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Sudden deaths in the mentally handicapped.

G Carter, J Jancar

    Psychological Medicine
    |August 1, 1984
    PubMed
    Summary

    Sudden deaths increased in a hospital for the mentally handicapped over 50 years. Longer lifespans led to more deaths from arterial disease and asphyxia, possibly due to medication side effects.

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    Area of Science:

    • Medical science
    • Gerontology
    • Neurology

    Background:

    • Sudden death in institutionalized individuals with intellectual disabilities requires ongoing investigation.
    • Understanding long-term trends in mortality causes is crucial for patient care.

    Purpose of the Study:

    • To analyze trends in sudden death incidence and causes over a 50-year period in a hospital for the mentally handicapped.
    • To compare mortality patterns between the first and second 25-year periods.

    Main Methods:

    • Retrospective analysis of mortality data over 50 years.
    • Comparison of death rates and causes between two distinct 25-year intervals.
    • Identification of specific causes of sudden death, including status epilepticus, arterial degenerative disease, and asphyxia.

    Main Results:

    • A significant increase in the number of deaths was observed in the second 25-year period compared to the first.
    • Increased longevity in the second period was associated with a rise in deaths from arterial degenerative disease, particularly in older patients.
    • A notable increase in sudden deaths due to asphyxia occurred in the second period, potentially linked to modern medications causing feeding difficulties.

    Conclusions:

    • Mortality patterns in hospitals for the mentally handicapped have evolved over 50 years, with increased longevity influencing causes of death.
    • Arterial degenerative disease and asphyxia have become more prominent causes of sudden death.
    • Further research into medication side effects and their impact on feeding and mortality is warranted.

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