to sex, age, diagnosis, pattern of care and interval from registration. Standardised Mortality Rates (SMRs) and Poisson regression analysis were calculated.ResultsThe overall SMR was 1.63 (95% CI = 1.5–1.8), which is the lowest value reported so far. Mortality was higher among men (SMR = 2.24; 95% CI = 1.9–2.6), among patients who were admitted to hospital (SMR = 2.23; 95% CI = 1.9–2.6), among younger age groups (SMR = 8.82; 95% CI = 4.9–14.6) and in the first year after registration (SMR = 2.32; 95% CI = 1.8–2.9). Higher mortality was found in patients with a diagnosis of alcohol and drug dependence (SMR = 3.87; 95% CI = 3.0–4.9). The SMR for suicide was 17.41. Using a Poisson regression model, diagnosis, pattern of care and interval from registration were all found to be significantly associated with mortality. When all these variables were entered together in the model, each maintained its predictive role.ConclusionsThe overall mortality of psychiatric patients treated in a community-based system of care was higher than expected, but lower than the mortality reported in other psychiatric settings. The highest mortality risk was found in the first year after registration.

scholarly journals O3.3. COMORBID SUBSTANCE USE DISORDERS ASSOCIATED WITH LIFE EXPECTANCY REDUCTION IN PEOPLE WITH PSYCHOTIC DISORDERS: AN ELECTRONIC CASE REGISTER STUDY

2019 ◽  
Vol 45 (Supplement_2) ◽  
pp. S166-S166
Author(s):  
Rashmi Patel ◽  
Edward Chesney ◽  
Sam Hollandt ◽  
Chi-Kang Chang ◽  
Megan Pritchard ◽  
...  
Keyword(s):  
Substance Use ◽  
Life Expectancy ◽  
Substance Use Disorders ◽  
Psychotic Disorders ◽  
Register Study ◽  
Case Register

Labour and delivery complications at birth and later mania; An Irish case register study

2000 ◽  
Vol 41 (1) ◽  
pp. 71
Author(s):  
R. Browne ◽  
M. Byrne ◽  
N. Mulryan ◽  
A. Scully ◽  
M. Morris ◽  
...  
Keyword(s):  
Register Study ◽  
Delivery Complications ◽  
Case Register ◽  
Irish Case

Dementia in affective disorde a case-register study

1999 ◽  
Vol 100 (3) ◽  
pp. 176-185 ◽  
Author(s):  
L. V. Kessing ◽  
E. W. Olsen ◽  
P. B. Mortensen ◽  
P. K. Andersen
Keyword(s):  
Register Study ◽  
Case Register
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